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HomeMy WebLinkAboutStreet Cut Permits 58 Sele Drive (4) 1900049 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 05/08/2019 « :` GIS ID: 81800058 QP fi FEE: 50.00 MUNIS APPLICATION# 201900901 y EXPIRATION DATE: 05/07/2020 Rk APPLICANT LOCATION NAME: CENTRAL SEALINCri1C0 INC ADDRESS �8 SERE DRIVE ADDRESS: 69 THOMAS STREE' t'' OWNER C tt AO DENNIS HAN&MICHELLE YEUNG 1, F z. 578$1LE DRIVE EAST HARTFORD CT�Q61A i-f< < ;? PHONE WORK DESCRIPTION: APPLICANT AGREES TO FURNISH TH1;Tm QF S6UT#i4I VD$DR SHE AMO�INT QF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AkY EXPENSES IT7GURRED`BY THEOW1T FOR^'1VIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND T, MII IAR 1I'I H AIp ILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN Oki Sf47UTI�V"INDSdR'S STREET CUT PERMIT MANUAL. 7�.z.3l�l .. ISSUED BY DATE VSPE TED INSPECTED BY 5/8/20I93:00PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** Yk= ms k Y4 •' 45t s �' i'3 . k.Nh. i TOWJN OF.SOUTH-WIN SQR INSPEC'3ON REPORT PERMIT NO.: - �L CONTRAMR:C� LOCATION; TYPE OF MILK: � DATE INSP NEEDED: DATE INSP:. '71 WORK,IN � �. PROGRESS: s�� '�-� �� ��►�e.•�:�t�.;, � ,r -...,� SEPTIC TANK PUMPER,-SMASHED; FILLED � p ❑YES (] N0 f AS-BUILT: INPUT: DATE-.-- I f S/moi[o�y/torms 2M4 Town of South Windsor MPuf ON R�EPOR714 r APPLICATION FOR STREMT EXCAVATION PERMIT Appi. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.,- TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 ` SEE{ 80:00 Name of Firm .Qlrl �2� �! �� PLC-- �— ?��- `� t�0 Address of Firm ��0�, 1�-G� . ?_� � Phone No. -- - Zip Code db S Location of proposed work Sete n oe— Describe fully nature of permit requested (,e M CVe ae nl?,) Starting date C1 d 9 Call Before You Dig Nu PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT-,INCLUDING ANY INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TlampORARY PATCH BUT IT COULD Be LATER THAN A YEAR. Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑Sidewalk Cut AExisting Driveway,No Changes ©Proposed Driveway Widening 0 Proposed New Driveway Water Supply: ❑ Public Water ❑W-11 Sewage Service: ❑ Public Sewer ❑Septic Shaw sketch of proposed work or furnish Indicate North This section to be filled out by Town two Copies of separate drawing i . I , NO.CUlS ` Est,Patch Sizes) sf Est.Pvt.Thickness in. Est.Patch Unit Price$ /sf Est.Patch Cost$ Est.Curb Replacement ft I Est.Curb Unit Price$ fft Est.Curb Cost$. Est.Sidewalk Replacement sf Est.Sidewalk Unit Price$ /sf Est.Sidewalk Cost$ Est.Traffic Hours hr Est.Traffic Unit Cost$ /hr Est.Traffic Control$ Amt.of Deposit$ DRIVEWAYS must be 3ft or more from the pltbp"line per Total Due$ section 2.17 of the zoning regulations l { )Cash ( )Check# Applicant is responsible for contacting the Policgg Dept.and C.B,Y.D PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Paid By I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED BYTI IE'TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE SY'iTHE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'$STREET CU7 PERMIT MANUAL. Signed: f Print Name d f� � �I Date: Engineering/permits/Street Excavation Permit 2017 I f I - j