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HomeMy WebLinkAboutStreet Cut Permits 246 Foster Street (2) 1900050 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 05/08/2019 GIS ID: 33600246 FEE: 50.00 MUNIS APPLICATION# 201900902 EXPIRATION DATE: 05/07/2020 ' 40 S i �;b APPLICANT Y,' % = LOCATION NAME: CENTRAL SEALING,CO,I1�C ADDRESS46`F(�STER STREET ADDRESS: 69 THOMAS STREET QWN$R RI$T- USTAFSON BRIAN D&CATHERINE ti `�2 246QTER ST EAST HARTFORD,aCT PHONE ° " F r Nr u 1 WORK DESCRIPTION: DRIVE A1Y \;k APPLICANT AGREES TO FURNISH THETOVUN dF SOUTH WINDSOR TIDE AMd[!NT 9F FOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY:1;XPENSES INer[JRR$D BY I Fi•EdWN FOP:'MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TIE OPPY ICANT IS FAIVTITiAR V/ITH A1D WI'T.L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN IF SOUTH,WINDSOR S STREET CUT PERMIT MANUAL. /o(d ISSUED BY DA`T"E INSPECTED INSPECTED BY 5/8/2019 3:04 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** 2 ;Y ttt n i �+ �6 19 - G 1 4 l )✓w 4 ~1 A 7i. �. 5 S on rw- �;2i 4 \•.. Itkl t r T4W O SQUTN.WINDSflRINSPECOIR REPORT PERMIT NO. CONTRACT!: • LOCATION Type OF WORK: TE P NEEDED: = DATE INSP:. `J l DA! .iNS INSPECTED • . WORK�.IN • . . . - - 1 PROGRESS: b � s'�- • �- �-�•L.�- • • c�u. - • - SEPTIC TANK PUMPED,'SMASHED,FILE 1NMESSED ❑YES El NO- I AS-BUILT: fi INPUT: - DATE: Wmo![oyMons ZQ14 TOO of SOtil Wii[dsor-INPS D AlEF6RY 14 N r. APPLICATION FOR STREtT EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Pe[rrlltv..: TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 IFEE'� SUM! Name of Firm 0 N&I S"MA I I � Phone No. Address of Firm 6 S 'e Zip Code Location of proposed work__._ & SOS S Describe fully nature of permit requested re!'Yi UVe � 1-eWye _I m ew�C� T Starting date 1 Call Before You Dig No a I q-1 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 TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑Curb Cut ❑Sidewalk Cut XlExisting Driveway,No Changes ❑ Proposed Driveway Widening ❑Proposed New Driveway Water Supply: ©Public Water O W61 Sewage Service: ❑ Public Sewer ❑Septic Show sketch of proposed work or fumish Indicate North This section to be filled out by Town two copies of separate drawing ��✓��� No.cuts � l 1 Est. Patch Size(s) s€ { 1 Est. Pvt.Thickness in. Est.Patch Unit Price$ !sf Est.Patch Cost$ I Est.Curb Replacement ft Est.Curb Unit Price$ !ft Est.Curb Cost$ y Est.Sidewalk Replacement sf Est.Sidewalk Unit Price$ _. . Est.Sidewalk Cost$ Est.Traffic Flours hr Est.Traffic Unit Cost$ /tlr Est.Traffic Control$ 1 Amt.of Deposit$ l DRIVEWAYS must be 3ft or more from the p foperty line per Total Due$ section 2.17 of the zoning regulations i { )Cash ( }Check# Applicant Is responsible for contacting the Polio Dept.and C.B.Y.D PERMIT SHALT_BE KEPT ON JOBSITE AT A,LL TIMES Paid By j I AGREE TO FURNISH TO THE TOWN OF SOUTH VVINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH j WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY'THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR's STREET CUT PERMIT MANUAL. Signed Print Name Date: !�� II Engineering/pe its/Street Excavation Permit 2017 I ;