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HomeMy WebLinkAboutStreet Cut Permits 36 Benjamin Way (2) 1900071 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 05/20/2019 GIS ID: 09900036 FEE: 50.00 iK MUNIS APPLICATION# 201900993 EXPIRATION DATE: 05/19/2020 g;i, x a APPLICANT h` . i 4�t' LOCATION NAME: CENTRAL SEALING�PO INC y ADDRESS 36 BETJAMIN WAY ADDRESS: 69 THOMAS STREE ` k t F ; O�VIVI R LAMOliTAGNE DAVID J 3, MIN WAY EAST HARTFORD PHONE WORK DESCRIPTION: DRVWt t APPLICANT AGREES TO FURNISH TH>~;'t,TOW�T QF SOUTH WINI?SOR THIr AMOCIIT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AYFrXPENSE INLIRED. " HE 7pWi`1+F0>{iMAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND A E�AI'HLICANP I"s FAIVIII IAR W�I'H AI�1D WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SQCTTH WINUSOR',•S STR>JET BUT PERMIT MANUAL. i 4 14 I B DATE'IIVSPECTED INSPECTED BY 5/20/2019 11:43 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** r a �s k k ks; A, 4 �FN f s tLS- N� +b AN!-- At, r 4 3vL � i t r 1 FT, 1 �F'fisl^ w ,R F 6 y Ry ti. 4 \ `L itAl rzt K 3 Tt3YY OF SOUTH'.WINDSDR IMSP,-9!=N REPORT PERMIT NO.. 06 0 .71 . CDNTRAC LOCATION: ,3C� .L° Cc: LJ TYPE OF WORK:, �a DATE INSP NEED ED: DATE INSP:. 7 .� l/>> INSPECTED BY: .►� WURK:IN r i ILI re SEP nC TANK PUMPtD. SMASHED; FIf.LED 1NITNESSED ❑'YES El ND Y DATE•. INPIjT: . . i I S/malloyJiomts 2014 Tom of South Windsor.ItNp5 C1i0lV ON*i4 ' I APPLICATION FOR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FED $t5p pp Name of Firm Prn e4)( (' ✓�L Phone No. 0 ��1 UO Address of Firm , Location of proposed work jGa (� c Ili Zip Code C7lr'l U Describe fully nature,of permit requestsCCQ eXS �i( ki Starting date i Call Before You Dig No PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,,INCLUDING ANY INCREASES,IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: O No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut 0 Curb Cut El Sidewalk Cut Existing Driveway, No Changes ❑Proposed Driveway Widening © Proposed New Driveway Water Supply: 11 Public Water ❑Well Sewage Service: El Public Sewer 0 Septic Show sketch of proposed work or f imish two copies of separate drawing Indicate North This section to be filled out b Town No.cuts "— Est. Patch Size(s) sf Est.Pvt.Thickness in. Est.Patch Unit Price$� /sf Est.Patch Cost$ _ Est.Curb Replacement_ft Est. Curb Unit Price$ .jft i Est.Curb Cost$ I Est.Sidewalk Replacement sf Est.Sidewalk Unit Price$ /sf 1 Y ` Est.Sidewalk Cost$ J 'a ! D Est.Traffic Hours _hr Est.Traffic Unit Cost$Ihr i Est.Traffic Control$ Amt.of Deposit$ DRIVEWAYS must be 3ft or more from the property line per Total Due-$ section 2.17 of the zoning regulations Applicant is responsible for contacting the Police Dept.and C.B.Y.D � )Cash ( )Check# f PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Paid 8y I AGREE TO FURNISH TO THE TOWN OF SOUTH WIND50R THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH THAT I AM FAMILIAR WITH AND WILL ASIDE BY THE RULES AND REGULATIONS FOR PERMITS WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND. AS OUTLINED IN THE TOWN OF sQllTH W#NDSOR'S STREET CUT P. MANUAL ii Signed: Print Named l L�I Z�! j l Date: 1 Engineering/perm /Street Excavation Permit 2017