Loading...
HomeMy WebLinkAboutStreet Cut Permits 146 Beelzebub Road (2) 1900105 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 07/17/2019 -GIS ID: 09000146 4 �' FEE: 50.00 MUNIS APPLICATION# 201901446 4; EXPIRATION DATE: 07/16/2020 Y.. i f.. 4x APPLICANT LOCATION NAME: CENTRAL SEALINGjCO INC ADDRESS 46VBEELZEBUB ROAD ADDRESS: 69 THOMAS STREE '�' kAVAA1AGH GERALD V&PAULINE W 14,6, -E&ZE BUB ROAD EAST HARTFORD,CT 0�IxOSrzh, PHONE 1 t 3 y WORK DESCRIPTION: DRIVE A ' �A o 4 Ix h APPLICANT AGREES TO FURNISH TI0 QF SOU Iy WIND�C� �'I; 'AMQLI TTI OII B�JND REQUIRED AND TO REIMBURSE A- THE TOWN OF SOUTH WINDSOR FOR A1+1YXPEFLISE,SI)$�TFIE,£ Wl ,kQRvIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE AO,1.4�ItA1VT IS I+AMTL TAR W11H X. W L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE' ( Ifi SCI4TPI G IND6!M STIMNE T ...... IT MANUAL. 0rR ISSUED BY sPECTED INSPECTED BY 7/17/201911:56AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** � 4 Veil �S 1 Q?' 4t F h � ♦ 1., �M1) k �i` i �xw�{'k � Yy v, tln" 1 lr t la 1 };? x � {( Ol J Ik t '1mo. ©PSQUTK.WINDs It INS 'SC' RN RlPDRT PERMIT M: - 2-00 J© CONTRACt'�R: LOCATION: TYPE OF WOO DATE INSP NEE QED: DA?E MR.— s �" INSPECTED BY: i WORK.IN PROGRESS: SEPTIC TANK PUMPED,.SMASf*. D; FILM EO -.. 1t11rMESSED ❑-YES 0 NO' AS-BUILT:LL— DATE: S/maifoy/forms 2M Tom of Sonih WMdsar MpSj f4 NP01t714 -- 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 Name of Firm Cr?6'ts.(��?tL�! Address of Firm �o�l ->'J�l Phone No, 1'�'lltS ,S €�t', Sf i , Cr Location of proposed work Zip Code f , �� _ lt�l -- Describe fully nature of permit requested re ii Avv e C�r td � ����, � ✓�'c�r�� UJ t f 2 4111 IK r.- :Starting date '/ <' Call Before You Dig No a E NOTE; THE D POSIT 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 �OXisting Driveway, No Changes A Proposed Driveway Widening ©Proposed New Driveway Water Supply: O Public Water ❑Well Sewage Service: �❑ public Sewer ❑Septic Show sketch of proposed work or furnish two copies Of separate drawing Indicate North This section to be filled out b Town No.cuts Est. Patch Sizes) sf Est.Pvt.Thickness in, Est.Patch Unit Price Est.Patch Cost$ i Est.Curb Replacement ft t Est.Curb Unit Price$ /ft I/ 6 7" Est.Curb Cost$ q7! � v Est.Sidewalk Replacement sf (p ! I Est.Sidewalk Unit Price$ -� /sf ti Est.Sidewalk Cost$ i � Est.Traffic Hours hr Est.Traffic Unit Cost$ Ihr 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# 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 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 C T PERMIT MANUAL, ` , Signed; �' Print Name_.� Irl 1 � [ Z Date: Engineering/p itslStreet Excavation Permlt 2017 eA