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HomeMy WebLinkAboutStreet Cut Permits 1760 Ellington Road (2) 1900101 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 07/15/2019 GIS ID:30301760 ti FEE: 50.00 MUNIS APPLICATION# 201901439 iwXPIRATION DATE; 07/14/2020 rl ' APPLICANTL LOCATION NAME: PAVING BY CUSTOl4r1 CONSTRIG�ION LLG ADDRESS �760 E1':LINGTON ROAD ADDRESS: 57 GARDEN GROVYkOAII` f OWNEg 1"160 EI LINGTON ROAD LLC s 1�6fl ELLINGTON ROAD MANCHESTER,CTM6040:v;: g ; PHONE 860-368-8806 ' t WORK DESCRIPTION: DId" IN AM PAVE.I XISTING,DRIVEW�#X APPLICANT AGREES TO•FURNISH THE'TOVJN CIF 50Y7TItIDSO THE AMQUI*�T�QE B�3ND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR Af�Y1a13fPEN$ES 3�ICtitmm-B lI S�T14 TpWN'�pR*1VIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TIDE AI�PI;ICANT IS FAM1L IAR WIID.WiE L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TO WN OF SOU I H WINDSOR S-;STREET GUT PE,KMIT MANUAL. ISSUED BY DATE°INSFEffED INSPECTED BY 7/15/201912:06PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** «c R� d ja il. l ` r 3 n Ste, Sr1 IS �i d F 1 3 Av et T2 >�K 4Y.4 . )) 1. 1 S. : ✓ Ir p t!• ,F,J ' TOWNS OF SQUTN.INYNDSORINSPECRON REPORT PERMTI'NO.. I O D CON TRAC'r(. LOCATION: .� TYPE OF IIIIQRK: DATE INSP NEEpEC ' DATE INSP:. l r 5 �� INSPECTED BY. WORK-.IN PROGRESS: ;.)'�c:` � SEPTIC TANK PUMPEQ,SMASHED; FILLED WITNESSED ❑YES NO AS-BUILT: INPUT; ..��• DATE. - S/mol[a'yj%rms 2M4 Tb=of Sluth Wmdsor-INPSkrMN gpb;T 14 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 FEE $50.00 Name of Firm d o �( 3�� r Phone No. Address of Firm rdf LL—ZipcodeZ(� Location of proposed work Lo i Describe fully nature of permit requested Starting date l Q q Call Before You Dig No--a—Ma=64 PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. 7HE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: 0 No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut 0 Curb Cut O Sidewalk Cut xExisting Driveway, No Changes ❑Proposed Driveway Widening ©Proposed New Driveway Water Supply: ❑ Water CJ Well Sewage Service: C!Public Sewer 0 Septic Show sketch of proposed work or fumish Indicate North This a n to be filled out by Town two copies of separate drawing 0 No.cuts Est.Patch Size(s) sf Est. Pvt.Thickness in. Est.Patch Unit Price$ /sf Est.Patch Cost$-__..__.__._... Est.Curb Replacement ft Est.Curb Unit Price$.. _._..--_._....._._./{t Est,Curb Cost$ Est.Sidewalk Replacement.-----.__sf Est.Sidewalk Unit Price$ !sf Est.Sidewalk Cost$ CEst.Traffic Hours hr Est.Traffic Unit Cost$ /hr �r } Est.Traffic Control$ Amt.of Deposit$ DRIVEWAYS must be 3ft or more from the property tine per Total Due$ SZf� section 2.17 of the zoning regulations (' ( Applicant is responsible for contacting the Police Dept.and C.B.Y.❑ Cash heck# 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 FAMI WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR! STRE PERMIT MANUAL. { `l Signed: Print Name �qo _a3 ,( fxDate: i ' q Engineering/perin4 S'4t Excavation Permit 2017