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HomeMy WebLinkAboutStreet Cut Permits 910 Foster Street (3) 1900156 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 08/26/2019 3. GIS ID; 33600910 FEE: 50.00 MUMS APPLICATION# 201901882EXPIRATION DATE: 08/25/2020 isn t � r y APPLICANT» LOCATION NAME: SIMSCROFT ECHO1HAMS ADDRESS r 410 FOSTER STREET ADDRESS: P O BOX 5811VIQNIARINO BUILDERS INC s x r t k P 4OtV I APEL RD UNIT#3F SIMSBURY,CT 007(5£, ; PHONE 860-651-0231 u zs WORK DESCRIPTION: SAM,TAA 'SEWER LATERAL r q k t 01 4y' n. APPLICANT AGREES TO FURNISH TIk TOW OF`F oml - N- S0k A.5HR AMOtIN I OF$OND REQUIRED AND TO-REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANC EXPENSES INGUWD`iBY THE TO`VSC I FOR"MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TAKE APPLICANT•IS FAMILIAR WT1AN WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN°OF SOUTH -INDSIO ':S STREET CUT ?ERMIT MANUAL. -ISSUV,D BY DATE INSPECTED INSPECTED BY 8/2612019 10:21 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** t $ i 3 y 3 41 . n r F S FIR. M ;�� ih �.: y i !` s: r is r ti�;N ti• 4 L: TOWN©F SQUTH.WllIiDSQR INSP?'ECTiON IMPART PERMIT NO.: CONTRACTOR:, . LDCOMON: 5, . TYPE OF WQRK; �St DATE INSP NEEDED: DATE INSP;. b's INSPECTED BY., . . . MAK:IN PROGRESS: . 9104 0 SEPTIC TANK PUMPEQ,.SMAS89P, FILLED WITNESSED ❑YES Q NO' AS-6UIL.T;�. INPUT; G' DATE. �:fiON REi?Olt1'14 S/mollay/forms Za1.4 Town of South Windsor•INPSE APPLICATION FOR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN LHALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $50.00 Name of Firm S.'.d'?SCry/ �- �� ar� S Phone No. Address of Firm ? 1�,r-5 �111/kEr 4/ �f�L•y Zip Code 761 Location of proposed work FlQ Describe fully mature of permit requested Starting date Call Before You Dig No PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE, THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ll Curb Cut ❑ Sidewalk Cut ❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening D Proposed New Driveway Water Supply: ❑ Public Water Cl Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch.of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing No.cuts Est. Patch Size(s) 01!!�o sf i Est. Pvt.Thickness _in. Est. Patch Unit Price$ 3 /sf Est. Patch Cost$ Ga Est. Curb Replacement ft Est.Curb Unit Price' /ft J S Est.Curb Cost$ Est, Sidewalk Replac::)ment '' sf Est. Sidewalk Unit Pri+:e$ d /sf Est.Sidewalk Cost$ Ect.Traffic Hours � hr Est. Traffic Unit Cnst v /hr Est.Traffic Control $ DRIVEWAYS must be 3ft or more from the property line per Amt.of Deposit$ section 2.17 of the zoning regulations Total Due$ , Applicant is responsible for contacting the Police Dept.and C.B.Y.D PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES ( ) Cash ( )Check# 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 RE ULATIONS FOR P RMI S AS OUTLINED IN THE TOWN OF SOUTH WINDSCITS STREET CUT PERMIT MANUAL. Signed:L Print Name�/C"I � /e "5,/y Date: Engineering/permits/Street Excavation Permit 2017 TOWN OF SOUTH WINDS OR ENGINEERING DEPARTMENT ADDRESS PERMIT NUMBER INSPECTOR TEMP. PATCH DATE f INSPECTOR COMPLETION PATCH DATE 7-1 i a .s I i TOWN OF SOUTH WINDSOR ENGINEERING DEPARTMENT ADDRESS PERMIT NUMBER I INSPECTOR TEMP. PATCH DATE INSPECTOR COMPLETION PATCH DATE _ t i