HomeMy WebLinkAboutStreet Cut Permits 106 Talcott Ridge Roa (2) 1900144 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 08/2 I/2019
GIS ID: 89050106 k FEE; 50.00
MUNIS APPLICATION# 201901819 "" EXPIRATION DATE: 08/20/2020
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APPLICANT `,'` s LOCATION
NAME: ADVANCED PROPERTY MIA` ADDRESS 106'TA COTT RIDGE ROAD
ADDRESS: 292 GREEN MANOI.��TE,Wl STItANGELO SHANNON&PETER
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Iµ k 11 `fA COTT RIDGE ROAD
WINDSOR LOCKS�'CT�Q609 .,
PHONE.
WORK DESCRIPTION: RE1QE AND RAPT ACE EXISTING.] RIVAY
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APPLICANT AGREES TO FURNISH THETOVVN OF SOUGH 1INDSR TIDE AMOUhiT{OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AID PXV)�I ."S$g INCI.6:,BY'THE TOWI I FOl MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TH,w Arii?Z ICANT i5 FAM TAR WE H A�TD WI) L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN" S�IJTH WIIVDSOR.'.:.5 STR$E CUT PERMIT MANUAL.
ISSUE BY DATE'IN`PECTED INSPECTED BY
8/21/2019 2:45 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TDllfl�[OF SOUTH-,WINDSQR DNS 'ECiI R REPORT
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PERMIT NO.: f CONT'RACT�R.
LOCATION: zo x
TYPE OF WORK: OL
DATE INSP NEEDED. - DATE INSP:. r� BIrY
INSPECTED
WORK:IN
PROGRESS:
SEPTIC TANK PUMPED;SMASHED; FI gb wrMESSED El-YES C7 NO,
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INPUT: t/v�- DATE's
S/maltoy/Forms 2014 Tom of South Windsor 1NPSECiTON t�ERORY i4
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 $50.00
Name of Firm 0160V n V✓G(~G) ��u(��t (� n�,�;., n , c. Phone No.
Address of Firm 2'l f- &rt-c-N r�*1 ti C Z--a--"Cs Zip Code 0 60 F 6
Location of proposed work 1 �'-
Describe fully nature of permit requested
Starting date zs Z Y- „ , Call Before You Dig No zcj 1"i_ 3(40 Q-S uy
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑Curb Cut ❑ Sidewalk Cut
Q`/E�xisting Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: Public Water ❑Well Sewage Service: Z Public Sewer ❑ Septic
Show sketch.of proposed work or furnish Indicate North This section to be flied out by Town
two copies of separate drawing
No.cuts
Est. Patch Size(s) sf
J� Est. Pvt.Thickness in.
Est. Patch Unit Price
Est. Patch Cost$
Est. Curb Replacement ft
Est.Curb Unit Price$ /ft
Est.Curb Cost$
Est. Sidewalk Replacement sf
Est. Sidewalk Unit Price
Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ /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 REGULATIONS PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: LC Print Name `s �A `` Date:
Engineering/p"its/Street Excavation Permit 2017