HomeMy WebLinkAboutStreet Cut Permits 6 Drake Court (2) 1900159 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
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DATE: 09/03/2019
GIS ID:29300006 FEE: 50.00
MUNIS APPLICATION# 201901944 �.,>' 'EXPIRATION DATE: 09/02/2020
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APPLICANT r LOCATION
NAME: CENTRAL SEALIN(`G0 INC ADDRESS 6'DR. E COURT
ADDRESS: 69 THOMAS SIRE•Tay ,X 4 OWNED �VOOIS WALTER E&ANNA MARIA
+.: ` F 22p „bERFIELD WAY
EAST HARTFORD„CT d"lid " r „1
PHONE
4cm"
7 r,:,
WORK DESCRIPTION: DR�Ut,EWAY
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16,
APPLICANT AGREES TO FURNISH TH TOWN`OF 50UTo wl!IND,$C3i CAE°AMO[f O $OND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AINt&l PEN ES INCURIZED B Y TYKE mI)W1V,FOR`MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TIQ LXCA�IT'I5 FAMIT iAR WIPH TT IIrL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE T0101 F SQUTH u'IND$OR S S PREF I tJT PERMIT MANUAL.
ISSUED DATE'1NSPECTED INSPECTED BY
9/3/2019 3:41 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN�F SOUTHaARNp9 lt2lms-!0gwX REPORT
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LOCATION:, .
TYPE OF WORKS
D#k INSP N Obl " •
DALE INSP:
INSPECTED-BY'
MAKIN .
PED SMASND, FILLED WITNESSED ❑YES El NO*
SEPTIC TANK PIIM . .
AS-BUILT . � .
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S/mn![oyjTorms 20M Town aF Sauth Wijdsor•A�fPS H II P(}1Ci'14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 IEEE $Permit0 00-
Marne o€Firm 0 I i}'��� Ise I� ('��: #nC.
Addre§s o€Firm ��1 Zd'n Ei S � Phone No. �Ti1 �! '"�-�=�'-��i�u
�t.Sl` i
L t �Y ocation of proposed work ��-E[� ( t��-
Zip Code 0 L"
Describe fully nature of permit requested '+'gi v1.t,Ve eU&A r" f Z
Starting date Call Before You Dig No
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE, THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑Sidewalk Cut
0 Existing Driveway,No Changes ' f Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water 11 Well Sewage Service: ❑Public Sewer 0 Septic
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Show sketch of proposed work or furnish
two copies of separate drawing Indicate North This section to be filled out 6V Tovun
No.cuts
7 Est. Patch Sizes) sf
�t Est.Pvt.Thickness in.
Est.Patch Unit Price$._�._,__!sf
I Est.Patch Cost$
Est.Curb Replacement��ft
Est.Curb Unit Price$ Ift
'�k PoPly ,
1 Est.Curb Cost$
Cl r Est.Sidewalk Replacement sf
v f ! I Est.Sidewalk Unit Price$ Isf
�I. Est.Sidewalk Cost$
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Est.Traffic Hours
hr
e7j)ZI/I1 A-e
Est.Traffic Unit Cost$ Ihr
Est.Traffic Control$
Amt.of Deposit$
DRIVEWAYS must be aft 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 JOSSITE AT ALL TIDES 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 WORTS 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 CUT rERMIT MANUAL.
Signed'. Print Name TL,I LIE /-fi t Z� Date:
Engineering/pe�I jStreet Excavation Permlt 2017