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HomeMy WebLinkAboutStreet Cut Permits 9999 Graham Road (6) 1900123 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY : s DATE: 07/29/2019 GIS ID:37509999 FEE: 50.00 MUNIS APPLICATION# 201901595Jy` EXPIRATION DATE: 07/28/2020 APPLICANT t LOCATION �+� 4 r 7 NAME: DAS CONSTRUCTI( r �DDRE yS �&XAM ROAD ADDRESS: 160 SANDBANK RQAby91TIE,3= ;OWNER ,TOWN 1PF SOUTH WINDSOR SiJLLIVAN AVE CHESHIRE,CT 064 PHONE 203-439-7977 'S: '2 l^. r f t ,:' a r t WORK DESCRIPTION: TEST I©IyES Ft R E'�T 1 SOURCI3 gN CSrRAI I N R 9(ate`STEEP ROAD APPLICANT AGREES TO FURNISH TH TORN bF S.,O�1I�H WIS?Tt THE A1V1®LI`�iTkQF$OND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANT'; X)?E1�ISE$INC }RIED TFT TQWNFdIIIVIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TOTE AIJLIANT IS FAhIIIAR WHNDI L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TO IT MANUAL. 4� ISSUEti BY 1,J DATE INSPECTED INSPECTED BY 7/29/2019 2:58 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** s' . r 1jr, 5.6 a v h : i e r i s e� tb �i r 1 4 X `�F• r xt e. Ni\j'1 :� '•,� s��S tir QY; t t ' TOW . OF-SCUM'1NTN�SQ►R�'N9REC'�ON REPORT R FERMTT NO.: CON�'RNNCTO . LOCATION: TYPE OF WORK: -- DATE-INSP NEEDED.- D.MIAf R- A MAKIN, PROGRESS: '�.'r�✓ «- SEPTIC TANK PUMPEQ,.SMASHED; FILLED : WITNESSED D-YES C] NO, AS-BUILT: INPUT: DATE: - _ S/maltaYflanm AS Tb=of South Windsor•iwkMN REPORT 14 APPLICATION FOR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTHt WINDSOR,CT 06074 FEE $50.00 Name of Firm Uxc/- 1 Phone No. 3 t Address of Firm Zip Code Location of proposed work &rclUrA 12 e, A Describe fully nature of permit requested Starting date Call Before You Dig No ;ZL0/�7 3G 3 Oe�; _ PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. G�SS Check Applicable: No Pavement, Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑Sidewalk Cut ❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public Sewer ❑Septic Show sketch.of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing No.cuts (�}^ Est. Patch Size(s) sf Est. Pvt.Thickness in. c9 � r �t Est. Patch Unit Price C�> Est. Patch Cost$ Est.Curb Replacement ft Est. Curb Unit Price$ /ft y� n Est.Curb Cost$ Ad r Est.Sidewalk Replacement sf ff Est. Sidewalk Unit Price Est.Sidewalk Cost$ Est.Traffic Hours hr Est.Traffic Unit Cost$ /hr Est.Traffic Control$ DRIVEWAYS must be aft 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 ULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed: /. 1 Print Name�> D/� t� Date: Engineering/permits/Street Excavation Permit 2017