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HomeMy WebLinkAboutStreet Cut Permits 41 Wapping Avenue (2) 1900173 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT r DATE: 09/19/2019 F'" GIS ID:92500041 FEE: 50.00 MUNIS APPLICATION# 201902106 0'af` , EXPIRATION DATE: 09/18/2020 - T ,; ry I 4,4: APPLICAIT LOCATION NAME: CENTRAL SEALIN$CO ITC 1 ADDRESS 41 WAPFING AVENUE ADDRESS: 69 THOMAS STREITCHERTAN KOSITY r k rf' 1'PPING AVE EAST HARTFORDI C-,06�1;($ PHONE s WORK DESCRIPTION: DIV9VAY 1 3 Z 5 APPLICANT AGREES TO FURNISH THsTO,V4/N QF SOUTH 1ZN1?8aR H1;AIVIQUNT OF$OND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY)EXPENSES INCURRED BY 14 T F00 MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND tlX�1 VOGANT IS FAMILIAR i?i�I!`H AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN(P SOUF H 1 ]NDSOR:S BTREET QUT PERMIT MANUAL. IUD B.Y(�� • DATETOPE Y• CTED INSPECTED BY 9/I9/20192:20PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** I - ` f r'gf Je 771t }fir yy Tuh tk s h f{A+i� J• d .i ni• d k 1 t t i• � r 1 '1'MW OF SOUTHMIND�SOR INSPECTON REPORT PERMIT NO.: ' CONTRACTOR: a LOCAtON: a TYPE OF WORK: EDED. DA1E DATE INSP NE INSP: �21 9 INSPECTED 6Y• W09K,-.IN v PROGRtffi: K PI MP SMASHED,FJLLpb W.rMESSED ❑.YES �NO' SEPTIC TAN .. AS-BUILT: L . INPUT: DA'�E: - ----- 5/malloy/form2014TawsOrsouthWiddsor•31OMM9061014 I APPLICATION FOR STREET EXCAVATION PERMIT Appl No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. a TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $50.00'- Name of Firm ei l � seaAt ' 00 f 1`1 _ Address of Firm �v 2Dyj S r Phone No. Zip Code Location of proposed work 41 �tJ 1 yw v; _rn a fz— Describe fully nature of permit requested C� 1l� � G�cc- �r✓l -e t �.�.. r'� ;v �� �,�vl-IYZ��"t�-Y Starting date I n ! Call Before You Dig N PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH is TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑No Pavement,Curb or Sidewalk Cut O Pavement Gut O Curb Cut ❑Sidewalk Cut �Fxdstinq Driveway,No Changes ❑Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ©Public Water CI Well Sewage Service: ❑Public Sewer O Septic Show sketch of proposed work or fumish two copies of separate drawing Indicate North This section to be filled out b Town j No.cuts 4 < Est.Patch Sizes) sf Est.Pvt.Thickness in. Est.Patch Unit Price$-`/sf Est.Patch Cost$ �5 Est.Curb Replacement ft Est.Curb Unit Price$ Z I Est.Curb Cost$ Est.Sidewalk Replacement sf Est.Sidewalk Unit Price$ /sf Est.Sidewalk Cost$ I � Est.Traffic Hours . hr Est,Traffic Unit Cost$ /hr Est.Traffic Control$ Amt.of Deposit$ DRIVEWAYS must be 3ft 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 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 FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH VVINDSOR'S STREET CUT PERMIT MANUAL, Signed ~ ~- Print Name q uI& �-MP Z- f �l 1�11' Date:_ Engineer€n9IPe Its/Street Excavation Permit 2017 �T I