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HomeMy WebLinkAboutStreet Cut Permits 150 Nevers Road (10) 1900052 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 05/09/2019 GIS ID:624001506,1 ' FEE: 0.00 MUNIS APPLICATION# 201900908 I EXPIRATION DATE: 05/08/2020 P 1 A a k APPLICANT 1r LOCATION NAME: SERTEX 5 �pDRESS 50 N�VERS ROAD ADDRESS: 22 CENTER PARK ;AY F s WNE x§OUTi WINDSOR TOWN OF 41 I N I°540 SULLIVAN AVENUE PLAINFIELD,CT 037�4 PHONE 401-454-4102 X 102f WORK DESCRIPTION: GRIks&�rTRmac. 150FT FROM IELEP iQ1xTE ?O E "OxNEW BATHROOM FOR�Tt 'V 1�7'S FIBER CABLE TQWN PRC�I�CT�V67 70 SUB ADDRESS 22 APPLICANT AGREES TO FURNISH TH `TO f..-N C�.f WI�tDSbRkTI3E AMd iA�OF FOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR e 1N hkPIri�l ii. INCCIRREI HY THE'1"OWI(FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE APILICANT IS FAMILIAR WITHD VILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN F SdCITI�W IVDSOR:S S IiREF.. CUT PERMIT MANUAL. 4.. 1 w ISSUED B DA'TB``INPECTED INSPECTED BY 5/9/2019 11:45 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** j I ol r L 3: r & M ' 7 ik i 50 x j gm Y i t4 f Os Skt V y 1 .' t yf s y. ;' ff . 7 F f if ; ti� E I TDIN OF S�UTM.WINDSflRlNSEC'IxON REPORT PERMIT NO.: q:DOQs"a CONTRACTOR: r L OCA TION. TYPE OF WORK: DATE INSP NEEpEEI:.• = ': � • DATE INSP: a�� -. - • . INSPECTED BY: .. WORK.IiV. yy PROGRESS; rk SHED FILLED WITNESSED ❑-YES El NO- SEPTIC TANK PUMPEQ,SMA. .. , AS-BUILT' INPM DATE: SE.T10N lIEPOAT 14 f S/mdoy/forms 10%Town of Scuth Windsor•I�1P ill APPLICATION FOR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1640 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $60.00 Name of Firm (27r e-X LL-C Phone No. g60-3l Oa6__-_ Address of Firm ErJ,-e X- ! ga)&LV l Y , /�¢,/J r L-6 (�,7` Zip Code 06 3 Location of proposed work iWT 4e 0 -1 C±C I W Tk fy�y rZS f�t2 J� Describe fully nature of permit requested &4ft5S TRr,.nf G 1 5"0 t: i—✓zoo+ 7 e.E�'l�o�� Po ve- —I-aN C w (� /� o.'n F4 C L-r `zi =- v? U Starting date P't ON C1/tf .5'-1'✓ —t C7 Call Before You Dig No 01 Q 1 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 i 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 HE LATER THAN A YEAR. Check Applicable: q NITo Pavement,Curb or Sidewalk Cut ❑ Pavement Cut I1 Curb Cut ❑Sidewalk Cut ❑ Existing Driveway,No Changes ❑ Proposed Driveway Widening © Proposed New Driveway Water Supply: ❑Public Water ❑Well Sewage Service: E]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 +3 $Tf!l�oo Est, Patch Sizes) sf FftG t I,t i—t{ Est.Pvt.Thickness in. Est.Patch Unit Price$ !sf 9 C\J Est.Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price$ !ft /r3 6U s 5 T_° fwst Curb Cast$ g n 76 Est. Sidewalk Replacement sf Est.Sidewalk Unit Price$ /sf Est.Sidewalk Cost$ Est.Traffic Hours hr E Est.Traffic Unit Cast$ 1hr p 1 Est.Traffic Control$ I C)I Amt.of Deposit$ DRIVEWAYS must be 3ft or more from the property line per Total Due$ section 2.17 of the zoning regulations ( )Cash ( )Check fi Applicant Is responsible for contacting the Pollce Dept.and C.S.Y.D PERMIT SHALL BE KEPT ON JOBSITE 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 1 AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREELCUT PERMIT MANUAL. _ SlAw,J I �oN q r !q S Print Name Date: lgned: Engineering/permits/Street Excavation Permit 2017