HomeMy WebLinkAboutStreet Cut Permits 9999 Rye Street (6) 1900131
PERMJT NUMBER
T ° WN °F S O UTH wr
DATE: 08/08/2019 N D S °R
GISID: 79609999 C T
MUNIS APPLICATION# 201901704STET CUT PERT
l r I ti FEE.
NAME: APPLICAJ r EPIRATIOND,gTE: 50.00
ADDRESS: VERACITY CpNSTR:'CTI r r" r
74 NORTHEASTE C'RQIP INC 08/07/2020
NAS R?`�BI QUITE TSB ADDRESS 4 RL OCATION
HU O,WNEtz. EVE S �
PHONE A,NH 0306r WIND
dF SOUTH
LIVAN A V SOR
WORD DESC E
PTION; TRENUC ARC
APPLICANT AGREESX 20'�
THE TO TO FURNISH 'EFTICHITERFpTZC C� QUIT
TOWN OF SOUTH W THE TOIVIJI d1+SOUTI3 y4;1 ` ' A �� �A dj I11i 31j WIDE
CONNECTION WITH TMPDSOR FOR A7tll�l} pN$ 1iDgIZ1HE
FOR PE AMQ �f
RMITS AS OUTL RMIT AND Tl AFPLI ES h�JCUitREj Ear JE TQ OE M �REQUIRED
INED AIVT IS FAMILIAR y�r CFI F�RAINR WORK IN
TENANCE OR
TO
D IU'IN THE TOwI,r("J SO,I7TIq WDSOR'.S sT REIMBURSE
REET�
EMIT AMBANUAL THE RU E AND R
I SUED By , ATIONS
8/8/2019 9:54 AM DATE 11 ,SPEC TED
** PERMIT TO BE KEPT INSPECTE JOB SITE AT ALL TIM DES*** BY
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TOM OF SOUTH-. MosoR ION REPORT
. 1 CONTRACDR �aSTI�7
PERMrr No.: / ti 3
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LOCATION: tve :S
TYPE QF WORKt
DATE INSP NEQED; = DATE INSP:
INSPECTED-M r;°� ._ _ :-
WORK-IIV
PROGRESS; -�a- �
SEPTIC TANK PUMPER,,SMASHED; PILLED wrmESSED Q YES Q NO
AS-BUILT;
DATE;-
IN'UT.
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S/moilayl nns 2014 Town of South Windsor
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 $50.00
VP_.�
Name of Firm 0j, +Q (.,abashA'hl)yl Phone No,&63 9 to b
Address of Firm ii-4-h '7`�!�? � c�C- �.S'f / ii/�2 la Zip Code
Location of proposed work ej 4,P, � i
Describe fully nature of permit requested ` t h ` - y e
— �°���� � �� .3 `' 1,t�)t;Z.►o .x -�'C3 rR�.�g��pn f'�,GE _
Starting date Call Before You Dig No roc;;l �� cx:%'Zi. y 1
PLEASE,NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT.,INCLUDING ANY
INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR,
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut WPavementCut i]Curb Cut O Sidewalk Cut
❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑Proposed New Driveway
Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public Sewer ❑Septic
Show sketch of proposed work or furnish indicate North This section to be filled out by Town
two copies of separate drawing
No.outs
Est. Patch Slze(s) sf
Est. Pvt.Thickness in. I
e Est.Patch Unit Price
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
Go/( "
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$
Amt.of Deposit$
DRIVEWAYS must be aft or more from the property line per Total Due$
section 2.17 of the zoning regulations
( )Cash ( )Check#
Applicant is responsible for contacting the Police Dept.and C.B.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 STREET CUT,PERMIT MANUAL.
Signed: �'� L�'��-�'�-�'� Print Name� �0 I C�'�r�C'�S Date:
Engineering/permits/Street Excavation Permit 2017
WORK ORDER:
HIRT 1902AHWI.1 1902AHWI.l .CD 072619
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