HomeMy WebLinkAboutStreet Cut Permits 9999 Abbe Road (5) 1600127 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 07/13/2016
GIS ID: 00609999 1 FEE: 0.00
MUNIS APPLICATION# 201600961 `EXPIRATION DATE: 07/13/2017
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APPLICA
LOCATION
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NAME: KING CONSTRUCTION ADDRESS A $EOAD
ADDRESS: 16 NORTHWOOD'DI�ZIYE' O`NNER TOWNIDF SOUTH WINDSOR
BLOOMFIELD, CT Q6002 U L LLIVAN AVE
`Y SQUTH§WINDSOR, CT 06074
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PHONE 860-242-2263Vil
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WORK DESCRIPTION: PLEAWt PLAN ABBE R1 AID 17CP�OIi�EMLly� BY ROBERT DRIVE
BE I��WEt1 N 450 ABBE ItD&EA STyWI T JSUIt TO5 N z fiNE .
APPLICANT AGREES TO FURNISH T 0U.39T OF 14LOND REQUIRED AND TO REIMBURSE
HE TOWN OF SOUTH WINDSOR F i'WFZ,VN� ATENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND T AI T tG N 'N AN1J WIIrL ABIDE.BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TO WN Q) *[NTH VINDSDIt S STRI ITT G>7 PERMIT MANUAL.
ISSUED BY DATE:>ISPECTED CANSPECTED BY
7/13/2016 4:03 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.; %6 Q /a CONTRACTOR:
LOCATION:
TYPE OF WORK: R i e ri en k v_e
DATE INSP NEEDED: 1 r--7-A-L& DATE INSP:��-
INSPECTED BY: J S(2
WORK IN
PROGRESS: Viece 5�.4�
SEPTIC TANK PUMPED, SMASHED, FILLED Q/k WITNESSED ❑ YES ❑ NO
AS-BUILT: Q/A
INPUT:� DATE• ,
S/molloy/farms 2014 Town of South Windsor INPSEMON REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1640 SULLIVAN AVENUE SOUTH WINDSOR, CT�J06074 FEE $25.00
Name of Firm �iT. cmj1r y-4-(On , !RG• Phone No. &0-C�&-ZY3
Address of Firm 16 qj4, ocx rev- .' 61cb Fiet�, CT Zip Code 06002
location of proposed work Ak, 12o iJ C Vyo 4L�, (la:J a,d &�,4 tusndx,r 7o, Line-
Describe fully nature of permit requested Pleas ,kc A{�. 01 4 1mvale-,11111 5 L 2 "4
T
0A 4-N 2.c-,i6 &, 4ilox.
Starting date Tuf� f Z0I µ IICa Before You Dig No 2-016 2500y03
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement, Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out-by Town
two copies of separate drawing
No.cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price
Est.Patch Cost$
Est. Curb Replacement ft
Est.Curb Unit Price$ /ft
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est. Sidewalk Unit Price
Est.Sidewalk Cost$
Est.Traffic Hours hr
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
( )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 I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR'S S E CUT P RMIT MANUAL.
Signed: Print Namei" kI Date: 1 vc�1
Street Excavation it 2014