HomeMy WebLinkAboutStreet Cut Permits 9999 Benedict Drive (9) 1600112 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 06/27/2016
GIS ID: 15FEE: 0.00
MUNIS APPLICATION# 201600871 sr EXPIRATION DATE: 06/27/2017
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APPLICANT r LOCATION
NAME: SPAZZARINI CON RUCTON ADDRESS 999)3NEDICT DRIVE
CRESS: �OOTZSFTCEtD. r bWNER TOWN F SOUTH WINDSOR
ENFIELD, CT 06084' 1540 U,LLIVAN AVE
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SOUTH} VINDSOR,CT 06074
PHONE 860-745-5683
WORK DESCRIPTION: DRINGE 1TlFKOVErt�IENTS;AND.IC7AD 1ECOMTUCTION BENEDICT
PIN` TIEE 1 iOOD HILL AN. I'QN�LANE T�J.WN PIXOJECT NO FEE
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APPLICANT AGREES TO FURNISH TH TOV N OF O JTI 4Y DSMR fFHE NIGE
NT OF} 6ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AIi1 �I3XPEl�JW II eIJRREEI BY fIE TqW I FORfIvIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TI3E AI'PILICAiT IS FAMILIt1R �VTTH AND WiT L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN�}F SOOTPH 1 INDSG7Rt'.:.S STRIiET L7T P IT MANUAL.
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ISSUED BY DA`i"ETI S'PECTED INSPECTED BY
6/27/2016 3:23 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
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PERMIT NO:: / 11d, CONTRACTOR: V4Z Z-
LOCATION: ' a
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TYPE OF WORK:
DATE INSP NEEDED: DATE INSP:_2I1 Y b 7
INSPECTED BY: �3
WORK IN
PROGRESS: 'L�4-.6tc ac9
�`K-�ri�rt'i- C- _ {',�.' t• 1f`� �;;./2f+�•2"�S '�t) i f'�e�'a�-r
SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑ YES [:] NO
AS-BUILT:
INPUT:, CAL-- DATE: \6-
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S/molloy/forms 2014 Town of South Windsor YNPSEMON REPOU 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00
Name of Firm Gt 2ZGa Y+YI i Cove 5�1 Ge e.f.la�a_ CO. �N c Phone No. 960 7 If 5 5693
Address of Firm ea5l OfC,4e d- Zip Code O 6 O 8d,-
Location of proposed AMen edrek Or. Pipe Trez h o >.
Describe fully nature of permit requested D ra tease, i M lQ r®I/e mehlt k read- r e can s4rue-bot
Starting date Zs_ Call Before You Dig No 20110 1 QO H 35�
201(o r 9014378, 2016 !9O yy0$
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 EATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut )K 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
s e e n14 try$ 0 Est.Patch Size(s) sf
�g i��
I/e�� �A�s V�dj h ha r f�®®�_ Est. Pvt.Thickness in.
Est.Patch Unit Price
P hdS,-- Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ fft
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price$ /sf
Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ /hr
ToW A p rah-1c4- 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
( )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
WINDSORs,s-r BEET CUT PERMIT MANUAL.
Signe�c�avation
Print Name Z` /9 Z 1 Date:. I
Street Permit 2014