HomeMy WebLinkAboutStreet Cut Permits 9999 Felt Road (2) 1700235 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE:
A 11/27/2017 - _
GIS ID: 32409999 FEE: 50.00
MUNIS APPLICATION# 201701685 $XPIRATION DATE: 1 i/27/2018
APPLICANT ` LOCATION
NAME: GROUNDWATER& 1VIRONMEI*ITAIr ADDRESS BELT ROAD
ADDRESS: 425E HAYDEN STAICN'ROAD QWNER SQUTlfi'WINDSOR TOWN OF
WINDSOR,CT 06095 4
14b SULLIVAN AVE
GAF SQUTxI kINDSOR,CT 06074
PHONE
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WORK DESCRIPTION: ABANDQIMEN OF `1VIONII"ORNCrEl.T�S IN THE OW
CORTR OF OAKL{A.ND AND FELT ROiAI� '
APPLICANT AGREES TO FURNISH THE OBI OF SOUT�I�I......R�THE AMOIjNT QI{BbND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY PEN ly51NIr JRRI; B 'TI3); I0 SWMYOWMAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TI APPLICANT IS IDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN F SOUTH WINDSO 'S STRIrT CU I PERMIT MANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
11/27/2017 3:01 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 17 0 0,.;? 3S' CONTRACTOR: 9f&2a d0,,q 6 L K_
LOCATION: J r Raa d
TYPE OF WORK: I w gel' {�l�
DATE INSP NEEDED: DATE INSP: I
INSPECTED BY: f5 9
WORK IN
PROGRESS: 'Z
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE: "
S/molloy/forms 2014 Town of South Windsor INPSEMON REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. Na. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $50.00
Name of Firm Groundwater&Environmental Services, Inc. Phone No. 800-220-6119
Address of Firm 425E Hayden station Road,Windsor, CT Zip Code 06095
Location of proposed work Corner of Oakland and Felt Road South Windsor CT
Describe fully nature,of permit requested Abandonment of two (2) monitoring wells in the Right of Way.
Wells will be grouted to grade, existing concrete pad removed, and restored at grade with soil and grass see .
Starting date December 2017 Call Before You Dig No
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: El No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑Curb Cut ❑Sidewaik Cut
11 Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑Proposed New Driveway
Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public Sewer ❑Septic
Show sketch of proposed work or furnish Wells t0 be Indicate North This section to be filled out by Town
two copies of separate drawing
abandoned No.cuts
Est. Patch Size(s) sf
Est.Pvt.Thickness in.
/ Est.Patch Unit Price$ !sf
Est.Patch Cost$
Est.Curb Replacement It
o
Est,Curb Unit Price$ /ft
Est.Curb Cost$
Off' Est.Sidewalk Replacement sf
/ f Est.Sidewalk Unit Price$ /sf
�` ► /� Est.Sidewalk Cost$
i Est.Traffic Hours hr
Est.Traffic Unit Cost$ /hr
a Est.Traffic Control$
11y / 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 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 STREET CUT PERMIT MANUAL. -
Signed; Print Name Date:
Engineering/permits/Street Excavation Permit 2017