HomeMy WebLinkAboutStreet Cut Permits 50 High ridge road (7) 1800092 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 07/11/2018 �,.
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GIS ID:42300050 'w s �y ,� �4 '~ FEE: 50.00
MUNIS APPLICATION# 201801194 't F " �N r PIRATION DATE: 07/11/2019
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APPLICANT
NAME: VMS CONSTRUCTIO yCO1V�°AN M;�DDRE O114IG�RIDGE ROAD
ADDRESS: 152 LAKE STREET' r �1ER`o RA ELISEU D&LISA C
VERNON ROCKVII� 50, II RIDGE ROAD
IJINDSOR,CT 06074
PHONE 860-871-0278
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WORK DESCRIPTION: CURB'OUT DAk
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APPLICANT AGREES TO FURNISH THE'�O, V O SQU III II S�SR 1I vI0 1T sB� ND REQUIRED AND TQ REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN�Y'E'I' NSS ��� � I �I �fi�NQRD+AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND Tom;A04 r#T IS FA T IAA W H AI V Il L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TO WN 0 DSO %f twl' ORS TRi)r1 G J P I MIT MANUAL.
ISSUED BY DATE TED f PECTED BY
7/11/2018 1:40 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TQWN.OF SOUTH-WI INSPECTION REPORT
PERMIT NO.: - CONTRACTOR: S Geri 3 T-.
LOCATION: -�, 1- �►� �n
TYPE.OF WORK: r.t i -CuL Z--)r,.1
DATE IN SP NEEDED.._ .? - DATE INSP:
INSPECTED BY: :' =)�
WORX,IN : ;m;
PROGRESS: ,,c�1 V sac ac. P �ns'J> :n�cTIA ct,+G��ti�t.S l�na�a v,,l(rJ�. M'��i1
1 N� ���F,L� � S��syG.i�i���+ .C,2c�.rt r.���. - �.a� ►.> pc��.�(2r— ..
SEPTIC TANK PUMPED,SMASHED, FILLED - WITNESSED ❑YES 0 ND-
AS-BUILT: - -IJA
INPUT: -VV� ®ATE: 41A S/molloy/forms 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 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00
Name of Firm I✓�"b 5 C S'�2�t�"7"�.�N CO Phone No. 0 ^
Address of Firm_ Z LAIcF- S-7r Zip Code
Location of proposed work 8/,/H 2 r 3 6C 2-6 -
Describe fully nature of permit requested rL 4 GFv
Starting date lip 4,
f 1 Call Before You Dig No Lol`7— 07 rL%
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT 1S A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: CI No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut J Curb Cut b(Sidewalk Cut
❑ Existing Driveway,No Changes ❑ Proposed Driveway Widening X Proposed New Driveway
Water Supply: ❑ Public Wafer ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out-by Tawn_
two copies of separate drawing
No.cuts
Est.Patch Size(s) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$$w
Est.Curb cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price$ Isf
r
LEA��G Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ !hr
J( IL 6"- Eat.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 J068ITE 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
-wA ZI VAM FAMILIAR WITH AND WILL ABIDE BY THE RUL, S+r'<O REGULA''?7r,3 F-^Q DERMITS AS OUTLINED IN THE TOWN OF SOUTH
VVINDSOR'S STR ET CUT PERMIT MANUAL.
Signed: �/'7. Print Name Datp /���