HomeMy WebLinkAboutStreet Cut Permits 340 Buckland Road (4) 1800130 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 09/06/2018 1 r,
GIS ID: 15300340 y FEE: 50.00
MUNIS APPLICATION# 201801614 x 4 �EvPIRATION DATE: 09/06/2019
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APPLICANT ;F n � LOCATION
NAME: BOND EXCAVATIO14,11,C y ADDRES ' �3,4�0 MKLAND ROAD
ADDRESS: 274 GAY HILL ROAD 601> ANNOUSH FAMILY OF SOUTH WINDSOR
STREET
UNCASVILLE, CT 43 } ti
PHONE ' � .
WORK DESCRIPTION: CU I,sC4IkItBOR 1E EiTRA1�ICE CST EATS TI3 ( OBN RD&TAKE OFF
TOP IAA TQI?WITH FLAT TOAt�4V1; S NEEDED
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APPLICANT AGREES TO FURNISH THE OWN SOU�I r�iDSb&3`IE AMQU iT QFiBQND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY E3iPE11ES�NIrtIRRE`I2 B'Y'TIE TI�IyECSR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE AP13IICANT ISA1VII TAR V3lfiyiWI ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SIITFI WltrtDSQK'S STREE {CiJTPI IT MANUAL.
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ISSUED BY DATE INSPECTED INSPECTED BY
9/6/2018 1:39 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTTH WINDSOR INSPECnON REPORT
PERMIT NO.: AOD l CONTRACTOR: Ak nd .1k LG
LOCATION:c 3'� lG � 1 "
TYPE OF WORK: CVu Cui' z°i v:e_ aS M&
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DATE INSP NEEDED: DATE INSP.
INSPECTED BY: &j
WORK IN
PROGRESS: C: A Ct
SEPTIC TANK PUMPED,SMASHED, FILLED WrMESSED El-YES a NO'
AS-BUILT: "
INPUT: DATE:
S/moifoy/fbrms 2014 Ibm of South Windsor INPSM116N RtEPdRT 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 $50.00
Name of Firm, _ � c ��,�1114 Phone No. ed�A �
Address of Firm ? ` � C" Zip Code c
Location of proposed work.
Describe fully nature of permit requested c- a
Starting date ��' '/ Cali Before You Dig No ✓mod 2 e,
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut R Pavement Cut O"Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway,No Changes ❑ Proposed Driveway Widening 0 Proposed New Driveway
Water Supply: `51 Public Water []Well Sewage Service: [9 Public Sewer ❑ Septic
Show sketch.of proposed work or furnish Indicate North This section to be f_itled_ outer Town
two copies of separate drawing
No.cuts
Est.Patch Size(s) sf
u Est.Pvt.Thickness in.
Est.Patch Unit Price$ Isf
III Est.Patch Cost$
4 4-�� Est.Curb Replacement ft
o Est.Curb Unit Price$ Ift
Est.Curb Cost$
ee�, Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price
Est.Sidewalk Cost$
Est.Traffic Hours hr
--- � Est.Traffic Unit Cost$ /hr
f r W i Est.Traffic Control$
DRIVEWAYS must be aft or more from the property line per Amt.of Deposit$
section 2.17 of the zoning regulations
Total Due$
Applicant is responsible for contacting the Police Dept.and C.B.Y.D
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES ( )Cash ( )Check#
! 9lerz �1/r' .� c�n✓ Paid B
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 PER MI AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUA
Signed: Print Name Date: 9 _
Engineering/permits/Street Exca tion Permit 2017
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