HomeMy WebLinkAboutStreet Cut Permits 39 Barbara Road (3) 1800100 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
STREET CUT PERMIT
DATE: 07/23/2018 ti S
GIS ID: 07500039 5 aj t 5a FEE:
MUNIS APPLICATION# 201801279 50.00
4hXPIRATION DATE: 07/23/2019
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APPLICANTx'ta
NAME: CENTRAL SEALING �L ' LOCATION
ADDRE� 9�$AR$ARA ROAD
ADDRESS: 150 SUNSET RIDGEE� +` '! r` 'a 4` ►` E rpTAANKAJ&ANJALI
�r �,.,. RA ROAD
EAST HARTFORD, "yT
PHONE 860-299-7900
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WORK DESCRIPTION: r5 x�
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APPLICANT AGREES TO FURNISH THEO SQUTH 1INDSIIE°AMp (�FBQTYD REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FORA'= �
PESNS$S ED TQ`o&fO AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE A1+I'wCA�,T IS, 'x Jl, 'SIi�ILk ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN �SS3RETOuIJ1P „) IITMANUAL.
ISSUED BY A` E SPrE "ED INSPECTED BY I.
7/23/2018 3:05 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH'WiNDSQR INSPECTION REPORT
PERMIT'NO.: CONT'RAGTQR: �� �4 � ��`7
LOCATIOM: - ci
TYPE OF WQRK: ,_
DATE INSP NEEDED / .. DATE INSP: -
INSPECTED BY:
WORK:IN
PROGRESS: 12.
SEPTIC TANK PUMPED,5MASHED; FILLED WIMBSED El YES D NO-
AS-BUILT;
INPUT: � • ,DATE.
Simovoy/fiorms tom Tm of South Windsor mpswwN REPaRT m
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074
Name of Firm Cori k( S-1-i i tLP Phone No. S&6 d-S 7 l 66)
Address of Firm V Zip Code
Location of proposed work Z�-q co"
Describe fully nature of permit requested K- (W--e
Starting date Call Before You Dig No 0 3q
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES,IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: [] No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑Sidewalk Cut
-Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public Sewer ❑Septfc
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
Est. Patch Size(s) sf
�►�.: Est. Pvt.Thickness in.
_S Est.Patch Unit Price$ Isf
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ A
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price$ Isf
Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ /hr
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
WINDSOR'S STREET CUU7 PERMIT MANUAL. � J
Signed: r �I �'�" Print Name 1� `1 TIP
. (" Z� Date: 1
Engineering/ its/Street Excavation Permit 2017