HomeMy WebLinkAboutStreet Cut Permits 910 Foster Street (6) 1900156 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 08/26/2019
GIS ID; 33600910NA. FEE: 50.00
MUMS APPLICATION# 201901882 s EXPIRATION DATE: 08/25/2020
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APPLICANT rr; LOCATION
NAME: SIMSCROFT ECHO.1~ ..RMS ADDRESS r k
� �41.0 F6)STER STREET
ADDRESS: P O BOX 581 Nv ;r : OWNER T MQNIARINO BUILDERS INC
f s x r kOtIAPEI,RD UNIT#3F
SIMSBURY,CT 0074, y ;
PHONE 860-651-0231 u zs
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WORK DESCRIPTION: SA�1� AII'$EWER LA ERAL
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APPLICANT AGREES TO FURNISH TI TO�V�lI�1 OF`FSOtTH WINDSOi�TIC AMOtIN I OF$OND REQUIRED AND TO
'REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANMXPENSES 1NGURREI kBY THE TO�C I FOR"MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND%E APPILfCANT•IS FA''I hIAR WjTR ? WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN°OF S-0 TH 'INDSIORIS STREET CUT I?:ERMIT MANUAL,
ISSU D BY DATE IINSff TED INSPECTED BY
8/2612019 10:21 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWA OF SO=*..WI1ltDSOR INS'P?'ECTAwn REPORT
PERMIT'NO.: Z �d CONTRACTOR:
LOCATION; -5.. r
TYPE OF WQRK; BSc
DATE INSP NEEpED: DALE INSP;. b s
INSPECTED BY:, . . .
WORK:IN
PROGRESS: 46
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SEPTIC TANK PUMPEQ,.SMASk1ED; FILLED � WITNESSED ❑YES Q N0
AS-BUILT;�_
INPUT; t' DATE.
S/mollay/forms 2014 Town of South Windsor MPSELMbiq REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN LHALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $50.00
Name of Firm S.'.d'?SCry/ �- _c��'' arm S Phone No.
Address of Firm ? 1�,r-5 �111/kEr /V 041f L•y Zip Code 76/
Location of proposed work FlQ
Describe fully mature of permit requested
Starting date Call Before You Dig No
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE, THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut III Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening D Proposed New Driveway
Water Supply: ❑ Public Water Cl Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch.of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
<; Est. Patch Size(s) sf
(47 0i Est. Pvt.Thickness _in.
Est. Patch Unit Price$ 3 /sf
',r.,.r ,;,, !;:? : .•..rub. Est. Patch Cost$ Ga
Est. Curb Replacement ft
Est.Curb Unit Price' /ft
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Est.Curb Cost$
Est, Sidewalk Replac,.)ment '' sf
Est. Sidewalk Unit Pri+:e$ d /sf
Est.Sidewalk Cost$
Ect.Traffic Hours � hr
Est. Tmfflr,Unit Cnst$ v /hr
Est.Traffic Control $
DRIVEWAYS must be 3ft or more from the property line per Amt.of Deposit$ , COO
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#
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 RE ULATIONS FOR P RMI S AS OUTLINED IN THE TOWN OF SOUTH WINDSOOR'S STREET CUT PERMIT MANUAL.
Signed:L Print Name �C"I �y Date:
Engineering/permits/Street Excavation Permit 2017
TOWN OF SOUTH WINDS OR
ENGINEERING DEPARTMENT
ADDRESS PERMIT NUMBER
INSPECTOR TEMP. PATCH DATE
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INSPECTOR COMPLETION PATCH DATE
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TOWN OF SOUTH WINDSOR
ENGINEERING DEPARTMENT
ADDRESS PERMIT NUMBER
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INSPECTOR TEMP. PATCH DATE
INSPECTOR COMPLETION PATCH DATE _
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