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HomeMy WebLinkAbout20 Chapin Street 1900174 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 09/19/2019 GIS ID: 18200020 FEE: 50.00 MUNIS APPLICATION# 201902108 r s EXPIRATION DATE: 09/18/2020 APPLICAII�T? ?' s � LOCATION NAME: CENTRAL SEAL CO I1C ADDRESS 20"CIPIN STREET ADDRESS: 69 THOMAS STREIvM�JCIOLLARI NESIM R&ELIDA E a ,•5 0 CIAPIN STREET EAST HARTFORD G&06lb8`R" k t PHONEhill _ 5vo, WORK DESCRIPTION: D 'I�D�1V ' ; r'>{. s APPLICANT AGREES TO FURNISH THE TORN 01~$OTHINDSOR THE AIyIOUN 1- ND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FORi1=EXPENSES 1NGURIZED B THF�TOV4IaT FOR"MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TEE APPLXCANT IS 1 ANIII,IAR (74tITH AI*I)5 yJTLL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN`,S(bU.TH WINDS`OR'S STREET BUTT„F RMIT MANUAL. " CT- SSVEI 6XTU*SPiTTED INSPECTED BY 9/19/2019 2:22 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** oAF , V f ^ 4 ,5`U 9' y r, s d} d 5 ( Sa n e ,S t I 7 PK lr r a^ i S r i` 416., • 5: TOW O�SOUTH* WOMMOT 0.: I ���7 . CONTRACTOR:. PERMIT N LOCATION: - C TYPE OF Mkt—lb - DATE INSP N EEDEt�, �• DATE INSP�,e�•%�c f �.. • . -:. INSPECTE WORK:IN PROGRESS: '. � x .. EPYIC TANK PUMPED,.SMASHED; FILLED 1NITNSSED ❑YES 11 NO AS-BQXT:_ E. INPUT: DATE: Tl.4 F s/momayromns2M4Town of South wi licar1NP$E N Ili=FOR APPLICATION FOR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN FALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $50.00 Name of Firm ewh-rll -See�'l I t"a Co' Inc- Address of Firm I 1d —Phone No. S tY � 4, �T Zip Code Location Of proposed work .90 NUIL )I S . Describe fully nature of permit requested Y.1 Ve J c l tt� JL­ 11 >« �z T lx,�i c L�t't�rti e C' r GfYZ"1` C Starting date P i d�► Call Before You Dig No PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE, THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES.IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALITY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ©Curb Cut O Sidewalk Cut Existing Driveway, No Changes ❑Proposed Driveway Widening ©Proposed New Driveway Water Supply: ❑Public Water 0 Well Sewage Service: ❑ Public Sewer O Septic Show sketch of proposed work or furnish two copies of separate drawing Indicate North This section to be filled out by town No.cuts Est.Patch Size(s) sf Est.Pvt.Thickness in, Est.Patch Unit Price$—.Isf r Est.Patch Cost$ X. Est.Curb Replacement_ Est.Curb Unit Price$ilft \ Est.Curb Cost$ Est.Sidewalk Replacement sf 1� �f Est.Sidewalk Unit Price$ /sf L iz'D Est.Sidewalk Cost$ + E Est.Traffic Hours _ hr Est.Traffic,Unit Cost$ 1hr 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 Applicant is responsible for contacting the Police Dept,and C.B.Y.D )Cash ( )Check# 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 souT14 WINDSOR'S STREET CUT PERMIT MANUAL. Signed: n �-� Print Name � 1� l-�.t (t �'1�' Date: Engineering/p its/Street Excavation Permit 2017