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HomeMy WebLinkAbout9999 Griffin Road 1900133 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 08/08/2019 GIS ID:39009999 s FEE: 50.00 MUNIS APPLICATION# 201901706 EXPIRATION DATE: 08/07/2020 eg r APPLICANT` LOCATION NAME: VERACITY CONSTRt; CTIOgN GR01 JP INC y ADDRESS' 9 9 G IFFIN ROAD ADDRESS: 74 NORTHEASTERN BL" D S1IT ETOWNlF SOUTH WINDSOR LIVAN AVE O,NASHUA,NH 0306 { 3`' PHONES `WORK DESCRIPTION: TRINCI AFPRDX045'`I'O PT,�ACE3BER'tT COI�I�[JIT IN 3" WIDE X 20�g DEEP tT'RE1 CI3 xz,° t, x. ty APPLICANT AGREES TO FURNISH THI' OIN�bF S,O REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR_Ny"ExP�NSE$TN URI�Ep$Y I B Tt Wh I( 1\IAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TIDE APPL ICANT IS FAMILTAk WIC H A ID WII L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED OUTLINED IN THE TOWN OF.S�1TH WINDSO 'S STREETU >� ItMIT MANUAL. (/ 116 V 1M1 '" t s Rv. �x ISSUED BY DAfiE INSPECTED INSPECTED BY 8/8/201910:07AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** 4'y we �5 �y AF w: 1 i x kg r�r 4 a � Y l Zi! 1,� .r � � A y,• � s i TO iY ©F SQUTN:WIIliD R IpSP ECTYON RMRT PERMIT NO.: CONTRACTOR: �.oc�iT;oiv: 12 TYPE OF WORK. 'rf!i°"Yl � f: �� �' 1'eu duz � DATE INSP NEEDEf : DA?E INSP: INSPECTED'BY: WORK iN PROGRESS: v,�' c,l.e �e-c. r �L SEPTIC TANK PUMPED,.SMASHED;Flob WITNESSED ❑.YES CI NO AS-BUILT: " I DATE: NPUT. . S/mcitay/for�s ZM Town of South Windsor Mpsw1cm REPORT 14 i 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, $50.00 i Name of FirmJuIrLZL° f 4-u oLas��l2 chCJVI Phone No. ZI .mod la n}-q - Address of Firm-°�( /d r-rhE G S C,�;/1 i vr�� ��;r�P_ d '=(`.z Q �'? LG�- ^ Zip Code 68&)>2 Location of proposed work� 201 -� Describe fully nature of permit requested > -V2 } Jai ` Starting date ,2 [ry //'5 Call Before You Dig No PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut CI Pavement Cut © Curb Cut ❑Sidewalk Cut 0 Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑Proposed New Driveway j Water Supply: ❑ Public Water ❑Well Sewage Service; ❑ Public Sewer ❑Septic l Show sketch of proposed work or fumish indicate North This section to be filled out by Town two copies of separate drawing No.cuts Est.Patch Sze(s) sf Est. Pvt.Thickness in. Est.Patch Unit Price$ Jsf D � - Est.Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price$ tft kl-n k v Est.Curb Cost$ Est.Sidewalk Replacement sf Est.Sidewalk Unit Price$ Jsf 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 O Check# Applicant Is responsible for contacting the Police Dept.and C.S.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 Ct�T PERMIT MANUAL. 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