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HomeMy WebLinkAbout12-9 1900199 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 10/24/2019 GIS ID:39009999 U FEE: 0.00 MUNIS APPLICATION# 201902448 EXPIRATION_DATE: 10/23/2020 moNit), APPLICANT i LOCATION NAME: VERACITY CONSTRVCTIftGI i7P INC' ADDRESS M 39994 RIFFIN ROAD ADDRESS: 74 NORTHEASTEIRIVI(I3'vUD SUITE 18H bWNER WIOF SOUTH WINDSOR 154t 0 SlVLLIVAN AVE NASHUA NH 030jh rMwl �' Ken PHONEk` w �j'f WORK DESCRIPTION: MILL0�Awmmm: AI Ia�NT I ES.1' ATIM7N 1!k '"VSiIDE BY 2025'TRENCH REaTO Af[ION';BETWEEN GRIFFIN,':WIN SOR IDLE RD&TRAIN TRACKS APPLICANT AGREES TO FURNISH TA TOV1&Ofi30Z1 H:WIND `QR THE AMOIINF QF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR�I�iY°EXP$1�16E INU$REI $ 'THE T(3W1 F MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE APPLI ANT IS FAMT1 TAR WITH NI V ILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TO WIC QF SOUTH WINDSbR':R ST'REIT CUT I3RMIT MANUAL. \ Ini �! o IS ED BY D ` D`=INSPECTED INSPECTED BY 10/24/2019 12:23 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** 4 I s \ 4 �X5 faaii 4i f :✓ Fa a\. e to K 4 � 1 t w n is z . *r t r L r !'k1 % S . y4 y .0m©F�SQUTN.WIN QR�NSPECnON�EpQRT PERMIT NO.: �� CONTRACT�R:y LOCATION: C� i ..! PY e 7" ees'41AcaJT Yv •� - - r itva r�� by T1�PE 4F WORK: `i w A6t, DkTE INSP NEEDEt : DAZE INSP'. INSPEC'rED WORK:IN r r + • [%�v`C a <dvcil S mac. E.�. PROGRESS: v�yc ✓ lr UMPEC 'SMASHED. FELLED WrMESSED D-YES L7 N0- SEPTIC TANK P ,. AS-BUILT: INPUT: DATE. S(ntolioy/tomas W Town of South Wkt&or•WSW=REPORT 14 APPLICATION FOR STREET EXCAVATION PERMIT App1, No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $50.00 Name of Firm V I-{ 2 Phone No. L�3 Z510(� J.? Address of Firm ' `Y Y 1 V c"t ���" , U'a M f-� Zip Code.��� a ' Location of proposed work s 'I ^O , , oia Describe fully nature.of permit requested a. > ;" ; - d r Starting date Call Before You Dig No 2QIq yA,1)6)5S-6, PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR, Check Applicable: ❑No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑Curb Cut ❑Sidewalk Cut ❑ E Asting Driveway,No Changes ❑Proposed Driveway Widening ❑Proposed New Driveway Water Supply: ❑Public Water ❑Well Sewage Service: ❑ Public Sewer ❑Septic i Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing No.cuts 0 Est.Patch Size(s) sf i Est. Pvt.Thickness in. Est.Patch Unit Price$ !sf Est.Patch Cost$ v{ X I r Est.Curb Replacement ft Est.Curb Unit Price$ ftt 00k) /��- A � � Est.Curb Cost$ Est.Sidewalk Replacement sf Est.Sidewalk Unit Price Est.Sidewalk Cost$ 0 1 o � � ✓ ` Est.Traffic Hours hr 1 y v"t-v Est.Traffic Unit Cost$ mr Est.Traffic Control S Amt.of Deposit$ DRIVEWAYS must be 3ft or more from the property line per Total Due$ section 2.17 of the zoning regulations { ) ( ) Appiicant Is responsible for contacting the Police Dept.and C.B.Y.D Cash Cheek# PERMIT SHALL BE KEPT ON JOB8ITE AT ALL TIMES Paid By I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND RMUIRED 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 CUT PERMIT MANUAL. Signed: Print Name Date: Engineering/permits/Street Excavation Permit 2017 ......... ,van AFOOT RTY. took V Auk MW wool ............. 1900200 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 10/24/2019 ep4 GIS ID: 39009999 FEE: 0.00 MUNIS APPLICATION# 201902449 EXPIRATION DATE: 10/23/2020 APPLICA] T<' ; LOCATION NAME: VERACITY CONSTRVCTION GI QUP INC ADDRESS 9'9 9Y RIFFIN ROAD ADDRESS: 74NORTHEASTERI CJTE;18B CWNERt �TQWII OF SOUTH WINDSOR r� 041 k u r I540 S LLIVAN AVE NASHUA,NH 0302 PHONE WORK DESCRIPTION: MI.IF&t p;AVIPERMAI4T�NT RESTC? ATIQ�VF' " VIDE BY 870'TRENCH WIiiDSORVI , E RD$ TWEEN CSRII;� IN AIDY STREET APPLICANT AGREES TO FURNISH THE T 50I R$Oi 7TiGTNDSIi TEE A11¢C1I]N OF� OND REQUIRED AND TO REIM$URSE THE TOWN OF SOUTH WINDSOR FOR ANS�'EXPENSES Vq U I)BY THE TOWN FQIt MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND� E.-p?`'I{I'C�A14TisTAMII.IAR W'ITI , ND 1 ILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOw1QzF SOIJTjI WINDS IT MANUAL, I } ISSUED BY D Th-1KSPECTED INSPECTED BY 10124/2019 12:27 PM *** PERMIT TO B8 KEPT ON JOB SITE AT ALL TIMES*** �.. o4F I yv �� 1'n�5r� €4�•�y �'`'( w : A 7v'S Z � E vT5 A1 I i� C Z 44 3 id. 14.y'S 4 ti M. TOW OF SQUTN.WIMMOR111 �0 H REP.ORT PERMIT NO. Ip LOCATION: `l q q �. TYPE OF WORK: �' C nG1�►`t7i r l DATE INSP NEEpED: DA E MR.-LiZLZI-1-01 E r INSPECTED BY: WORK:IN PROGRESS: Q SMASHED; FILt„ED :WrMESSED ❑YES [] NO- SEPTIC TANK PUMP]. . .,. AS-BUILT D�ITE: 5/mciEoy/Cor s 2014 Town of South Windsor•I1�11PSECi10N i�EFOR7'14 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 $50.00 Name of Flrmkraoi Phone No. Address of Firm' DrTh,,- safe; f vat:'SFr, N 4 _Zip Code -50 LIQ Location of proposed work a a % C� Describe fully nature,of permit requested M I tt . Starting date Call Before You Dig No PLEASE NOTE. THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE, THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT;INCLUDING ANY INCREASES.IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. j Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut CJ Pavement Cut ❑ Curb Cut ❑Sidewalk Cut ❑ E)dsting Driveway, No Changes ❑Proposed Driveway Widening 13 Proposed New Driveway j Water Supply: ©Public Water O Well Sewage Service: 0 Public Sewer CI Septic Show sketch of proposed work or furnish Indicate North This section on to be filled out by Town two Cop€es of separate drawing No.cuts I Est.Patch Size(s) sf Est.Pvt.Thickness in, i Est.Patch Unit Price$ /st Est.Patch Cost$ C ' CAL r f Est.Curb Replacement ft ri I Est.Curb Unit Price$ /ft _ Est.Curb Cost$ Est.Sidewalk Replacement sf ( �f '4 , Est,Sidewalk Unit Price$ /sf Est.Sidewalk Cost$ Est.Traffic Hours hr Est.Traffic Unit Cost$ /hr Est.Trafflo Control$ Amt.of Deposit$ DRIVEWAYS must be aft 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 OId 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 WINDSOWS STREET CUT PERMIT MANUAL, Signed: Print Name Date: EnIineeringlpermns/Street e(mation Permit 2017 - . . . .. -1. . . i.. .. .. . 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'..� � . ? . . :�. - ..� ., %� i�. . : . - , ..� � �.1... . .:.;....., , . --t, � % .�� , . - . � . ..: , ..� I �:, ;�� -.;: . . . .� . .. � ,�� .., ...��� i� .d, , .. . 7x- i����,,��P .1� 1 :�. . �,.: ., . : n". . �:.� .. :�:.��itk:ii. - ..h,��i�.:,��: �.. ;..��..:; . ... ..�'�t�::.�:� ��.;:5'.-1 I. . -1 . . - .. .i. 1- , , . , . �. . - �-. .. � i - � !� ...r......... r. l -�, k " ,f -" �!v n tg i�: 1 ­ � - � r vqi " ". � �N " l- ,� ,l li , i I ,-r .I - 1900202 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 10/24/2019 GIS ID:78609999 FEE: 0.00 MUNIS APPLICATION# 201902451 t€ x ' EXPIRATION DATE: 10/23/2020 ?r 3 APPLICANTS _'` LOCATION NAME: VERACITY CONST� CTIQN GR }UP INC ADD`1ZB�SS Rl'Et TREET ADDRESS: 74 NORTHEASTERNY,�/Di SUITE,1$B= QWN OF SOUTH WINDSOR t AWE 1540S[`ILLIVAN AVE NASHUA,NH 030 2� ra PHONE r w< M Y ' r., •1 WORK DESCRIPTION: MILLof,PAVEMERMANENT•I E FORA IO ixiJ1 '"' IDE BY 1053'TRENCH RYE SCR T vFST nOE;TROX ROAD:. t' APPLICANT AGREES TO FURNISH TH T4Vy QvSOLZTIIINISQRTHI AMUiV'�QF�BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANYE7P$NSES I1�fiCURREI]$�'TIIEb1N FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND%E AE'PC M14T I5 mi IAR V�!FTH AND SILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TO WI Q 5 3y UW W' S(]R'S STI$ET CUT PERMIT MANUAL. i; ISSUED B DAT'ExFNSPCTED INSPECTED BY 10/24/2019 12:41 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** G kv � 1 r r - k I 1 tt j cI�% C M TI1N OF SQUTN-�Y"�NDS�RINSpEC'RDN gEppRT PERMrr NO.: - co d: p . LOCATION: TYPE of WQRK: DATE IIVSP NEE E : = DAJE INSR i MAKIN . PROGRESS: VA ILICLA) C TANK PUMPED;.SMASHED; FILLED WITNESSED ❑YE5 CJ NO SEPTIC AS-BUILT: INPUT: DATE: /mci[oynarms 2014TGWR Of SOU thWindSor"PSWMN IEPOR714 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 $50.00 Name of Firm i Phone No. 003 34 G , Address of Firm Code U51r Location of proposed work tl�Si� �6 Describe fully nature,of permit requested H t ( '1 ' I' i _ F Starting date Call Before You Dig No 1 261t�_4k342i�_5 r2S ff PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE f APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETFD WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR, Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑Curb Cut ❑Sidewalk Cut ❑ Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑Well Sewage Service: O Public Sewer ❑Septic Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing No.cuts Est. Patch Size(s) sf Est Pvt.Thickness in. Est.Patch Unit Price v� Est.Patch Cost$ Est.Curb Replacement it � Est.Curb Unit Price$ /ft Est.Curb Cost$ Est.Sidewalk Replacement sf � fUdC �_ Est.Sidewalk Unit Price (� �� j f VJ 1y �i� Est.Sidewalk Cost$ Est.Traffic Hours hr Est.Traffic Unit Cost$ /hr Est.Traffic Control$ Amt,of Deposit$ DRIVEWAYS must be aft 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 CUT PERMIT MANUAL. Signed: Print Name Date: Engineering/permlts/Street Exavation Permit 2017 --M-Ti 1�..�,5.5,,...v—;�"..-,—;f,u .,—f. i '.!.l-", , I �1. : . .e .. .- �- e., ,.- .. p ........ . - .".-...,."-" ... .. ., .:,. ,': . .". .;�. . .:...F.......... . . ... . I— .- - .. . -... .. :::::::::: ... . . , . .. . : �.. . , . . . ... . . .., . .. .,. ... ..,. ... ., . , .. �. . .. . .. .. .. . .. ....: . . . . , �.....:-.. ... ... ,- ? ....:......,l...........:. .......,..: �...1..:...:.......- .......�......,.II..;.,.:..- ,....I..:...........%��-,'' !! ......,... ... ... .. .....�.:... , ...� -..........� I�.. ; .%..I,....""., i ..:I........�...... ...��..I�%.-..,..1...............�............I,,:..,.:� ,o.... ..::..,..... :... ..... .: ..:.. .... :..,. .........�.,,...I..: ?, ....:. :....�.,..-.......'��� ;...,...,..:-.......,...II.., - ......I%—:.,.. ....�....�.....II1I.,, :.....1 ...... ... II.-- .............�.-...... . ..... ..,. .f..1., ...:.....I..I;, .. ....%.,....I.... .�.. ...:.. .j,%.A....I. .... . .:. .... .�J..;�. .:. .,.-: ..... ...:...�! - .%....N . 1. -. .:".�v.....,.. .-n.. , .I. 1". !:. I. �. . :.....;r' R1 q. - : �. !,.. .. ... !..i.. i...'�, :1..I . :. - m :: .. .. .. .. .. I .. - .. I. .. . I .... .. .. . . .. ... . .. , .I �: :. ..i . .. .. .. .. .. : , ,.,": . , :, ....:. 11. , � ,W- � .- VI i� ' , ('I-, 1 -"- i'�kt ) ' R " �- - , g - - M FEH , I � - N - � 1 N, "1 ­ I l , Z%%% ' ­ .. . IA MI.... g R� "g i ,I -w "II - -1, :: - 1 :;" i,. I: � I'll, . .. "I'll, - I 11 I � 1900201 TOWN OF SOUTH WIND S OR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 10/24/2019 GIS ID:78609999 FEE: 0.00 MUNIS APPLICATION# 201902450 tiEXPIRATION DATE: 10/23/2020 APPLICALaIT' 4' LOCATION II. NAME: VERACITY CONSTIZiICTION GROUP INC ADDRESS KYE STREET ADDRESS: 74 NORTHEASTERi`BVD QUITE IBB QWNER 'TOWI ;OF SOUTH WINDSOR NASHUA,NH 030 LLIVAN AVE2 PHONE f ;s t Y3� ? ..l 1' 1 .4•. WORK DESCRIPTION: MI,L PA /l'EIrMA1ENT IES 'Q1ATTO�T O 3's SIDE BY 698'TRENCH RYA STET FAST OF TROY ' AFPLICANT AGREES TO FURNISH TH T09,N'�OF'30TJ H INI) TIIE`ANTOUN OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR NIEXPENSI INCURREIl BYI HE TOW1*I FQR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT ANDHE AI' LfC� LL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN VIA F'S(7LTTH�INDSOR':S S lEkf CUT REKNIT MANUAL. LV C a k0 , . ISSUED BY I�A`I'E INSPECTED ,INSPECTED BY I0/24/201912:33PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** � u55': I 3'e ;�� j F {{ r Fi t^b e! tk ti v k rF r S n y' r..! Stik'� 4 l t F I r i I its i TO�IL1 OF S�UTH'.wilm ORINSPEGoff REPORT 19 CONTRa PERMIT NO.: . �o v ro, LOCATION: TYPE OF 1I1fQRK: (o�`� '•. 'r�rlti _ „��s - 710 y .. DRIEINSP:. / / )rr D#k INSP INSPECTED BY• . .f - - � - � . . WORK�.IN • - - - PROGRESS: ��;: � �1-�J �.�c��•- `-�,.,� s���- . F " - . PUMPED •SMASHED; FIl:LED WrMESSED ❑-YES C� NO' SEPTIC TANK P r. AS-BUILT: - INPUT: DATE: 5/mo1[ay(forms Y 14 2014 TOM of South Windsor INPS `tON R�t'OR 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 $60.00 Name of Firm e o.. Phone No. 003 -�316 02 OO, Address of Firm I). -W h I,€-O,_ Zip Code Location of proposed works f Describe fully nature of ermit requested M I I I)P [fir tn1jM74 reA-L2s f Im of- -1t aL( i X 1' Starting date Call Before You Dig No� �g6lq y- L (, PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR, Check Applicable: ❑No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑Curb Cut 17 Sidewalk Cut O Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑Proposed New Driveway Water Supply: ❑Public Water ❑Well Sewage Service: ❑ Public Sewer ❑Septic Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing No.cuts Est.Patch Size(s) sf Est.Pvt.Thickness In. gll ( ��d�t9�� Est.Patch Unit Price$ /sf �( Est.Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price$ A Est.Curb Cost$ Est.Sidewalk Replacement sf I Est.Sidewalk Unit Price4eu- - Est.Sidewalk Cost$ Est.Traffic Hours hr Est.Traffic Unit Cost$ /hr Est.Traffic Control$ Amt.of Deposit$ DRIVEWAYS must be aft or more from the property line per Total Due$ section 2.17 of the zoning regulations O Cash O 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 CUT PERMIT MANUAL. Signed: Print Name Date: Engineering/permits/Street Ucavation Permit 2017