HomeMy WebLinkAbout101 Windy Hill Drive 1900175 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 09/19/2019
GIS ID: 95400101 FEE: 50.00
MUNIS APPLICATION## 201902113
°`' �, ti>rXPIRATION DATE: 09/18/2020
APPLICANT ` SAilr; LOCATION
NAME: CONSTANTINE SELF W6 SER DICE I LC ADDR S 1'U 1 Vkf'ZNDY HILL DRIVE
ADDRESS: 101 KREIGER LANDCQNXIOLLY BRIAN E&KIMBERLEY S
k. 10I VU*DY HILL DRIVE
GLASTONBURY,GTJb033
PHONE 860-633-7004 �z�` '
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WORK DESCRIPTION: DI Vh'WAY I EPLAC IVIENT s r t
APPLICANT AGREES TO FURNISH THE TOW OF'SOUTBWINDSQI THE°AMOYIIV�OF 130ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR,"12 EXPENSESkINI;URRED BY T$E TO FO 'MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TEEiPpLI01NT IS FAIvIYLIAR WITHI,4ND 1TLL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWRpF`SOU`TH WINDSOR':S STREET CUT REI2MIT MANUAL.
ISS ED B DATE INSPECTED INSPECTED BY
9/1 9/20 19 2:44PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TO11U OF St�UTN.IARNDS! INSPECnON REPOR'�'
PERMIT NO.: f�Q CONTRACTQR:
L TION 17 -'4
TYPE of WORK:
DATE INSP NEEDED: DALE INSP
INSPECTED
WORK,-:IN
PROGRESS:. : ... 6, fir,L �U
�R. 5MASHED; PIU,ED 'WITNESSED YES (] NO•
SEPTIC TANK PUMPED .
AS-BUYLT• - :
INPUT; C W`- DATE: _.
S/moltoy/Pom�s 20%Tbvm of South Windsor•INPS&WN REPORT'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 $50.00
Name of Firm '(tS' A� !1 �Z U-r' Phone No. (' --70O
Address of Firm jOD us' Zip Code D-
33
Location of proposed work O 1 1
Describe fully nature of permit requested f I d t � lace rn e-nd-
Starting date q 7 3' ( Call Before You Dig No C5 1
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening XProposed New Driveway
Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public Sewer ❑Septic
Show sketch.of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
Est.Patch Sizes} sf
(.�;�'tC.�ICC�
0 Est. Pvt.Thickness in.
Est. Patch Unit Price
Est. Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price
Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
DRIVEWAYS must be 3ft or more from the property line per Amt.of Deposit$
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 AN REGULATIONS I OR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WIN11D``SOR'S STREET CUT PERMIT MANUAL. q
Signed: o t h�Lt Print Name !� (lG— N dS.}�-/!'�1 PX Date:
Engineering/permits/Street Excavation Permit 2017
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