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HomeMy WebLinkAboutStreet Cut Permits 1 Buckland Road 1600051 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT too, DATE: 05/02/2016 h 2' S5 ,s NJ GIS ID: 15300001 7 4�n FEE: 25.04 MUNIS APPLICATION# 201600527 "oo s� m n` XPIRATION DATE: 05/02/2017 APPLIC �� LOCATION NAME: WILCOX EXCAVAT .f n.r CQTSTIT�C 1 TO �ADDRES ,:` LAND ROAD 11 , ADDRESS: 71 WILLOW STR$Ir� "� NER y 4 " EON IRD SCOTT SOUTH WINDSOR,� 6 7�` �Y^ 3z w 4� a1 AENDER LANE f# z F 'tOC' HILL CT 06067 PHONE Iow ht k, Yg s'~ � Wk tg ve S4 i9. WORK DESCRIPTION: DRIVAiI1�lCTJ INTADI SID {SLR CURBING SCO�E UINIR, OO;� �5 I7rI3PEA, feROAD Yr3 -1-6 4dst !� 4 4 � nND REQUIRED AND TO REIMBURSE APPLICANT AGREES TO FURNISH THI Ol� 6J,; OUsI'fIRHl AM01 Q THE TOWN OF SOUTH WINDSOR FOR A`y �L3�'�II`F$IhIU�U �IFfi, �F,01rvIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT ANDr tCANTITt <TID° ,' L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN Ic@CI1 LIDS 'STIF ts�iT IT MANUAL. s ISSUED BY DA�`I`E PE TED INSPECTED BY 5/2/20I63:04PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** - ------ ----------------------------------------- ----------- ----------------- ---- ----- ------ --. . . _... kb yLy'"t L�.„ fi fz rY`3�Z.Q.0 55 } S 7 LK y �t 1 Zn` TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO:: CONTRACTOR:_ iV! I <Ok L)a#1 LOCATION: j ,.U'lJ Ci/C/GZ 12 � TYPE OF WORK: :( C. DATE INSP NEEDED: DATE INSP: tl ? INSPECTED BY: ts WORK IN PROGRESS: ' , SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑YES ❑ NO AS-BUILT: INPUT: DATE: S/molloy/forms 2014 Town of South Windsor INPSEMON 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 $25.00 Name of Firm WILCOX EXCAVATING CONST. CO. INC. Phone No.860-644-8534 OR 860-202-810 Address of Firm 71 WILLOW STREET, SOUTH WINDSOR, CT Zip Code 06074 Location of proposed work 1 & 26 BUCKLAND ROAD, SOUTH WINDSOR, CT 06074 Describe fully nature of permit requested ORI E E R N INS ALLING IDEWALKS, CURBING Starting date 5/9/16 Call Before You dig No 20161704658 PLEASE NOTE. THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND-CURB REPLACEMENT IS A PRELIMINARY ESTIMATE, THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH.AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: lO No Pavement,Curb or Sidewalk Cut IWPavement Cut WCurb Cut WSidewalk Cut © Existing Driveway;No Changes © Proposed Driveway Widening &O Proposed New Driveway Wafer Supply: W Public Water ❑ Well Sewage Service: 0 Public Sewer Pf Septic Show sketch of proposed work or furnish Indicate North This section to be filled out b Town two Copies of separate drawing vee a ppy-vve'd P lames bitl)-e s rYUp-eS 5e oyLa.LS No.cuts Est. Patch Size(s) sf Est. Pvt.Thickness in.. Est.Patch Unit Price$ /sf �dc Est.Patch Cost$ CV 0 3J � 44b ' ' '" Est.Curb Replacement fit -- Est.Curb Unit Price$ /ft (z' 'ery Ci�a f�C Est Curb Cost$ Est.Sidewalk Replacement sf Est. Sidewalk Unit Price$ /sf �U r., Est.Sidewalk Cost$ Est.Traffic Hours hr ' Est.Traffic Unit Cost$ lhr Est.?'raffle Control$ 1% Amt.of Deposit$ DRIVEWAYS must be aft or more from the property litre"per section 2.17 of the zoning regulations Total Due$ 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 EXPXNSES.INCURREkD,BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND° THAT I AM FUILIARR AND WILL I¢E BY THE RULES'AND REGULATIONS FOR PERMITS-AS OUTLINED 1N THE TOWN OF SOUTH WINDSOR'SERMIT M U r Signed: Print Name GERALD J. WILCOX Date: ,3 d ZI'I(lR Street Excavation Permit 2014