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HomeMy WebLinkAboutStreet Cut Permits 1760 Ellington Road 1900101 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 07/15/2019 GIS ID:30301760 4 FEE: 50.00 MUNIS APPLICATION# 201901439 pARiwXPIRATION DATE; 07/14/2020 rl ' 1 t LOCATION APPLICANT '� ;} . : NAME: PAVING BY CUSTOl4r1 CONS`TRJ �ION LL C .ADDRESS �760 E LINGTON ROAD ADDRESS: 57 GARDEN GROVBYROAD` f ;OWNED 1"160 EIs INGTON ROAD LLC NI s 1�6fl EI,LINGTON ROAD MANCHESTER CTM60401 PHONE 860-368-8806 ' WORK DESCRIPTION: DIC �OUAT AN ) EPAVE EXISTING DIIVEWA�' Li "•r�"^ 7 � YS t 6 Y aY: APPLICANT AGREES TO•FURNISH THA'3 o N OF 50Y7TIj WtI.DS10 2 THE AMQUI*TT�{ E B�3ND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AY*EN$ES TTGulm..1 lI S TIRE TpWN 1 pR 1VIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TIDE AI�PI;IANT IS FAM1L IAR W T# D.WiE L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TO WN OF SOU I H WINDSOR S-;STREET GUT PERMIT MANUAL. p / Q + ��► t„ ISSUED BY DATE°INS'PEffED INSPECTED BY 7/15/201912:06PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** E nth .� N 5i 3$f w1 X"F d 1: V 1 X w� r r 4 W r4 a 1 sr I } s T2 e , r E y •r rt� )) i. .:i.Y S TOWN OF.SOUTH N REPORT PERMTI'NO.. I O D CON TRAC'R. LOCATION: .� TYPE OF IIIIORK: DATE INSP NEEpEC�' DATE INSP:. l r 5 �� INSPECTED BT: PROGRESS: L-:` � SEPTIC TANK PUMPEa,5MASHED; FILLED 1NITNESSED ❑ 5 NO AS-BUILT: INPUT; DATE. ~� t S/mol[agj%ms 2M4 Tb=of Sluth Wmdsar-riVPSLtffdN japbl;T 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 $50.00 Name of Firm o 6( 3(a-'Phone No. Address of Firm LL—ZipcodeZ(� Location of proposed work Lo i Describe fully nature of permit requested Starting date l Q q Call Before You Dig No--a—Ma=64 PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURS REPLACEMENT,INCLUDING ANY INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. 7HE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: © No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut 0 Curb Cut O Sidewalk Cut xExisting Driveway, No Changes ❑Proposed Driveway Widening ©Proposed New Driveway Water Supply: ❑ Water CJ Well Sewage Service: C!Public Sewer 0 Septic Show sketch of proposed work or fumish two copies of separate drawing Indicate North This a n to be filled out by Town 0 No.cuts Est.Patch Size(s) sf Est. Pvt.Thickness in. Est.Patch Unit Price$ /sf Est.Patch Cost$-__..__.__ Est.Curb Replacement ft Est.Curb Unit Price Est,Curb Cost$ Est.Sidewalk Replacement.-----.__sf Est.Sidewalk Unit Price$ !sf Est.Sidewalk Cost$ CEst.Traffic Hours hr Est.Traffic Unit Cost$ /hr �r } Est.Traffic Control$ Amt.of Deposit$ DRIVEWAYS must be 3ft or more from the property tine per Total Due$ SZf� section 2.17 of the zoning regulations (' ( Applicant is responsible for contacting the Police Dept.and C.B.Y.❑ Cash heck# 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 FAMI WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR! STRE PERMIT MANUAL. { `l Signed: Print Namet�--w - 3 ,( y� Date: 1/' 1 Engineering/perin4 � It Excavation Permit 2017