HomeMy WebLinkAboutStreet Cut Permits 199 Strong Road 1700222 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 10/23/2017
GIS ID:87000199 FEE: 50.00
MUNIS APPLICATION# 201701493 EXPIRATION DATE: 10/23/2018
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APPLICANT a LOCATION
NAME: QUALITY PAVING CQ ADDRESS '... .199'STItONG ROAD
ADDRESS: 194 S.MAIN STREET T� OWNER C 8c G PROPERTIES LLC
EAST WINDSOR,CtiT 6408$ 12 A BROOK STREET
UWPrS� HARTFORD,CT 06110
PHONE 860-523-4182Is-
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WORK DESCRIPTION: INSET byL• NgW PARI4ING AREA
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APPLICANT AGREES TO FURNISH THFTO_VN OF 50UTI WIWDSQR'THE.AMOUNT QF BCIND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR A Y.:LXPEN;SES 1NMI RE BY fiFIE T011JNaFOLt 1bIAINTENANCE OR REPAIR WORK IN
.
CONNECTION WITH THIS PERMIT AND T E API'1,I
FA CANT,:IS MII,TAR VCWI.-TFI A .p W.,II L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF S01JTH W DSOR S STREIaT C[tT Y)ItMIT MANUAL.
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ISSUED BY DATE INSPECTED INSPECTED BY
10/23/2017 2:24 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 1 o�?,),4 CONTRACTOR:-Ors 11
LOCATION: 'o Rock
TYPE OF WORK: 'i o Stca l 1 N ft,ti ti r' i n� a, ao :,
DATE INSP NEEDED: DATE INSP: ;INSPECTED BY:
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑YES (] NO
AS-BUILT:
INPUT: l DATE:
S/moltoy/forms 2014 Town of south windsor INPskmm 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 $50.00
Name of Firm i Phone No. 6b 0 o s ) r
Address of Firm Q W\ i v� &4 b L c-,N Zip Code
Location of proposed work -'k! )�,
Describe fully nature of permit requested C a
Starting date Call Before You Dig No
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑Curb Cut ❑Sidewalk Cut
❑ Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public Sewer ❑Septic
Show sketch.of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
Est.Patch Size(s) sf
Est. Pvt.Thickness in.
1 ) 99
Est.Patch Unit Price$ /sf
Est. Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
Est.Curb Cost$
';Z_Z_ f i Est.Sidewalk Replacement sf
v M Est.Sidewalk Unit Price$ /sf
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 RULE�77=
RMITS AS OUTLINED IN THE TOWN OF SOUTH WI SOR'S STREET C R IT MANUTi-1 26
AL.
Signed: Print Name 4"��y 1� G 0 Date:
Engineering/permits/Street Excavation Permit 2017