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HomeMy WebLinkAboutStreet Cut Permits 246 Foster Street 1900050 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 05/08/2019 a , GIS ID: 33600246 FEE: 50.00 MUNIS APPLICATION# 201900902 EXPIRATION DATE: 05/07/2020 i NT ��• �, � PPLICA � .- LOCATION NAME: CENTRAL SEALING, I1�C ADDRESS 246Y`F(aSTER STREET ADDRESS: 69 THOMAS STREET QWN$R I IST-WSTAFSON BRIAN D&CATHERINE ti. 246 Q$TER ST EAST HARTFORD,aCT 06108 PHONE 61 WORK DESCRIPTION: DRIVEAY isa 3. • a_ APPLICANT AGREES TO FURNISH THETOVN dF SOUTH WINDSt7It 1'IIE,AMd[CNT 9F FOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR A1tYt1;XPENES IN [JRR$D$Y I Fi,EdWNrFOR'MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE PPT.I.CANT IS Ft11VTI iAR V/I I'H Al D V1[1T L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWNFSOUTII W1IVDSOR S STR1E CUT IT MANUAL. �� It ISSUED BY DA`T"E INSPECTED INSPECTED BY 5/8/2019 3:04 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TLA ttt �J n i O rxHr'< 3 a 1 ♦ 4 i,,4 4 '•i 'i S- ' i w t ram` ' Is kit 4 ; ..� N .q " y � r i. ` `'u5 Y tte .k f S� {o, 10 \ Itkl t r f t i TO O SQUTN.WIMDSQR�NSP�ECO. REPORT R• PERMIT NO.. . o65 CONTRACT!: • LOCATION:, TYPE OF WORK" fuel TE INSP NEEUED: = DATE INSP `J '' Dk.. INSPECTED • . WORK�.IN. • . . . - I PROGRESS: s L . SEPTIC TANK PUMPED,�SMASHE%fqL� 1NIIhfESSED YES El NO. I AS-BUI4T INPUT:_ •�.�'-- - � . . DATE: vmiiioymons ZOL4 TOO of SOnih Wifidsor MPS>`t'WIV MFORT 14 If r. APPLICATION FOR STREtt EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Pe[rrllt v.., TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEEP 50 f)' Name of Firm N&I 'SI l I Phone No. Z?()` 1-19 81` "l 1 o 0 Address of 1=irm 6V! S 'e Zip Code 19b Location of proposed work _ (p r—O.S S Describe fully nature of permit requested 1_PWVC' f t1 V ew Starting date �L llbl Call Before You Dig No a I '"7 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 XlExisting Driveway,No Changes ❑ Proposed Driveway Widening ❑Proposed New Driveway Water Supply: ©Public Water O W611 Sewage Service: ❑ Public Sewer ❑Septic Show sketch of proposed work or fumish Indicate North This section to be filled out by Town two copies of separate drawing /�✓�i� No.cuts � l Est. Patch Size(s) s€ { ( Est. Pvt.Thickness in. Est.Patch Unit Price$ !sf Est.Patch Cost$ I Est.Curb Replacement ft Est.Curb Unit Price$ !ft Est.Curb Cost$ y Est.Sidewalk Replacement sf Est.Sidewalk Unit Price$ /sf mil Est.Sidewalk Cost$ is I C2I rZo- Est.Traffic Flours hr Est.Traffic Unit Cost$ /tlr Est.Traffic Control$ 1 Amt.of Deposit$ l DRIVEWAYS must be 3ft or more from the p foperty line per Total Due$ section 2.17 of the zoning regulations { )Cash ( }Check# Applicant Is responsible for contacting the Polio Dept.and C.B.Y.D PERMIT SHALT_BE KEPT ON JOBSITE AT A,LL TIMES Paid By j I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH j 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. / I i Signed: Print Name € r t P Z� Date: ! II Engineering/pe its/Street Excavation Permit 2037 j I