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HomeMy WebLinkAboutStreet Cut Permits 29 Kelly Road 1900087 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 06/05/2019 GIS ID:49500029 Rko.. FEE: 50.00 MUNIS APPLICATION# 2019011224 y I✓XPIRATION DATE: 06/04/2020 1 1 5 APPLICANT LOCATION NAME: CENTRAL SEALINGCO INC VADDRESS 2�KELLY ROAD ADDRESS: 69 THOMAS STREET r I ,ss �s I�WI�TER k , SMITIT SHANNON M Mt 7 :5 ROAD EAST HARTFORD,CM46 0$ s PHONE . k WORK DESCRIPTION: DR1iVRr-AEIIOVE 8i REPL ACE Dl?IUVA WI �T DI LEFT SIDE ni b,,:.•: ox APPLICANT AGREES TO FURNISH THL TOWN OF SOUTH (?�IINI��OR THE A1IQOUNT OF B,'OND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AI41Y EXP�I�(SES IPSICUW—',E BY FI> TOWI i.F,OR,>MAINTENANCE OR REPAIR WORK M CONNECTION WITH THIS PERMIT AND ft APPLICANT IS FAMT TAR WITH A.. WILL ASIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN CyF SOIJTI�WI7vDSORwS STREET GUT PETZMIT MANUAL. V0110tj5` J ISSUED BY DATE I1�TSPECTED INSPECTED BY 6/5/20192:40PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** 6. pp ,•` iatr c :� 54� 5 r.• a r '.r i 1 r xa a 2E >Z I. 46 k 1' f p S a K TQW OF SOUTH-WINDSO TNSPSCixON REPORT PERMIT NO.: �� CONTRAC''PR: � rfOt LOCATION: 2 9 . TYPE OF WORK: bvli,`Upl� DINE INSP N99-OW; DATE -5 i 7 INSPECTED Bv' .- . WORK:IN PROGRESS: L c_y SEPTIC TANK PUMPEQ;.SMASHED, FILLED WITNESSED [].YES NO AS-BUILT: INPUT: ` DATE: t(irPORT14 5/maIIoy(f rms 200 Town of South Windsor•INP8kT0N APPLICATION FOR STREET EXCAVATION PERMIT Appl• No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 05074 Pelt No Name of Firm o ebrh-ZO S-e4U of_G (D S F Address of Firm Phone No, RoRoe) I `7 T DES C'� Zip Code 0C<,/L ,F Location of proposed work ' e( o j1 ej Describe fully nature.of permit requested k-n(�)Ve s 1 GtC P G -r i✓'�.cc1 L <<�p r �� SioC Starting dqte__taLl a Call Before You Dig NoC' 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: El Public Water ❑Well Sewage Service: El Public Sewer 0 Septic Show sketch of proposed work or furnish two copies of separate drawing Indicate North This section to be filled out by Town No.cuts Est. Patch Size(s) sf Olt Est.Pvt.Thickness In. &V rd— ry e�-eJ Est.Patch Unit Price$./sf Est.Patch Cost$ Est.Curb Replacement—ft Est. Curb Unit Price$, —eft Est Curb Cost$ Est.Sidewalk Replacement sf Est.Sidewalk Unit Price$ /sf Est.Sidewalk Cost$ Est.Traffic Hours hr Est.Traffic Unit Cost$ /hr Est.Traffic Control$ Amt.of Deposit$ DRIVEWAYS must be 3ft or more from the property line per Total Due$ section 2.17 of the zoning regulations Applicant is responsible for contacting the Police Dept.and C.B.Y.D ( )Cash ( )Check# PERMIT SHALL BE KEPT QN 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 FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET C T PERMIT MANUAL, 9 Signed; �^� �'—�, Print Name 10 1� 1-�'F [ t �Z� ) g I1� Date.. 6 1 Engineering/p its/Street Excavation permit 2017 r�r x OIND ) lei 1 v SA i E 4P /je, i e-. -F