Loading...
HomeMy WebLinkAboutStreet Cut Permits 36 Benjamin Way 1900071 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 05/20/2019 k GIS ID: 09900036 FEE: 50.00 MUMS APPLICATION# 20I900993 EXPIRATION DATE: 05/19/2020 APPLICANT LOCATION NAME: CENTRAL SEALING" 12 I1�C ADDRESS 36kBEI�wTJAMIN WAY ADDRESS: 69 THOMAS STRE£ ` t F O�VIVI R LAMOI$1TAGNE DAVID J 3fjNJAMIN WAY r EASTHARTFORD,O 06X0$ ' PHONE ;r , ltC'• F s k a t �' :j hYir WORK DESCRIPTION: DRVWt Vic$ t G : A , % `Q ate a 1 t r 1 e APPLICANT AGREES TO FURNISH THI~;'TOW�T QF SOUTH WINbSOR THI;AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR A;11[Y% XPENSE INi~UR�EDHl;7pWi`1+F0>{xMAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND T1�IE 41PPLICANT IS FAMILIAR W I'H AID W.I'LL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SQCITH WINUSOR',S STR>JET NUT PERMIT MANUAL. 1A leg i 1161,4 I B DATE INSPECTED INSPECTED BY 5/20/2019 11:43 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** � a rs t 1 , k t 2 1.1N IN js wn{ x i , K TR3W OF SOI1T!#:WINDSDRINSP,-9!=N REPORT PERMIT NO.. 06 0 .71 . CDNTRAC t OCATI4N: ,3C4 .L° LJ TYPE OF WORK:, y i UWCO CJ DATE INSP NEM1 ED: DA11E INSP:. 7 .a t //� INSPECTED BY: L.►� WURK:IN r y� S. 5; �lau� SEfTTC TANK PUMPEE?,5MASHED; FILLED 1NITNESSED ❑' ND AS-BUILT' Y DATE: Wfidsor mfp5 C110lV PORT i4 i I i S/maii0y/fonm 2014 Town Of SGUM ' I 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 FED $50 00 a Name of Firm Prn e4)I ('v [vt L. Phone No. Address of Firm , Location of proposed work jGa (� Zip Code (7lr�l U Describe fully nature,of permit requestsCCQ eXS M ki Starting date i Call Before You Dig No PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,,INCLUDING ANY INCREASES,IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: O No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut 0 Curb Cut El Sidewalk Cut Existing Driveway, No Changes ❑Proposed Driveway Widening © Proposed New Driveway Water Supply: 11 Public Water ❑Well Sewage Service: El Public Sewer 0 Septic Show sketch of proposed work or furnish two copies of separate drawing Indicate North This section to be filled out b Town No.cuts "— Est. Patch Size(s) sf Est.Pvt.Thickness in. Est.Patch Unit Price$� /sf Est.Patch Cost$ _ Est.Curb Replacement_ft Est. Curb Unit Price$ .jft i Est.Curb Cost$ I Est.Sidewalk Replacement sf Est.Sidewalk Unit Price$ /sf ( Y ` Est.Sidewalk Cost$ J 'a ILD Est.Traffic Hours _hr Est.Traffic Unit Cost$Ihr i Est.Traffic Control$ 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# f PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Paid By I AGREE TO FURNISH TO THE TOWN OF SOUTH WIND50R 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 ASIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF sQllTH W#NDSOR'S STREET CUT P. RMiT MANUAL. ii Signed: Print Named l L�I Z7�! Date: �� l Engineering/perm /Street Excavation Permit 2017 i