Loading...
HomeMy WebLinkAboutStreet Cut Permits 41 Wapping Avenue 1900173 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT r DATE: 09/19/2019 GIS ID:92500041 FEE: 50.00 MUNIS APPLICATION# 201902106 EXPIRATION DATE: 09/18/2020 * , APPLICAIT ' `w ` , 4, LOCATION NAME: CENTRAL SEALIN CO ITC 1 ADDRESS 41 kWPFING AVENUE ADDRESS: 69 THOMAS STREIT` r CH6 N KOSITY e1{WAEPING AVE EAST HARTFORD PHONE 12: a Q. WORK DESCRIPTION: x3: APPLICANT AGREES TO FURNISH TH sTO,V�N QF?SOUTH. 'AMM110P N OF$OND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR SES Ti�IURRED BY TIII. OV1 FO 'MAINTENANCE OR REPAIR WORK 1N CONNECTION WITH THIS PERMIT L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN(F SOLI'IsH V4 7NDSOR s BTREET BUT P1 R" MIT MANUAL. ISSI B (�� DATE INSPECTED INSPECTEDY 9/I9/20192:20PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** I 5 F r N� viAi 'p cOw, I,VPi t. x (i `(k Q,xo-mm, 'il, •c Y >� 1 tl L �2jy k ' r I 0 SMN..W1010 OR TNSF-MON REPORT PERMIT NO.: ' CONTRACTOR: a hOCATiON: a TYPE OF WtRK: DATE INSP NEEDED. DA1E INSP: z �' 9 INSPEGTTED ft W09KIN i --c-,L) PROGRESS:�; - K PI MP SMASHED;FILi.ED iNrMESSED ❑.� 0 NO' SEPTIC TAN .. AS-BUILT: • . INPUT: .. DATE:_ _` 5/mallay1trmsZU4TawsOrSouth Windsor IMPS=N9EPOTO14 I APPLICATION FOR STREET EXCAVATION PERMIT Appl No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. a TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $.50.ti0' Name of Firm e I tml seat 6,C, 040), if me- Address of Firm �v tDYj S r Phone�$No. l 1 Zip Code C1 i C�cl Location of proposed work 41 �tJ 1 yw �; _rr€i. Describe fully nature of permit requested Liv L S C� 1l� � G�cc- �r✓l 'el �.�.. r'� ;v -------- Starting date I n ! Call Before You Dig N 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 O Pavement Gut O Curb Cut ❑Sidewalk Cut �Fxdstinq Driveway,No Changes ❑Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ©Public Water CI Well Sewage Service: ❑Public Sewer O Septic Show sketch of proposed work or famish Lwo copies of separate drawing Indicate North This section to be filled out b Town j No.cuts 4 < Est.Patch Sizes) sf Est.Pvt.Thickness in. Est.Patch Unit Price$-`/sf Est.patch Cost$ �5 Est.Curb Replacement ft Est.Curb Unit Price Z I Est.Curb Cost$ Est.Sidewalk Replacement sf Est.Sidewalk Unit Price$ /sf Est.Sidewalk Cost$ I � 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 ON JOSSITE 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 VVINDSOR'S STREET CUT PERMIT MANUAL, �' Signed ~ ~- Print Name �r- � �-M P �- f �l 1�11' Date:_ Engineering/Pe Its/Street Excavation Permit 2017 �T