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HomeMy WebLinkAboutStreet Cut Permits 420 John Fitch Blvd 1800182 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT + t., DATE: 12/12/2018 GIS ID:47700420 ti }, y FEE: 50.00 011 MIJNIS APPLICATION# 201802391 4 ;sati PIRATION DATE: 12/12/2019 2� }h APPLICANT' S LOCATION NAME: CONNECTICUT SOIT ,i �DDRES 40'70 k FITCH BLVD ADDRESS: 420 JOHN FITCH Bii r� F f7WNE1 `G DXA Y LLC zt �Q x i k �, �..pY ' 4O s FITCH BLVD SOUTH WINDSOR,yCzQ6Q74�� .!4 r y y� } ` j PHONE kt � .d WORK DESCRIPTION: RE1�O,UE I 'NG CC7ICRETEAsI 8c S �iTPRON REPLACE W/8" REIN,FdRCD CTCRETr54� 0CHAPEI{� Ot �} 4 5 tiV YIxy A � �y. APPLICANT AGREES TO FURNISH THE OWI( SIOU I Id�VSSRMQ1TY1P) ()ND REQUIRED AND TO REIMBURSE oA THE TOWN OF SOUTH WINDSOR FOR A1RYI XPEN$E IiCRD B ,`IExTpWNQIIVIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TIDE AI PI3AN,3 I.S I AX.T IaR WITH t�IiZ VI[L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN 0- $01JT ,1�I1 DSOR'.:S THE T�CUTFVIIT MANUAL. a ISS ED DA TI SPWTED INSPECTED BY 12/12/2018 1:41 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** 4)3 l G+ ky.Y uM1ySly !t $fytU t ','i nth f' y r"JN6 moo `'SS.r `yfi' lk'K P xt r j 5x tie 'ohs x r dal 4d Ht` ` ;`••� aei4!2 TOWN OF S0U M'.Wl*0SQR'1190 IYOH REPORT PERMIT NO..• �1/ CONTRACTOR: v LOCATION: a TYPE OF WORK; rl DATE INSP NEEQED. DME INSPL a i INSPECTED:BY: : WORK:IN PROGRESS: L SEPTIC TANK PUMPER',_SMASHED; FILLED WITNESSED ❑-YES NO' AS-BUILT: INPUT: G DATE:. 3 :L5 1 � S/moIIoy/forms 2ol4 Town of south Wmdor.IIVMcgdN rtkRT 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 $50.00 Name of Firm �- `'``'�CC•7� C`�'l ��°� �G Phone No. Address of Firm -sz v 'S' e,j rv-<L Zip Code Location of proposed work `' � 2 Describe fully nature of permit requested Fey �z� ✓s�i�� ! ✓� ,�U�� ��� �/ s . Starting date Call Before You Dig No �f PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS, THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. _ Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut RrPavementCut aCurbCut 0 Sidewalk Cut ❑ Existing Driveway,No Changes ❑ Proposed Driveway Widening ©Proposed New Driveway Water Supply: ❑ Public Water ❑Well Sewage Service: O Public Sewer ❑Septic Show sketch.of proposed work or fumish Indicate North This section to be filled out_bv Town two copies of separate drawing No.cuts el"rt ° j E' Est.Patch Size(s) Est.Pvt.Thickness In. Est. Patch Unit Price$-77' /af 3 Est. Patch Cost$ ,pAv .V Est.Curb Replacement ft �, FI J �,'/ Est.Curb Unit Price$ Kt U J 4 Y Est.Curb Cost$ Est.Sidewalk Replacement sf C'uc)tTl-` l u.z �� irhi�. �) ' Est.Sidewalk Unit Price$_,,�sf c0 i 0 � Est.Sidewalk Cost$ 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 SO WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY TH-rTO FOft M U7ENANCE OR REPAIR WORT(IN CONNECTION WITH THIS PERMIT AND THAT i AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND RE 0 0 .P MITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S ST EET 90T PERMIT MANUAL. Signed. `�rint Name✓ r=" Date: Engineering/permit-X10 reet Excavation Permit 2017 �