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HomeMy WebLinkAboutStreet Cut Permits 44 Bridle Wood Road 1700146 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 07/11/2017 s GIS ID: 13800044 '. FEE: 25.00 MUNIS APPLICATION# 201700892v v _ EXPIRATION DATE: 07/11/2018 TAN f5 IVA APPLICANT ��'j z;400, n LOCATION NAME: CENTRAL SEALINCCO 1N ADDRLS$ 4413RIDLE WOOD ROAD ADDRESS: 150 SUNSET RIDGF�77XR`VV } ' OWNIlIt JJ;NNI%GS ARTHUR J&JUSTINE C EAST HARTFORD,YC�I Qb 1'Q 44 BRIDLE WOOD ROAD I s F ' ' SOUTH WINDSOR,CT 06074 PHONE 860-289-7900 f 3 tK' 2 WORK DESCRIPTION: DRVWAY Gu L 3 J :\ k u�� Ail S„^J APPLICANT AGREES TO FURNISH TH1 gow1 6F sftg 4�f1NDS�C R`THE AMYL ITS OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR A IY 3cP>;IaI,al Fi CCIRREI?$I� 1 H$,I OWI IFOR I�IAINTBNANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TI APP TANT I$I BEAR WITH E��ifpI,L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS /A`S OUTLINED IN THE TOWN t)F SOUTHVVTND80.R., STR�EF CUTPI RMIT MANUAL. ISSUED B—V DATE I�SPPaCTED INSPECTED BY 7/1I/201711:08AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** Y T. f 14 y` s N r i tie' *� - s \ T` �rK •' 4 6 7 % > 5[, 7 S y Y 3 } FF qw 4 ,X x4 1 ay x s 6 l S i'K 4 l• t x �. V TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: _i _700I7 CONTRACTOR: y 1'o �f LOCATION: f Idle itzod io-aj- TYPE OF WORK: D r l\WLAt Je DATE INSP NEEDED: DATE INSP: I a2 i INSPECTED BY: '13 a WORK IN PROGRESS: SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT:- Cj�, DATE: S/molloy/forms 2014 Town of South Windsor INPSEMON REPORT 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 $25.00 17 Name of Firm (C�- � -�/ I �� G �A�� Phone No, V r-11?T1 '7`1d4 Address of Firm mT , . .�� Ly"` �,SAr Zip Code_,_ C Location of proposed work Describe fully nature of permit requested ' Starting date Call Before You Dig No elq Lv 0LA 1t PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE, THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: © No Pavement,Curb or Sidewalk Out ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut Yxisting Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service: 0 Public Sewer © Septic Show sketch of proposed work or furnish two copies of separate drawing Indicate North This section to be filled out by Town No.cuts Est.Patch Size(s) sf Est.Pvt.Thickness in. Est.Patch Unit Price Est.Patch Cost$ Est.Curb Replacement ft o\ Est.Curb Unit Price$ /ft Est.Curb Cost$ Est.Sidewalk Replacement sf Est.Sidewalk Unit Price$ Isf Est.Sidewalk Cost$ Est.Traffic Hours hr �1 e), �� —�I Est.Traff ic Unit Cost$ /hr Telleo(Pi Est.Traffic Control$ Amt.of Deposit$ Total Due$ O Applicant is responsible for contacting the Police Dept.and C.B.Y.D ( )Cash Check# PERMIT SHALE.BE KEPT ON 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 UT PERMIT MANUAL. Signed: ; Print Name `-14�` i�► t 17i2� Date: C� 1 Street Excava' n Permit 2014