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HomeMy WebLinkAboutStreet Cut Permits 480 Clark Street 1900016 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT 4 DATE: 0 /09/2019 GIS ID:20400480 FEE: 50.00 MUNIS APPLICATION# 201900597 " `, 1rXPIRATION DATE: 04/08/2020 t. tt Ilk `..1 APPLICANT r r: LOCATION NAME: NEW ENGLAND BLACKTOP INC: ADDRE 4$0`CLARK STREET ADDRESS: 541 GRISWOLD STJ"" FFFFFFFFF NER MATTI EWS 70HN&BARBARA x F'.. 480 CLARK STREET GLASTONBURY,q y06033•` " PHONE 860-633-4554 e$ s5a L pK WORK DESCRIPTION: DRIVEWAY APPLICANT AGREES TO FURNISH THAJ OVEN OF 8.Oi TH WINI3SOR HE AMOUNT O #30ND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR Al lb[PENSES INCURRED$Y THE TOWIxI FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND Mg A-PPI ICANTIS:FAMIL TAR WI IfI�#1�iD WILL ASIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN( F SOUTH C yn W1IVDSOR'..S-STREET CUT PIi�RMIT MANUAL. D no f tw ISSUED B DATE INSPECTED INSPECTED BY 4/9/2019 10:02 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** y l'iY 1L 'ry k! 4' kt� r r�tl t i a S. t �'� P, �;l: i 4 a`.'3 `l 1 ( � jilts •' q l W l,SS Sikh k r 1 eJ: r, 9 f T.DIN OF SOUTH-.1MINDSQR.INSP�ECON REPORT PERMIT NO.: l Q QD l CONTRACDR: LOCATION: TYPE OF WORK: DATE INSP DATE,INSP NEED : 7 , bai . INSPECTED-BY. .., L WORK IN PROGRESS, SEPTIC TANK PUMPER,SMASHED;FILLED .. WrMMED ❑-YES CI NO' INPUT: G - DATE:__/- E Z 5/mcltoyf forms Q14 7 m flf South Wmdsar•INFS�"� W6W 14 f 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 $50.00 Name of Firm N QW if n`JI- n � ��C t" b�' l�►(� Phone No. 6 ra � L1 5S`1 Address of Firm ri 5 wr,I 2�, 5 I t s Zip Code_ Location of proposed work Describe fully nature.of permit requested Re P I'l( . o r i ye Wit j4 s ` )rl s c V.6 Starting date i Call Before You Dig No PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE, THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: 0 No Pavement,Curb or Sidewalk Cut CI Pavement Cut ©Curb Cut 0 Sidewalk Cut Cry Exiisting Driveway, No Changes 13 Proposed Driveway Widening ©Proposed New Driveway Water Supply: © Public Water ❑Well Sewage Service: El Public Sewer ❑Septle Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing No.cuts Est. Patch Size(s) sf Est. Pvt.Thickness in. Est.Patch Unit Price Est.Patch Cost$ r Est.Curb Replacement ft Est.Curb Unit Price$ !ft C 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$ eRJ( D�?�_ I — q Amt.of Deposit$ DRIVEWAYS must be aft or more from the property line per Total Due$ section 2.17 of the zoning regulations ( )Cash ( )Check# Applicant Is responsible for contacting the Police Dept.and C.B.Y.D PERMIT SHALL 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 CUT PERMIT MAN L. --7"�ePY1 V. Date: h � Signed; Print Name Engin ng/permits/ treat Excavation Permlt 2017