HomeMy WebLinkAboutStreet Cut Permits 52 Spruce Lane 1700159 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 08/04/2017
GIS ID: 84600052 FEE: 25.00
MUNIS APPLICATION# 201701027 .f s SE XPIRATION.DATE: 08/04/2018
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APPLICANT LOCATION
NAME: QUALITYPAVING CO ^ ` ADDRESS 52a PRUCE LANE
ADDRESS: 194 S.MAIN STREET OWNER UCHIICKA IWONA M&
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EAST WINDS0R, C� �0 0&A SPRIJCE LANE
; bU�I.,H SOR,CT 06074
PHONE 860-523-4182
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WORK DESCRIPTION: DR��VWAY�uk
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APPLICANT AGREES TO FURNISH TH TOWN�F SOfi(J'F11..W.T ID.sO12 THE'AMOCt1VT OF R ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AI�I E EIV'SE9 INC[]RRED BYE THE TOWN F i4AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND 64E APPLICANT IS'FA11 TT TAR VKTTTI#AND V 1T L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TL)WN Of SOUTH W DS?I'S STRE1 T CUB PERMIT MANUAL.
ISSUED BY D TE4NSPECTED INSPECTED BY
8/4/2017 8:42 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*�*
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 1 7 L CONTRACTOR: to G>1 I �t�dN/%
LOCATION: l c% z2P
TYPE OF WORK: 1 )
DATE INSP NEEDED: DATE INSP: -.-2/ 2 La
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INSPECTED BY: +'
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: __ (vUU�____ DATE: 1
S/molloy/forms 2014 Town of South Windsor INPSECTION REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appi, No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL ULLIVAN AVENUE SOUTH.WiNDSOK CT 06074 FEE $25.00
Name of Firm 6- jar )�.fG7 P ne No.Address of Firm C�Zip Code
4-1
Location of proposed work
Describe fully nature of permit requested �7-�` q
Starting date d773 Call Before You Dig No dfv 2J
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No�F'Warrient,Curb or Sidewalk Cut Cl Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
0 Existing Driveway;No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water 13 Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section 12 be filled out by Town
two copies of separate drawing
No.cuts
IEst.Patch Sizes) sf
Est.Pvt.Thickness in.
r� Est.Patch Unit Price
Est.Patch Cost$
r � �Y Est.Curb Replacement ft .
Est.Curb Unit Price
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price$, Jsf
Est.Sidewalk Cost$
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 LIT of the-zoning regulations
O Cash ( )Check#
Applicant Is responslbfe 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 t AM.FAMIl R,WITH•AND WILL ABIDE BY THE RULES AND.REG.ULATION$FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOITS STREET CLlT PERMIT MANUAL.