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HomeMy WebLinkAboutStreet Cut Permits 56 Bramblebrae 1700208 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 2 =04/ 1/2017 GIS ID: I2600056 FEE: 50,00 MUNIS APPLICATION# 201701279 EXPIRATION DATE: 09/2l/2018 5 APPLICANT t LOCATION NAME: CENTRAL SEALINC'r CO INC ADDRESS ;..: S6 BRAMBLEBRAE ADDRESS: 150 SUNSET RIDG1 FDRIUE7WNR STREET ER LINCOLN H&JANET H EAST HARTFORD,CJ 06 f Q 56 $R�"MBLEBRAE S3U_H UVINDSOR, CT 06074 PHONE } rR t WORK DESCRIPTION: DRIVEWAY APPLICANT AGREES TO FURNISH THE TOWN REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR*tkj? I�iSES INCURRED B THE TQW1+I'FORIVIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE APPLICANT IS FAItfLIAR'V4fxTHANTf VLILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF;SC1Cl,TI� tNDSC�'I�':5:-:�TREET xCUT P�I2MIT MANUAL, ISSUED BY D ..::..:::..:::. ATE24spE'CTED INSPECTED BY 9/21/2017 9:06 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** ............ 41 it ................. { 1 i 4 F 1 - y S � i. L TOWN OF SOUTH WINDSOR INSPECTION REPORT - PERMIT NO.: CONTRACTOR: CC' LOCATION: (, /10-In Li e"e TYPE OF WORK: L P) V? �00 DATE INSP NEEDED: DATE INSP: INSPECTED BY: a-D WORK IN PROGRESS: :r o�x �, r �,` �,�� cv-ive,ow SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: f11-- DATE: _I 1 S/molloy/fbrms 2014 Town of South Windsor INPSEVION 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 $2899 Name of Firm VL L l CeAj l (0 � VAC- Phone No. Address of Firm I 31-L VL S��` A G� ' 1>T Gt Sj' i C T Zip Code ,I-O ( t Location of proposed work Describe fully nature of permit requested Starting date olhStu Call Before You Dig No�I PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: © No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut XExisting Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North This section to be filled out by,Town two copies of separate drawing No.cuts I I 0 Est.Patch Size(s) sf Xf2 1 Est. Pvt.Thickness in. Est.Patch Unit Price Est.Patch Cost$ Est.Curb Replacement It ' Est.Curb Unit Price$ /ft Est.Curb Cost$ Est.Sidewalk Replacement sf Est.Sidewalk Unit Price$ !sf Est.Sidewalk Cost$ Est.Traffic Hours hr 1 Est.Traffic Unit Cost$ !hr { I x L0 \ Est.Traffic Control$ Amt.of Deposit$ Total Due$ ( )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 STREETPUT PERMIT MANUAL.Signe / Print Name �ti L � �( Z�r Date:---� ( l Street Exca 'on Permit 2014