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HomeMy WebLinkAboutStreet Cut Permits 58 Sele Drive 1900049 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 05/08/2019 « :, GIS ID: 81800058 F FEE: 50.00 MUNIS APPLICATION# 201900901 1uXPIRATION DATE: 05/07/2020 5 APPLICANT LOCATION NAME: CENTRAL SEALINCri1C0 INC ADDRESS �8 SEI{E DRIVE ADDRESS: 69 THOMAS STREET 1 �'' OWNER C 7�0 DNNIS HAN&MICHELLE YEUNG w�"I✓LE DRIVE EAST HARTFORDlC11,1610 f< PHONE - i; -wy r k �• t4 � WORK DESCRIPTION: DRIVVE V(�A Y ` APPLICANT AGREES TO FURNISH TH1; O QF SOUT#i WINDSOR�H$k AMOUNT fJF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR A lgifi0 PENSES INGURRIaD`BY THE dW T FOR^1VIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND T$E APPI.ICAI�TT IS FAMILIAR V�?I'TH Alyp WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN( F Sf7UTH VfIINDSdR':S STREET CUT PERMIT MANUAL. .: ISSUED BY DATE IlVSPE TED INSPECTED BY 5/8/20I93:00PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** 1 � b i y 7 k !'r r r L J f TOIN1 OF SQUTM WINWOR INSPEG''iYDN REPORT PERMIT NO.: �L WNTRAMR:C� LOCATION; TYPE OF W)AK: � DATE INSP NEEDED: DATE INSP:. '71 INSPECTED WORKIN � PROGRESS: s�� '�-� �� ��►�,e..�t�.;, � cr �. f � p ❑YES C7 NO f SEPTIC TANK PUMPEQ,.SMASHED; FILLED E AS-BUILT. INPUT: DATE: 14 S/moi[oy/trms 2M4 Town Of South Wmdsnr•riVP IRON REPOR7 r APPLICATION FOR STREMT EXCAVATION PERMIT Appi. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. - TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 ` SEE{ 80:00 Name of Firm .Qlrl �2� �! �� PLC-- �— ?��- `� t�0 Address of Firm � i7� �0�, -G' , ?_� ;,� Phone No. -- - Zip Code d& S Location of proposed work sete. n oe— Describe fully nature of permit requested (,e Er2't CVe ae nl?,) Starting date C1 d 9 Call Before You Dig Nu 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 l ' Existing Driveway,No Changes ©Proposed Driveway Widening 0 Proposed New Driveway Water Supply: ❑ Public Water ❑W-II Sewage Service: ❑ Public Sewer ❑Septic Shaw sketch of proposed work or furnish Indicate North This section to be filled out bv Town two Copies of separate drawing i . I , / Na.cuts ` Est.Patch Sizes) sf Est.Pvt.Thickness in. Est.Patch Unit Price$ /sf Est.Patch Cost$ Est.Curb Replacement ft l Est.Curb Unit Price$ fft Est Curb Cost$ Est.Sidewalk Replacement p ment sf Est.Sidewalk Unit Price$ /sf Est.Sidewalk Cost$ f Est.Traffic Hours hr i Est.Traffic Unit Cost$ /hr Est.Traffic Control$ Amt.of Deposit$ DRIVEWAYS must be 3ft or more from the plibp"line per Total Due$ section 2.17 of the zoning regulations l ( )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 SYiTHE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'$STREET CU7 PERMIT MANUAL. Signed: f Print Name d f� � �I Date: Engineering/permits/Street Excavation Permit 2017 I f I - j