HomeMy WebLinkAboutStreet Cut Permits 6 Drake Court 1900159 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
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DATE: 09/03/2019
GIS ID:29300006 k FEE: 50.00
MUNIS APPLICATION# 201901944 I XPIRATION DATE: 09/02/2020
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APPLIC LOCATION
NAME: CENTRAL SEALINC`GO IN+C ADDRESS:. 1561110E COURT
ADDRESS: 69 THOMAS STRE•Tay ,X 4 OWNED WOODS WALTER E&ANNA MARIA
+. k 2201„"WERFIELD WAY
EAST HARTFORD„C'dli0` �w r
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PHONE
WORK DESCRIPTION: DRkp',AWAY r
APPLICANT AGREES TO FURNISH TA TOW1 OF SOUTIf...ND,SCIR`I'AE°AMM[INI O $OND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANM(PI;INSES{,INCURIZED$"Y TIDE 1 OW14 WMAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND IHE APPLXCANT:IS FAh9IT 1AR WIT ATTJ' ILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE T0101 F SQUTH WITJD$dR S S PREFT tJT PERMIT MANUAL.
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ISSUED EfYLJ SPECTED BY
9/3/2019 3:41 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN�F SOUTHaARNp"lt2l iSP-!0gwX REPORT
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LOCATION:, .
TYPE OF WORK: Ve- .
DATE INSP NEEQED:
DAN INSP:
INSPECTED-gr
MAKIN
PED SMASND; FIL[.ED WITNESSED ❑YES NO*
SEPTIC TANK PIIM *.
INPIIf_. �; DATE--- .
S/mni[oyJTorms Z414Iowa Of South Wiftdsor.MpS�H II pOR�'i4
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 IEEE $Permit0 00-
Name of Firm C Oil t cv :Le 11C.
Address of Firm �fi Zd n Ei S r Phone No. Ti1 �! '" �= -��i�u
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Location of proposed work �I�'[ Zip Code 0 tO t��Y
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Describe fully nature of permit requested '+'gi Vjt,V'e d r' (4i s• h � b
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Starting date Call Before You Dig No
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALITY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑Sidewalk Cut
❑ Existing Driveway,No Changes ' f Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water 11 Well Sewage Service: ❑Public Sewer ❑Septic
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Show sketch of proposed work or furnish
two copies of separate drawing Indicate North This section to be filled out 6V Tovun
No.cuts
7 Est. Patch Sizes) sf
�t Est.Pvt.Thickness in.
Est.Patch Unit Price$--/Sf
I Est.Patch Cost$
Est.Curb Replacement_--ft
Est.Curb Unit Price$ /ft
Est.Curb Cost$
Ib7 r Est.Sidewalk Replacement sf
v f ! I Est.Sidewalk Unit Price$ /Sf
Est.Sidewalk Cost$
- � i
Est.Traffic Hours
hr
Est,Traffic Unit Cost$ Ihr
Est.Traffic Control$
Amt.of Deposit$
DRIVEWAYS roust be aft or more from the property fine per Total Due$
section 2.17 of the zoning regulations
Applicant Is responsible for contacting the Police Dept.and C.B.Y.ID ( )Cash ( )Check#
PERMIT SHALL BE KEPT ON JOSSITE 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 Or SOUTH
WINDSOR'S STREET CUT rERMIT MANUAL.
Signed'. Print Name TL,I LE /-fi t Z� Date:
Engineering/pe " Street_Excavation Permit 2017