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HomeMy WebLinkAboutStreet Cut Permits 64 Perrin Lane 1900128 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 08/06/2019 s GIS ID:70900064 FEE: 50.00 MUNIS APPLICATION# 20I901684 EXPIRATION DATE: 08/05/2020 �13 v LOCATION APPLICAN ,r k r b il z' NAME: CENTRAL SEALINGiCQ INS P' ADDRI; S 64 FEt ADDRESS: 69 THOMAS STREET !6lP5 w 4 RRIN LANE ' OWNFFR I�URP Y ROBERT W& SUSAN B r � k ] : 64 AN LA EAST HARTFORD,f g— MAN 1h 4 4 tr PHONE 860-289-7900 a9 y WORK DESCRIPTION: REl+IQ�IEANDkItEPACMi3RI�EWAY{1 APPLICANT AGREES TO FURNISH THI,T,O"V O,'SOUTH,} I IJ G IE AM{ B iT OI BC)ND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AiVY PEEN FPS INC11R1 ?B r H A. F(yR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TIDE AI3P LIGA T I �A1 IT,MR Wrr AND W-21 ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN bF SC�UTIIINDSOR°S.S FRDCLf 'IRMIT MANUAL. ISSUED BY j INSPECTED BY 8/6/2019 8:44 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** 7s AC a k r , N7gl } - k 8 v eat. r? ti a* Za S li e TOWN OF SOM:WINDSOR INSPEMN REPORT PERMIT NO.: a W CQNT=RACTDR: LOCATION: . TYPE OF WGRK: DATE INSP NEEDED: DATE INSP:. / INSPECTED 61(` WORK:IN PROGRESS: 1 Gam_ S SEPTIC TANK PUMPED,_SMASHED, FIt: D 1t MESSED ❑YES CI NO DATE Ii�PU p -- :..^._.. _ - I S/mallaygormsZM4To=of Sou lh Wkdsor.MpSiaMN iMpblKTZ4 APPLICATION FOR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 Permit No. FEE $54.pQ . Name of Firm 0 eij pgf Co, ! dLC Phone No. Address of Firm �v 7�'Etl S Shy J, �— Location of proposed work t.( Pe V rf r7 L Zip Code O tO d Describe fully nature of permit requested 1J P' i Starting date Call Before You Dig No PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWNS CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: 0 No Pavement,Curb or Sidewalk Cut 0 Pavement Cut ❑ Curb Cut ❑Sidewalk Cut Existing Driveway,No Changes © Proposed Driveway Widening ❑Proposed New Driveway Water Supply: p Public Water Cl Well Sewage Service: O Public Sewer O Septic Show sketch of proposed work or furnish 'two copies of separate drawing Indicate North This section to be filled out b Town No.cuts Est.Patch Size($) sf Est.Pvt.Thickness in. Est.Patch Unit Price$ `lsf �f Est.Patch Cost$ Est.Curb Replacement Est. Curb Unit Price$_________ /ft Est.Curb Cost$ Est.Sidewalk Replacement sf Est.Sidewalk Unit Price$./sf Y -7 I Est.Sidewatk Cost$ kV C 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 2.17 of the zoning regulations Applicant is responsible for contacting the Police Dept.and C.B.Y.D ( }Cash ( )Check# PERMIT SHALL BE KEPT 6N 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 CU PERMIT MANUAL. Signed: Print Name �1 ul u- 1-� 1 Z zy Date: Engineeringfp itslStreet Efftnl?ermll:20�17