HomeMy WebLinkAboutStreet Cut Permits 80 Heatherwood Drive 1700112 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 06/20/2017
GIS ID:41300080 Y y FEE; 25.00
MUNIS APPLICATION# 201700749 1, ,s �¢iEXPIRATION DATE: 06/20/2018
u F ti7`
APPLICANT
LOCATION
NAME: KRUKOFF EXCAVATION 8 PAVING ADDRESS " `'% HE'ATHERWOOD DRIVE
ADDRESS: 391 TURNPIKE ROAD 4 OWNER INGEI.FRITZ S&MICHELLE A
ASHFORD,CT 062 $, y ;, t; j r ; _' �? YEx1HERWOOD DR
r 50UTHhWINDSOR,CT 06074
PHONE 860-429-7349 �
z, Y F 5
e
WORK DESCRIPTION: DR� A~ 4 '• {' ti�� jz Y S
e S
APPLICANT AGREES TO FURNISH F*O OF UU T I Qv1YD i, AM(i T�OF BAND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANYWl"WENS){S'.1— B X TF1E T TENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TEE AOP RANT I91k -W, i'R W�'3 AItiiD WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN19F SOUTH ET CUT IT MANUAL.
�.
ISSUED BY DATE INSPECTED INSPECTED BY
6/20/2017 2:56 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
i
sz
� x x
i l
4tr
r
T �4:
.d L
4 �^' S,�� F l•s"E .eh 3� A w1?4 hx
4 �
si, a-l�,r^ s, .'14�4
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMrr NO.: "'700 CONTRACTOR: C�
LOCATION: )
TYPE OF iNORK: i
DATE INSP NEEDED: DATE INSP: Z&Ile
INSPECTED BY:
WORK IN
PROGRESS;
SEPTIC TANK.PUMPED;SMASH%FILLED,-.WITNESSED ❑YES ❑NO
AS-BUILT:
INPUT
DATE •
.--LL— '
S/molloyft=2414 Town of South Wlndsor INPSECft [fWORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL15�40pSULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00
Name of Firm J`� Y " e-o Fa V l^ (j Phone No. Go L Ll Z U �
Address of Firm 3°� i r y% �-c Ca Y(j� Zip Code d
Location of proposed work
Describe fully nature of permit requested
Starting date -A Call Before You Dig No 2
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
0 No.cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
Est.Curb Cost$
Est. Sidewalk Replacement sf
Est.Sidewalk Unit Price
Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
Amt.of Deposit$
DRIVEWAYS must be aft or more from the property line per Total Due$
section 2.17 of the zoning regulations
( )Cash ( )Check#
Applicant is responsible for contacting the Police Dept.and C.B.Y.D
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 ASIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR's STREET CUT PERMIT MANUAL. [/
Signed: . Print Name _ i- tr- 1�L Date: l
Street Excavation Permit 2014
;J�fC%� ('�lil� k`CAl 't$h"J7Q.+tPt�dk�f�3t$'J?1 N�;,.LT-y , —------ .. ..
392 �"�IlllPl�rd1T; I`8 °AsfP ---_.... Invoice
- _.....
ApSi�llFO SAD,CT
06273, �
60)
Bill .
T ' '
c t Location ol Job Stnt
ustcrn r Na ne
Pl il,ng Address
;soy w vui)s
CITY RPM zjpc.rde
I
j
I
®...�.�.: ,�o.�....a���,3_,�..pc.�, .a,mRy.P.w^��.m�«+.ea,�z.,m®...��•a �,,,��.�
`3
4
C°7 $'� S' LLCe4;l iss #51586,39,