HomeMy WebLinkAboutStreet Cut Permits 9999 Nevers Road 1800062 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 05/31/2018
GIS ID: 62409999 FEE: 50.00
MUNIS APPLICATION# 201800813 4 k
kx� t� " EPIRATIONDATE: 05/31/2019
A �� rr kw �
APPLICANT , k LOCATION
NAME: SIMSCROFT ECHO FARMS i s ADDRE NiJ E ROAD
56
ADDRESS: P O BOX 581 { a r k s��"
J OWNER I' JN OF SOUTH WINDSOR
SIMSBURY,CT 06010? E r n r LIVAN AVE
x¢ UT , VINDSOR, CT 06074
3R r
PHONE 860-65I-0231
WORK DESCRIPTION: TIE 1 Al , I Y}SEt R Ii�S �4 � A gXT D WATER MAIN AND
ROAD"'-' `STtiDIsI'I()N.`: c�3 fM1
APPLICANT AGREES TO FURNISH THE OW3�I4Chk S�flLT 1� f h l 4
�x ' 12 TILE AMQITT Ij �BND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANC_ XP£f�ISES GI I1 Tt WN- QR�IAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TIAP"PICANT IS Ix1IT,T�;R�V A WII;L ABIDE'BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN(FjSl7U> #EWIVDSQR�';S STRIT GUI PFR1:/IIT MANUAL.
ld L4
���
ISSUED BY PE
ICE INSPECTED INSCTED BY
5/31/2018 2:43 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
I
}
h ,
� � J
4 € Sy
gp
46.
k s kx w }
i fP
. •y �� tit 1 � '`fC S�'i `3.vY ; �`�,�+}h ,S� ! 1 S Y;d� S�X1u � ,
60,
F�in`Si,. v'; 3' • .`� �, u,•3 'lo nil i�
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR:
LOCATION:
TYPE OF WORK:-Vie_ rk -S'l f�v-r.rg Se.wcc ea. 14)Q 041 A
DATE INSP NEEDED DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS: o.4 t 4�kCAe,t /VtcL' 4 sg'�.
Ll
� 1 Jc( z
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑YES [] NO
AS-BUILT.-
INPUT: DATE: 4'Ally
S/molloy/fomms 2014 Town of South Windsor.INPSEGTION REPOU 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALT_1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $50.00
Name of Firm `7�1,rn c ,-o Phone No. COioo)
Address of Firm Z Vi L,(- Zip Code gi,o'l c—i
Location of proposed work tj,g,/ ���r � ,,,�, .,. .,_ ---- - - -.• --
Describe fully nature of permit requested i i .,_7 I (� �5;�. - ��
Starting date Call Before You Dig No
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut D" avement Cut ❑Curb Cut ❑Sidewalk Cut
❑ Existing Driveway,No Changes ❑Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ePubl€c Water C7 Well Sewage Service: �ublic Sewer ❑ Septic
Show sketch.of proposed work or fumish Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
Est.Patch Size(s) sf
^ ' Est. Pvt.Thickness in.
D �� Cs Est.Patch Unit Price
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
Est.Curb Cost$
I
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price
Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ !hr
Est.Traffic Control$
DRIVEWAYS must be 3ft or more from the property line per Amt.of Deposit$
section 2.17 of the zoning regulations
Total Due$
Applicant Is responsible for contacting the Police Dept.and C.B.Y.D
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES { )Cash ( )Check#
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! G�S FOR PE ITS AS OU INED IN THE TOWN OF SOUTH WINDS R'S STREET CUT PERMIT MANU L.
Signed: Print Name_ f� � Date:
Engineerin /p rmits/Street vation Permit 2017