HomeMy WebLinkAboutStreet Cut Permits 48 Clover Drive (2) -------------------------------------------------------------------------------------------------
1400204 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 07/16/2014
GIS ID:21600048 FEE: 25.00
MUNIS APPLICATION# 201400952 = I_XPIRATION DATE: 07/16/2015
APPLICANL 4 , „ LOCATION
NAME: AIROLDI'S INC. - ADDRTSS: 49-I✓LCVER DRIVE
ADDRESS: P O BOX 71 = OWNER A. -EN YVIN&FAN BAOXUE
SOUTH WINDSOR, `0 (I74 = 48 C- DRIVE
-
s&L+Tu VNDSOR,CT 06074
PHONEi go
WORK DESCRIPTION: DR ry
IjW-
APPLICANT AGREES TO FURNISH THIITOWNll
OF SOUTH[ INDvflIt THE AMOUNT OF BAND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR A1k1Y �fPENSES INCIJRREDBY THE T4WITF"AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND Tf1E APLICAI�IT IS FAMILIAR WITH AIt1D WTI L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN(�F SOUTH WIN-/DSi's- TREET GUT PE IT MANUAL.
4JIOt�
ISSUED BY IJ INSPECTED INSPECTED BY
7/16/2014 1:58 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: j y DO a O y CONTRACTOR: Iq cal i 5
LOCATION: q c l
TYPE OF WORK: l� r'��r� )o U
DATE INSP NEEDED: DATE INSP: --P l/o//,!
INSPECTED BY:
WORK IN
PROGRESS: l�cam-- C) 5k 1„
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
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INPUT: C DATE:
S/2014 Town of South Windsor INPSECIION REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No,
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00
Name of Firm ������ s �N - Phone No, g6o `b 3�`�b
Address of Firm Code Q
Location of proposed work VVV
Describe fully nature of permit requested ^���
Starting date Cali Before You Dig No
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN's CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
Exi
sting Driveway, No Changes ❑ Pro osed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
Est.Patch Size(s) sf
Est.Pvt.Thickness in.
Est. Patch Unit Price$ /sf
Est.Patch Cost$
Est. Curb Replacement ft
Est.Curb Unit Price$ /ft
0
�a
Est.Curb Cost$
S 6� 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$
Total Due$
( )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 BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR' EET CUT PERMIT MANUAL. \\
Signed: Print Name� Date:
Street Excavation Permit 2014