HomeMy WebLinkAboutStreet Cut Permits 41 Wendy Drive (2) 1500062 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 05/05/2015
GIS ID: 93000041 FEE: 25.00
MUNIS APPLICATION# 201500452 EXPIRATION DATE: 05/04/2016
APPLICANT; = LOCATION
NAME: AIROLDI'S INC. ADDRESS: 41 WENDY DRIVE
ADDRESS: P 0 BOX 71 OWNER: STORCH ARLENE
SOUTH WINDSOR, CT"74 41 W?NIY DRIVE
SOUTH WINDSOR,CT 06074
PHONE
WORK DESCRIPTION: DRIVEWAY---
THE DRAIN LAYER ASSIGNED TO THIS PERMIT HAS A VALID LICENSE ISSUED-1 Y THE STATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORTH IN THE ATTACHED`CONDITIONS'. ALL WQRK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDARDS,ALL OSHA REQUIREMENTS,AND THE-ATTACHED CONDITIONS.
ISSUED BY DATE INSPECTED INSPE TED BY
5/5/2015 9:13 AM
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: /l-�5l70a CONTRACTOR: /of Tb I ' c
LOCATION:
TYPE OF WORK:
DATE INSP.NEEDED: DATE INSP: l�
INSPECTED BY: B f>
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE: "
S/molloy/forms 2014 Town of South Windsor INPSECTION 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 $25.00
Name of Firm ��� � +' - -Phone No. ���\�g�i 3g`1 L
Address of Firm -� , \ ate` J ^� sow e-"r Zip Code
Location of proposed work 41
Describe fully nature of permit requested
Starting date Call Before You Dig No ��
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
No. cuts
Est.Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price$ /sf
Est. Patch Cost$
IN
\ Est.Curb Replacement ft
IEst. Curb Unit Price$ Jft
Est.Curb Cost$
Est. Sidewalk Replacement sf
Est. Sidewalk Unit Price
;i 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 ILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSO STR CUT PERMIT MANUAL.
Signed: Print NameC Date: +�
Street Excavation Permit 2014
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: l�-o CONTRACTOR:
LOCATION:/ (,whdU kl%y-e-
TYPE OF WORK: Pi'l oe u
DATE INSP.NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE:
S/molloy/forms 2014 Town of South Windsor INPSEMON REPORT 14