HomeMy WebLinkAboutStreet Cut Permits 45 Tallwood Drive (2) 1500145 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 07/16/2015
GIS ID: 89100045
0
MUNIS APPLICATION# 201500930 EXPIRATION DATE: 07/15/2016
APPLICANT LOCATION
NAME: AIROLDI'S INC. ADDRESS: 45 TAL HOOD DRIVE
ADDRESS: P O BOX 71 OWNER: LYONS GINA&TIMOTHY M
SOUTH WINDSOR,CT 06074 45 TALLWOOD DRIVE
SOUTH WINDSOR,CT 06074
PHONE ;
WORK DE
SCRIPTION:
PTION• DRIVEWAY '-
. .-
APPLICANT AGREES TO FURNISH 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 THE APPLICANT IS FAMILIAR WITH AND WILCABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
ISSUE BY DA E INSPECTED INSPECTED BY
7/16/2015 2:14 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
A .
PERMIT NO:: I �l> I�,Sr CONTRACTOR: Nl ✓ ��j .S
LOCATION: y$' I/G��Od 1)(I vw
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP:_ _
INSPECTED BY: 8y)
WORK IN
PROGRESS:
i
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: L DATE:
S/molloy/forms 2014 Town of South Windsor INPSECTION REPORT 14
'APPLICATION FOR,STREET-EXCAVATION.PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 0607&
Name of Firm S - Nc Phone No. 69 d_ &qb_D f
Address of Firm dsBose O- AJ.D S D Zip Code 060
Location of proposed work 'S� 7 Lv d ID ID . S'. %r
Describe fully nature of permit requested C of D V,1�7
Sfarting date JO,gl01t- `7 , Call Before You Dig No -o210 /5a e6
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut CI Curb Cut ❑ Sidewalk Cut
Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
r
two copies of separate drawing
No.cuts
Li C-� yk �� ' - Est.Patch Size(s) sf
26 '—> Est.Pvt.Thickness in.
Est.Patch Unit Price$ !sf
ar ..
:. Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Pricy$ !ft
Est.Curb Cost$
IEst.Sidewalk Replacement sf
;z Est.Sidewalk Unit Price$ !sf
V Est.Sidewalk Cost$
Est.Traffic Hours hr
.` r —� Est.Traffic Unit Cost$ Ihr
Est.Traffic Control$
Arnt of Deposit$
Total Due$
)Cash ( )Check#
.,Applicant is responsible.for contacting the Police Dept:and C.B.Y.D
3 :PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Paid By
} "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
INDSO ST T CUT PERMIT MANUAL.
p
Signed: �— Print Name /"'$EILi J. S�tE r}�� Date:
:: Street Excavation Permit 2014