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HomeMy WebLinkAboutStreet Cut Permits 62 Cliffwood Drive (2) 1500163 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 07/29/2015 GIS ID: 21000062 FEE: 25.00 MUNIS APPLICATION# 201501021 EXPIRATION DATE: 07/28/2016 APPLICANT LOCATION NAME: AIROLDI'S INC. ADDRESS; 6ialFF WOOD DRIVE ADDRESS: P O BOX 71 OWNER: GLICK MATTHEW S&KATHERINE B SOUTH WINDSOR, CT 06074 62 CLIFFW- OOD DRIVE SOUTH V�INDSOR,CT 06074 PHONE WORK DESCRIPTION: DRIVEWAY WIDEN RIGHT SIDE WITH TURNAROUND APPROVED BY JEFF DOOLITTLE END OF DRIVEWAY TO STAY THE SAME 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 WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. I iN lal/( (' ISSUED DATE IN PECTED INSPECTED BY 7/29/201511:12AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO:; Z=2:0 o > CONTRACTOR: A, c A of I �S LOCATION: TYPE OF WORK:' DATE INSP NEEDED: DATE INSP:_ INSPECTED BY: 2-1) WORK IN PROGRESS: SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES [] NO AS-BUILT: INPUT: C" DATE: 2j ) q))� 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 $25.00 Name of Firm `"� � ��N Phone No. �bo'"C'�� "�8`� Address of Firm Zip Code a ��'`l'-h Location of proposed work Describe fully nature of permit requested ���^��� ��� ��p\��� �; � rr'•�� s �a ��������� Starting date `Zo S Call Before You Dig No PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement, Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut Existing Driveway, No Changes A Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing No. cuts Est. Patch Size(s) sf Est. Pvt.Thickness in. Est. Patch Unit Price$ /sf Est.Patch Cost$ Est. Curb Replacement ft Est. Curb Unit Price$ /ft Est.Curb Cost$ Est. Sidewalk Replacement sf Est. Sidewalk Unit Price$ /sf Est.Sidewalk Cost$ Est.Traffic Hours hr Est.Traffic Unit Cost$ /hr Est.Traffic Control$ Amt.of Deposit$ Total Due$ O Applicant is responsible for contacting the Police Dept:and C.B.Y.D OCash Check# 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 A _ AMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSORS,STREkT CUT PERMIT MANUAL. Signed: Print Name ® ������ eT� Date: a� Street Excavation Permit 2014 s aa' fi 1 �a �a Tema, n �5'tS Print Map Page 1 of 1 Town of South Windsor nvsodn ac�� Geographic Information System (GIS) , << a . �i�ryOSO&.CON�ly Date Printed:7/29/2015 a S• N MAP DISCLAIMER-NOTICE OF LIABILITY Approximate Scale: 1 inch=40 feet This map is for assessment purposes only. It is not for legal W description or conveyances.All information is subject to verification by any user.The Town of South Windsor and its mapping contractors assume no legal responsibility for the information contained herein. Feet S http://southwindsor.mapxpress.net/ags_map/Printmap.asp?extentYmin=872205.3233 50603... 7/29/2015 Jul 28 15 01:49p Bob Sheehan 860-644-2147 p.2 1 07-28-' 15 08:33 FROM- T-597 P0003/0003 F-474 ,c I • - to T . r. is Cp 4v� I',• I Jul 281 S 01:49p Bob Sheehan 860-644-2147 p.1 07-28-' 15 08:33 FROM- T-597 P0001/0003 F-474 FAX COVER SHEET TOWN OF SOUTH WINDSOR 1540 SULLIVAN AVENUE SOUTH WINDSOk CONNECTICUT 06074-2796 Telephone # (860)644-2511 FAX# (860) 644-7280 DATE 7-28-15 PLEASE DELIVER THE FOLLOWING PAGES TO: NAME. Michael Airoidi COMPANY AiroIdil FAX # 860-644-2147 FROM: NAME Cathy— Engineering Department TITLE MESSAGE: Please see revised street excavation permit to start using immediately. Also, we need more information regarding the widening of the driveway at 62 Cliffwood Drive before issuing a permit, dimension on right side and it needs to stay the same width at the bottom. Please fax back the information as soon as possible so we can issue a permit. Thank you. Any questions please call me at X344 If you did not receive: all , pages (including the cover) please call 644-2511 as soon as possible. r c iPopov( 7 fi �a MEMORY TRANSMISSION REPORT TIME :07-28-2015 08:34 FAX NO.1 NAME FILE NO. 474 DATE 07.28 08:32 TO 98606442147 DOCUMENT PAGES 3 START TIME 07.28 08:32 END TIME 07.28 08:34 PAGES SENT 3 STATUS OK ***SUCCESSFUL TX NOTICE*** f,.4X COVER SHEET TOWN OF SOUTH WIMMSOR XS40 SULLIVAM AVENUE SOU f 11 WIN"SOR. CONNECTICUT 06074-27,00 Tele hone # $60 644-2511 FAX # $60 644-7250 DATE 7-28-15 PLEASE K)'ELIVEIR THE FOLLOWING PAGES TO: NAME Michael Airoldi COMPANY Airoldi'$ FAX # 860-644-2147 FROM: NAME Cathy— Engineering Department TITLE M ESSA4G E: Please see rovlsed street excavation permit to start using immediately. Also, we need more information regarding the widening of the driveway at 62 Cliffwood Orive before issuing a permit, dimension on right side and it needs to stay the same width at the bottom. Please fax back the information as soon as possible so we can issue a permit. Thank you. Any questions please call me at X344 If you did not receive all pages (including the cover) please call 644-2511 as soon as - possi