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.
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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:
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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$
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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
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Date Printed:7/29/2015
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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
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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.
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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