HomeMy WebLinkAboutStreet Cut Permits 81 Norton Lane (2) 1700077 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 04/28/2017
GIS ID: 64800081 FEE: 25.00
MUNIS APPLICATION# 201700442 EXPIRATION DATE: 04/28/2018
APPLICANT LOCATION
NAME: AIROLDI'S INC. ADDRESS: 81 NORTON LANE
ADDRESS: P O BOX 71 OWNER: KLOS SUSAN A&PHILIP J
SOUTH WINDSOR,CT 06074 81 NORTON LANE
SOUTH WINDSOR,CT 06074
PHONE
WORK DESCRIPTION: 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 WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN IOF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
4/28/2017 3:21 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:: 1"1 Coe)-7 u7 CONTRACTOR: a,
LOCATION. im t- N� bq Io C
TYPE OF WORK: lb r
DATE INSP NEEDED: DATE INSP: f , ,
INSPECTED
WORK IN
PROGRESS: sle _(A
SEPTIC TANK PUMPED;SMASHED,FILLED - WITNESSED ❑YES ❑NO
AS-GUILT: `'
DATE: I o
S/molloy/forms 2014 Town of South Windsor MECRQWWOU 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 $25.00
Name of Firm / Phone No. n9<57—
Address of Firm x / / Zip Code eX o 7�
Location of proposed work /U TOnl / CT
Describe fully nature of permit requested M6U J�)C/U�
Starting date__ 5Z3 /,,7 Call Before You Dig No A4/7/70
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewaik'Cut
I(Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or fumish indicate North This section to be filled out-by Town
two copies of separate drawing
No.cuts
C-A rz Est. Patch Sizes) sf
0 .0Est.Pvt.Thickness in.
Est.Patch Unit Price
Est. Patch Cost$
t— Z / 7 Est.Curb Replacement ft
Est.Curb Unit Price$ fit
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$
DRIVEWAYS must be 3ft or more from the property line per Total Due$
section 2.17 of the zoning regulations "6:"1,
)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
WINDSO 'S STREET CUT PERMIT MANUAL.
Signed: Print Name �lJlQ /(f Date: G /
Street Excavation Permit 2014