HomeMy WebLinkAboutStreet Cut Permits 43 Kent Lane (2) 1700089 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 05/22/2017 �'t <
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GIS ID: 50100043 Jr a zn �� FEE: 25.00
MUMS APPLICATION# 201700582 JY �t S PIRATION DATE: 05/22/2018
APPLICANT t LOCATION
NAME: AIROLDI'S INC. f � AIRS ' E T LANE
ADDRESS: P O BOX 71 cm
EA 3�ON JAMES J III&DONNA L
SOUTH WINDSOR,t} 05Q74�� f 4 s � K4 LANE
h _ 5f '_ QLJ DSOR CT 06074
PHONE z o-S »a A
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WORK DESCRIPTION: DRIvp
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APPLICANT AGREES TO FURNISH THL��T0V 13 I E p J"ffi,6}9�J��A�vI `TT O $ ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AK '; £ I SPIN I� ��THEr�T`C�= 1 IAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TTtF pkl .I `t1NY` SAR Ii� IL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN t3F giftj -'II Q5Qk,„5 'P1tE ;U ' 1 MIT MANUAL.
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ISSUED BY I�1E�IIVSPE fiED INSPECTED BY
5/22/2017 9:56 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOWN WINDSOR INSPECI3QN REPORT
PERMIT W- a�g CONTRACTOR:
LOCATION:._.z ?1-6af ;1 ZA tip'.
TYPE OF WORK:_��
DATE INSP NEEDED: DATE INSP: h-'LI
INSPECTED BY:,,,,,, �> .� • '
WORK IN
PROGRESS' £ 5 k-
. SEPTIC TANK.PUMPED,SMASHM,lgLLED - WITNESSED ❑YES ❑NO
INPUTS ``�- DATE
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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 ..� b �\ �"` Phone No.
Address of Firm i — Zip Code'!bC' I k
Location of proposed work , .w
Describe fully nature of permit requested '! �
Starting date �� i r 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 Applicaible: ❑lavement,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.bv Town
two copies of separate drawing
�- - No.cuts
Est. Patch Sizes} sf
Est. Pvt.Thickness in.
Est. Patch Unit Price
-,—
$ /sf
a Est. Patch Cost$
3
r' Est.Curb Replacement ft
Est.Curb Unit Price$ !f'
Est.Curb Cost$
Est.Sidewalk Replacement sf
-4
Est.Sidewalk Unit Price
Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
Amt.of Deposit$
DRIVEWAYS must be aft or more from the property line per Total Due$
section 2.17 of the-zoning regulations
( )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 EAMHAAR WITHAND WILL ABIDE BY THE RULES AND REGULATtONS FOR PERMITS AS OUT INED IN THE TQWN OF SOUTH
WINDSOR'S STREET CUT PERMIT MANUAL.
Sioned: j Print Name Date: