HomeMy WebLinkAboutStreet Cut Permits 15 Bayberry Trail (2) 1800063 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 06/01/2018
GIS ID: 08100015 FEE: 50.00
MUNIS APPLICATION# 201800829 ma, hXPIRATION DATE: 06/01/2019
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APPLICANY ef
LOCATION
NAME: AIROLDI'S INC. ADDRESS iSABERRY TRAIL
ADDRESS: P O BOX 71KCHIAPPETTA LOUIS M&KATHERINE G
SOUTH WINDSOR, �`60/4�`r sk n2iYBERRY TRAIL
xi � VINDSOR,CT 06074
PHONE x r
WORK DESCRIPTION: DRIIr, aA hs k�x �wV
APPLICANT AGREES TO FURNISH THEOWI*JSOI SfJiTTIIsIILI A111I) fT bP$ sND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AI �PENS S XNCfREI?$ ITI FQ1t.1111AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TIFF AP' ZCA�I f Is� ............. BIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TO WN PE IT MANUAL.
ISSUED BY DATE> tFECTED INSPEC D BY
6/1/2018 2:41 FM ***- PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR: 1)l c k I 'S
LOCATION: AS
71ci
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: c �°
INSPECTED BY: r3
WORK IN
PROGRESS: ��.•�t -� , i c I, ;,.
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES E NO
AS-BUILT:
INPUT: DATE: /3
S/Molloy/forms 2014 Town of South Windsor INPSSMdN REPW 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 $50.00
` Name of Firm Phone No.
Address of Firm Zip Code d 6Q
Location of proposed work
Describe fully nature of permit requested ti
Starting date Call Before You Dig Now
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE, THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway,No Changes ❑Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch.of proposed work or f rnr In icate North This section to be filled out by Town
two copies of separate drawing
l� No.cuts
Est.Patch Size(s) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
Est.Curb Cost$
2 Z' Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price
Est.Sidewalk Cost$
Est.Traffic Flours hr
Est.Traffic Unit Cost$ !hr
Est.Traffic Control$
DRIVEWAYS must be 3ft or more from the property line per Amt.of Deposit$
section 2.17 of the zoning regulations
Total Due$
Applicant is responsible for contacting the Police Dept.and C.B.Y.D
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES ( )Cash ( )Check#
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 F PER lM AS OUTLINE�IN THE TOWN OF SOUTH WINDSO 'S TREET CUTPERM{T MANUAL,
Signed: 1 Print Name Date:K
Engineering/Permits/Str)�t Excavation Per 0t�'
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