HomeMy WebLinkAboutStreet Cut Permits 90 Valley View Drive (2) 1800057 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 05/24/20 i 8
GIS ID: 91200090 FEE; 50.00
MUNIS APPLICATION# 201800758 EXPIRATION DATE: 05/24/20I9
APPLICANT M' LOCATION
NAME: AIROLDI'S INC. "' ADDRI; S 90 VALEY VIEW DRIVE
ADDRESS: P 0 BOX 71 OxWNER h3 F3UBLEX ERNEST J&ANITA R
SOUTH WINDSOR,C�t�6U74 rk 9Q tVALLEY VIEW DR
' SfiJU I H 1uINDSOR,CT 06074
PHONE k
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WORK DESCRIPTION: DRIVEWAY _ }
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APPLICANT AGREES TO FURNISH TH&TOWN QF SOUTH WIND5C7R THE AMOUi T`pF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN :EXPEN.SES INCURRBIS,BY TEIE I`1VVN F�pR'IvIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE A15P1LICANT,IS FAMIL IAR WITH A 1D�V TT L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TO WN OF SOt WINDSOR'S STREET CUT PERMIT MANUAL.
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fSSU915 BY DATE SPECTED INSPECTED BY
5/24/2018 12:50 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR: I �
LOCATION: 90 --ticoieu VieLd Dy'l
TYPE OF WORK: b w W
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE:
S/molloy/ferns 2014 Town of South Windsor iNPSkllbN REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1640 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $50.00
Name of Firm A Phone No. 0
Address of Firm S�VL�' Zip Code '
Location of proposed work C1 b
Describe fully nature of permit requested f
Starting date Call Before You Dig No
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: Yxisling
avement,Curb or Sidewalk Cut 0 Pavement Cut I]Curb Cut ❑Sidewalk Cut
Drivewa No Chan es O Pro osed Drivewa Widening 0 Proposed New Driveway
Y� 9 p Y
Water Supply: 11 Public Water ❑Well Sewage Service: 0 Public Sewer ❑ Septic
Show sketch.of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
Est.Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price$ /sf
Est. Patch Cost$
Est.Curb Replacement ft
VZ—
Est.Curb Unit Price$ /ft
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est. Sidewalk Unit Price
Est.Sidewalk Cost$
Est.Traffic Hours 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 JOSSITE 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 FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: Print Name Date:
Engineering/permits/Street Excavation Permit 2017