HomeMy WebLinkAboutStreet Cut Permits 302 Quarry Brook Driv (2) 1800034 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 04/17/2018
GIS ID: 74100302 FEE: 50.00
MUNIS APPLICATION# 201800483 EXPIRATION DATE: 04/17/2019
APPLICANT LOCATION
NAME: AIROLDI'S INC. ADDRESS: 302 QUARRY BROOK DRIVE
ADDRESS: P O BOX 71 OWNER: GRAY MICHAEL C&COURTNEY L
SOUTH WINDSOR,CT 06074 302 QUARRY BROOK DR
SOUTH WINDSOR,CT 06074
PHONE
WORK DESCRIPTION: REMOVE AND REPLACE 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 OF SOUTH WINDSOIVS STREET CUT PERMIT MANUAL.
G 2r
ISSUED BY DATE S'PECTED INSPECTED BY
4/17/2018 9:46 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: % oc)� CONTRACTOR: /� ►� l 1 `S
LOCATION: Ucfflc
TYPE OF WORK: ��
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: 6)
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: L�'� DATE:
S/moliOYftMS 2014 Town of South Windsor INPSEV ION REPORT 14
CAVATI:ON PERMIT
Appi. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $50.00
Name of Firm G Phone No.
Address of Firm O Zip Coded O
Location of proposed work d
Describe fully nature of permit requested
Ong date Call Before You Dig No
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGIfi,TRAFFIC CONTROL AND THE TOWS CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR
Check Applicable: =EASMV
ent,Curb or Sidewalk Cut ❑Pavement Cut ❑Curb Cut ❑Sidewalk Cut
riveway,No Changes ❑Proposed Driveway Widening ❑Prggosed New Driveway
Water Supply: ❑Public Water ❑Weli Sewage Service: ❑Public Sewer ❑Septic
Show sketch.of proposed work or furnish indicate North This section to be tilled out by Town
two copies of separate drawing
0 No.carts
Est.Patch Sizes) sf
Est.Pvt.Thickness in.
EsL Patch Unit Price
Est Patch Cost$
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$
DRIVEWAYS must be aft 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 FtAZ W TO THE TOWN OF SWITI WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REi&RSE THE TOWN OF SOUTH WINDSOR FOR ANY
EXPENSES INCURRED BY THE TOWN FOR MOMIANCE OR REPAIR WORK IN CONNECTION WITH THIS Pmw AND THATIAM FAFALIAR WITH AND WILL ABIDE BY
THE RULES AND REGULATIONS FOI&PENTW aALqeD IN THE TOWN OF SOUTH WINDSOR'S STRW CUT PERMIT MANUAL
Signed: Print Nama �1 i✓ to P i re+�0�1 Date
EVneexin9/PftWdWSt11eet Excavation Permit 2017