HomeMy WebLinkAboutStreet Cut Permits 315 Strong Road (2) 1900046 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 05/06/2019
GIS ID: 87000315 Y FEE: 50.00
MUNIS APPLICATION# 201900848 li IxXPIRATION DATE: 05/05/2020
APPLICANT r r4, LOCATION
NAME: AIROLDI'S INC ADDRESS 315t STRONG ROAD
Ya
ADDRESS: P O BOX 71 1 OWNER BAMBR RICHARD J&VIRGINIA
S XONG ROAD
SOUTH WINDSOR,GT 06f17 j
PHONE1 t f
WORK DESCRIPTION: DRIVEWA
APPLICANT AGREES TO FURNISH THETOVVT OF SOiJTH WIN1]SOITHE AMOTJ1VTl� BAND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN$.LXPENSES INCOM,-D W In.-TO cFOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE.APRL- ICANT IS FAMIIsTAR W3TH kI*D WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF S0 JI H WTiVDSOR'S STREET CUT >RMIT MANUAL.
UE BY DATE TIVSP TED INSPECTED BY
5/6/20199:20AM ** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
< w
Its
s r L
i'S 1 N
Z
1
fiyT + z
AR, fzv
s
�.t
Q Lr
x
m , wFr i
r i pF k
t t:
r
v,:+• r F J>v5 E
f[(f
t
1�41N1�4 OFQIUT�I.WINDS0RINSPEDN REPORT
PERMIT NO.:
CONTR�ICTOR. ,
LockaoN:
TYPE OF WQRK: +�
DATE INSP NEEDED:
DAME INSP:. 7. 4� �
INSPECTED By..
WORK IN
k— } C31G
PROGRESS:
ED SMASHED; FILLED 1 rMIESSED NO
❑'YES CI
SEPTIC TANK PUMP •,,
AS-BUILT',,. !
_ DATE: • 20
-.
S/nQjjoyj%rms ZOM Town Of SOU th Wiidsor•MPMMN REPORT 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 $50.00
Name of Firm \ Phone No.
Address of Firm Zip Code(- 3`l
Location of proposed work
Describe fully nature of permit requested
Starting date_4 Call Before You Dig No
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: 7Existing
Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑Curb Cut ❑Sidewalk Cut
Drivewa No Chan es ❑ Pro osed Drivew Wid in ❑Y, 9 p ay Widening Proposed New Driveway
Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public S%-.er ❑ Septic
Show sketch,of proposed work or furnish Indicate North This section to be filled out by,Town
two copies of separate drawing
0 No.cuts
Est.Patch Size(s) sf
Est.Pvt.Thickness in.
Est. Patch Unit Price$ /sf
1{ Est,Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
Est.Curb Cost$
Est.Sidewalk Replacement sf
�C
Est.Sidewalk Unit Price
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 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 REGULATIONP FOR PERMITSAUUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREE CUT P RMIT MA UAL.
r
Signed: Print Name + 'y�e \ 1 d��(� Date:
Engineering/permits/Street&cavation Permit 2017