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HomeMy WebLinkAboutStreet Cut Permits 65 Beelzebub Road (2) 1900023 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 04/1I/2019 GIS ID: 09000065 MUNIS APPLICATION# 201900608 FEE: 50.00 s tXPIRATION DATE: 04/10/2020 N t APPLICANT NAME: AIROLDI'S INC. �, - LOCATION ADDRESS b $ELZEBUB ROAD ADDRESS: P O BOX 71 k r} Eg AHMEb KAVITA J SOUTH WINDSOR {HCTfVI 1NG RIDGE DR PHONE , GT U6R074 y: WORK DESCRIPTION: DI&&WW RR APPLICANT AGREES TO FURNISH THL.XO�I�I�TYQF SOUTH WT]D80 THE AAC>JNT QF BAND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AIt1Y'LJ�pENSES INC x_E TOWfi�I FOR MAINTENANCE OR REFAIR WORK IN CONNECTION WITH THIS PERMIT AND TI APFI,ICANT;IS I�AXVIfLIAR 1!ITH ACID WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN" S(tJTH WINDS R''S TRFT BUT 1?ERMIT MANUAL. • / V/n//II r'n ✓ 1 o A ISSUED BY ------ DA` E INSPECTED INSPECTED BY 4/I1/20193:14PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** , 4 Mi t r f [T '� s, . k '`sk s"�Mr x ° t 2 .':yTs y : ) t � tyF Vic' ?x Vp t T f t, I�f p i TOWS OF SOUTH iNYNDSOR INSPEC[�ON REPORT PERMIT NO.: CO. o�,3 LOCATION. TYPE OF WORK: ' DATE INSP NEEDED: DATE INSP: INSPECTED BY: WORK IN . PROGRESS' �. `,.;''- •�� - . . - SEPTIC TANK PUMPEQ,SNASNED,FILLED . .. WUNESSED DYES NO AS-BUILT' INPUT: ' ' �= DATE: S/moltoyjfiorms Zif14 Toum of South Windsor INPBE nbf4 l�EP01tf•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 $50.00 Name of Firm Phone Phone No. 6GO 3i ' -��j Address of Firm , ' Zip Code L 6 01, Location of proposed work Describe fully nature of permit requested Starting date Call Before You Dig No PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: © N Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑Curb Cut ❑ Sidewalk Cut Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public Sewer ❑Septic Show sketch,of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing 0 No.cuts Est.Patch Size(s) sf Est. Pvt.Thickness in. Est. Patch Unit Price$ /sf Est.Patch Cost$ Est.Curb Replacement ft 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 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 1 AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND RE_G�,LATIO S FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT P RMMIT MANUAL. i Signed: Print Name Date: Engineering/permits/Set Excavation Per It 2017 1"�SLQ�pti�