HomeMy WebLinkAboutStreet Cut Permits 44 Breezy Hill Drive (2) 1900022 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 04/1 I/2019
GI5 ID: 12900044 FEE: 50.00
MUNIS APPLICATION# 201900607 EXFIRATION DATE: 04/10/2020
APPLICANT LOCATION
NAME: AIROLDI'S INC. '{ ADDRESS 44'BREEZY HILL DRIVE
ADDRESS: P O BOX 71 OWNER CI RSHAM DAVID M&MELISSA A
wllmf 11RAZY HILL RD
SOUTH WINDSOR$C506074
PHONE
WORK DESCRIPTION: DR 3 wivvA�Y Y M'
S { 5W
APPLICANT AGREES TO FURNISH TH ',TOW OI SOUS I WINDSO TJ E ANI0% NT OF BbND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AY EPENES I1C.LIItRED;IIY THE TOWiT ROR�MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND T AP�I.IANT I FA14TIIAR WITH AI•(: WTL L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN I~SiU-Holl WINDDSOR'S STREET U;TPERMIT MANUAL.
4 _ .{ .:•.
ISSUED DA"}E` `MTED INSPECTED BY
4/11/2019 3:11 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TQ1N OF SQUTN.WN0SQRINSPEC'nON REPORT
PERMrt NO4 / �00 WNTRACTOR.
LOCATION: V � �� /�✓1/ v�
TYPE OF WORK: Vke60a
DATE INSP NEE-06 Di4TE INSP: ?. / ;
INSPECTED
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PROGRESS: tK [
SEPTIC TANK PUMPER,.SMASHED; FILLED ,
1NITNESSED ❑-YES CI NO*
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INPUT: DATE.
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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 $50.00
Name of Firm Phone No.
Address of Firm C`) Zip Code )CP 0"
Location of proposed work
Describe fully nature of permit requested
, '
Starting date Call Before You Dig No Q cl'?s 2�
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: �❑ NN Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑Curb Cut El Sidewalk Cut
Ltd Existing Driveway,No Changes O Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch.of proposed work or furnish Indicate North This section to be filled ojA by Town
two copies of separate drawing
No.cuts
Est.Patch Sizes) sf
Est. Pvt.Thickness in.
-Est.Patch Unit Price
Est.Curb Unit Price$
Est. Patch Cost$
Est.Curb Replacement ft
/ft
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price
Z� 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 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 REGULATI NS{�FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH,,W�I,NDSOR'tS,STREET CUT PERMIT MANLUAI. /
Signed: i " Print Name ' r 1 i T 1G '� !k��� ! �( Date: J
Engineering/permits/Street Ex�cavabop Permit 2017