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HomeMy WebLinkAboutStreet Cut Permits 21 Welles Lane (2) 1900150 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 08/22/2019 GIS ID:92900021 FEE: 50.00 MUNIS APPLICATION# 20190I857 EXPIRATION DATE: 08/21/2020 lo APPLICANT LOCATION NAME: AIROLDI'S INC. " ADDRESS 2I W&LES LANE ADDRESS: P O BOX 71 ; �y bWNFt ` KAPIS4K STEPHEN&LYNN u �z " 'E 2�1E13 ES LANE SOUTH WINDSOR�!CTw 0d741 s } PHONE u ,• . 1 S y WORK DESCRIPTION: 3 n+ APPLICANT AGREES TO FURNISH THITOWN QF�OiTTI WINDS01�THE AMOIIVP4V BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AaJY= XPLISIr3 INCURItE ,ICY THE,TOWI*I FOR`MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TII AP�I'LICEINT IS FAMII L4R WTI t�1+�I}ygTI,L ABIDE$Y THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN`OF Sf3U. H}1l�INbSOIZ":.5 ST13F'I COT ?ERMIT MANUAL. � Ica ISSUED BY DATE'° " 'I'E`CTED INSPECTED BY 8/22/20192:31PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** i F p F Y r` y 5 Ai, 7: Vy y 1 ( SY k A f TOWN©F-SQUTM.WMDSOR INSPfECnt�N REPORT PERMIT NO.: . 9a CONTRA6 R: LOCATION: TYPE OF WORK: DATE INSP NEEQED: - DATE INSP:. " / �y INSPECTED-BY WORK-IN PROGRESS: SEPTIC TANK PUMPED SMASHED FILLED 1N1TlVESSED ❑`rEs CI NO ; ; AS-BUILT: INPUT: DATE. LL— $fmillayffirms 2U4 Town of Snnth Windsor•INPSECfiQN 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 $60.00 Name of Firm Phone No. Address of Firm 0'11C Zip Code OG0 Location of proposed work Describe fully nature of permit requested Starting date Call Before You Dig No PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WIT A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: o Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑Curb Cut ❑ Sidewalk Cut ❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch.of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing No.cuts Est.Patch Size(s) sf Est. Pvt.Thickness in. C��� �,✓ Est.Patch Unit Price 0 Est.Patch Cost$ ~� 31 Est.Curb Replacement tt Est.Curb Unit Price$ /ft Est Curb Cost$ Est.Sidewalk Replacement sf Est.Sidewalk Unit Price • 1� _ 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 REGULATION F PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMiT MANUAL. -4 1 Signed: Print Name , Date: Engineering/permits/Street Excavation Permit 2017