HomeMy WebLinkAboutStreet Cut Permits 130 Gail Lane 1800033 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 04/17/2018 f �?
GIS ID: 34500130 " FEE: 50.00
MUNIS APPLICATION# 201800482 5
EXPIRATION DATE: 04/17/2019
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APPLICANAI' t t k }Y�, LOCATION
NAME: AIROLDI'S INC. t�30"GAjL LANE
ADDRESS: P O BOX 71 OWNER TAI-II&RICHARD D&CATHERINE J
SOUTH WINDSOR,C6I 06074 ' t ISO CiATL LANE
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S0 ?+ TIWINDSOR,CT 06074
PHONE
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WORK DESCRIPTION: DIR yY 12 11!10VE A1tTD I EPY AGE WIb N TQP n
APPLICANT AGREES TO FURNISH THETOWN OFOUTHxS`t3RTFl>r AMOVNI�OF ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR A1yYXPEIV$ES I1�7C[3D BIB THEOWII FOR 1VIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TI ,. API' ICANT IS 1 A14ITLIIR WZTI�A1D WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF.SGUTIi W,I1�ID 8QR'S STREET GUT P>J�MIT MANUAL.
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ISSUED BY DA E "SPECTED I&SPECTED BY
4/17/201811:36AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.:i CONTRACTOR:_ 1CO d )' ` S
LOCATION: 1.30 Ca yi e
TYPE OF WORK: O� \1,p v0ii Q _
DATE INSP NEEDED: DATE INSP.m, f
INSPECTED BY: anti
WORK IN
PROGRESS: �-�- S�•t -�
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SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑YES ❑ NO
AS-BUILT:
INPUT: v--- DATE:_ .
S/m6iloy/fomrs 2014 Town of South Windsor INPSEMON REPOKr 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 $50.00
Name of Firm \ Phone No.
Address of Firm S r Zip Code C C
Location of proposed work
Describe fully nature of permit requested -zr—
Starting date Call Before You Dig No d L��
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cu�Zroposed
Avement Cut ❑Curb Cut ❑ Sidewalk Cut
❑ ExistingDriveway,No Changes Drivewa Widening 0 Proposed New Driveway
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Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch.of proposed work or fumish Indicate North This-secflan to be filled out by Town
two copies of separate drawing
No.cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price
Est. Patch Cost$
Est.Curb Replacement ff
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$ Ihr
�-� 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 RE ULATI NS 0 PERMITS AS OUTLINED IN THE TOWN OF SOUTH WIINDSOR'S STREET CUT PERMIT MANUAL. �Date:
Signed: Print Name lC C kal.'4- ( j ( �
Engineering/permits/Street Excavatiorermit 2 7