HomeMy WebLinkAboutStreet Cut Permits 15 Ahern Drive (2) 1900163 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 09/05/2019 R
GIS ID:01200015 FEE: 50.00
MUNIS APPLICATION# 201901952 ''
EXPIRATION DATE: 09/04/2020
APPLICANT LOCATION
NAME: AIROLDI'S INC. offs 'r ADDR);SS 15 AIERN DRIVE
ADDRESS: P O BOX 71QLSEN2 WILLIAM N&RUTH M TR
1g, DRIVE
SOUTH WINDSORk CZ06QM
PHONE
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WORK DESCRIPTION: DIVWA4F
APPLICANT AGREES TO FURNISH TH TOWN OF SO17TH WINDSQR TI IE AMOTJNT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN' EXPENSES�INCIIRED$Y HEOW1`l)OI? MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPILIC NT IS FAMILIAR WITH A1�II�WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TO MANUAL.
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ISSUED BY INSP `CTED INSPECTED BY
9/5/2019 12:24 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWS OF SQUTHMIN PW' 11011 ItEPART
PERMIT NO.. 4 / C�DNTR�►CTO iT
LDCATION:
TYPE OF WORK:
DaTEINSP:./ L
DAti INSP NEEDED• - D . F
INSPEC'CED-W.
WORK;IN
PROGRESS.
PED' $MASHED;FIu.EI W.rMESSED ❑YE5 NO'
SEPTIC TANK PUM ,.
AS-BUILT• ' ' . .
DATE:
IMPORT14
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5/maf[a'yf'rouns2014 TOM ofSouth Windsor•INPSWMM
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 $50.00
Name of Firm Phone No.
Address of Firm C) Zip Code
Location of proposed work
Describe fully nature of permit requested
Starting date Call Before You Dig No ��
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: 7EAsting
Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch.of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price$ /sf
1 Est.Patch Cost$
Est. Curb Replacement ft
2� Est.Curb Unit Price$ /ft
IV 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 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 REGULATIONS
PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT pPERMIT MANUAL.
Signed: Vi 1 iCt� Print Name ?�P 7, (r�s Date:
Engineering/permits/Street Excavation Permit 2017
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