HomeMy WebLinkAboutStreet Cut Permits 275 Graham Road 1800055 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 05/24/2018
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GIS ID: 37500275 FEE: 50.00
MUNIS APPLICATION# 201800756 EXPIRATION DATE: 05/24/2019
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APPLICANT LOCATION
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NAME: AIROLDI'S INC. '� ADDRESS.,; 27 `GR4HAM ROAD
ADDRESS: P O BOX 71 OWNER RUSSEIL THOMAS L&JESSICA
SOUTH WINDSOR,}GT 06Q .4 ,' 275'G AHAM ROAD
64
SOUTH 4VINDSOR CT 06074
PHONE
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WORK DESCRIPTION: D 1ti WAYr Y
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APPLICANT AGREES TO FURNISH THE TOWN OFOU�II WIiI3SfiJR SHE AMo[11vT QF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR Af�II IEXP LASES I1�TCURI3EI $Y T IE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TIME"PLICANT I S`FAMIt,IAR W1TH Al*TD VSIxLL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OI SQJTH WIIVDSOR.'.S STREET CUT PDItMIT MANUAL.
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ISSUED BY DATE INSPECTED INSPECTED Y
5/24/2018 12:40 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR`INSPECTION REPORT
PERMIT NO.: CONTRACTOR:_ /o1 S
LOCATION: 22
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: 2LZ.Aff
INSPECTED BY: 6b ..
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED" ❑YES E NO
AS-BUILT:
INPUT: DATE;
5/Molloy/forms 2014 Town of south windsor INPSEMON 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 $25.00
Name of Firm �```° *� �-� Phone No.
Address of Firm •c' • -J� \-7 N s�y Q—, o bb`l L-t Zip Code 'ZZ)l�a�
Location of proposed work
Describe fully nature of permit requested
6 C�-Itizl\
Starting date `'� �� Call Before You Dig No
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN's CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement, Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out-byT own
two copies of separate drawing
No.cuts
7� Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price
Est. Patch Cost$
Est. Curb Replacement ft
i Est. Curb Unit Price$ /ft
Est.Curb Cost$
Est. Sidewalk Replacement sf
Est.Sidewalk Unit Price$ /sf
Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
Amt.of Deposit$
DRIVEWAYS must be 3ft or more from the property line per Total Due$
section 2.17 of the zoning regulations
( )Cash ( )Check#
Applicant is responsible for contacting the Police Dept.and C.B.Y.D
PERMIT SHALL BE KEPT ON JOSSITE AT ALL TIMES Paid By
1 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 FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSO ET CUT PERMIT MANUAL. \\ \ \
Signed: Print Name �`�e w� h e��r� Date: \�\
Street Excavation Permit 2014