HomeMy WebLinkAboutStreet Cut Permits 291 Avery Street 1900117 TOWN OF SOUTH WINDSOR, CT
PERn��IT NUMBER STREET CUT PERMIT
DATE: 07/25/2019
GIS ID: 06300291
MUNIS APPLICATION# 201901548 FEE: 50.00
.". RATION DATE: 07/24/2020
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APPLICANT
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NAME: AIROLDI'S INC. s M ESS 291 AVERV STREET
ADDRESS: P O BOX 71
fi ' '' r OWNER ISALFN ` HIRLEY ANN&JAMES J
STREET
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SOUTH WINDSOR,CT 0074! sr t ys {
PHONE
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WORK DESCRIPTION: DRIVEW`iY ; a ` Af
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APPLICANT AGREES TO FURNISH THE TOVV?IV OE SQUTA WINDSOIi7THE AIOUN,P OFRQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY 1XPNSES INCURRED„ Y T TOW1V FOZ IVIINANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE)WF',L`IlQ7 ANT I$FAMIL 8,R WITH A NI?yVILI I3A I7E BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WIIDS(OR'.$STREET CUTRMIT FvJtLNUAL.
ISS ED DATE INSPECTET? t INSPECTED BY
7/25/2019 1:26 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOIIVI �F SQIiTN WiNDOR IiliSPECnON REPORT
PERMIT NO.: l. ., C-(.)N'RAM.M. .
LOCATION: 91
TYPE OF WORK.
DATE INSP NEEPED,0 _
INSPECTED 8y: L1
WORK-IN
PROGRESS:
SEPTIC TANK PUMPED,.SMASHED; FILLED WrMESSED DYES CI NO-
AS-BUILT:
INPUT: DATE.
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5/m6NoyAtfms Z014 Town of South Windsor•INP5jLtnbN REPOAT 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appi. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
r TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $50.00
Name of Firm Phone No. �&
Address of Firm ca Zip Code
Location of proposed work �-
Describe fully nature of permit requestedStarting date- W-LIN Call Before You Dig No A 0
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: 11
1NNo Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑Curb Cut ❑Sidewalk Cut
® Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch.of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
0 No.cuts
Est.Patch Size(s) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price$ /sf
Est.Patch Cost$
Est.Curb Replacement ft
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$ /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 FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WII,N,DnSOR'S STREET CUTPERMIT MANUAL.
Signed: Print Name r 't 'L �`l`Q ` ! � i �t r Date:
Engineering/permits/Street cavation Pe it 2017
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