HomeMy WebLinkAboutStreet Cut Permits 315 Strong Road 1900046 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 05/06/2019
GIS ID: 87000315 Y FEE: 50.00
MUNIS APPLICATION# 201900848 4?(PIRATION DATE: 05/05/2020
APPLICANT r r LOCATION
NAME: AIROLDI'S INC ADDRESS 315'STRONG ROAD
ADDRESS: P O BOX 71 OWNER BAMBR RICHARD J&VIRGINIA
315,S XONG ROAD
SOUTH WINDSORR CT 06 . j 1 \ f
PHONE t
WORK DESCRIPTION: DRIVEWAY zh
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APPLICANT AGREES TO FURNISH THETOVV T Ok SOiJTH WINI]SOI IIE AMOTJ1VtpF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN$.LXPEN$ES INOxJRRED.BY T TOWI 1cFOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AN THU D .APP ICANT IS FAMILIAR WITH 3AI+)D WSILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN'OF S0 2. H W TVDSOR'S STREET CUT >RMIT MANUAL.
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UE BY DATETIVSPECTED INSPECTED BY
5/6/20199:20AM ** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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T41N1 QF' QUTM.WINDSORINSPEDN REPORT
PERMIT NO.:
CONTRACTOR. ,
LOCATION:
TYPE OF WQRK: ,� c
DATE INSP NEE E :
DATE INSP:. 7, �, '
INSPECTEDBY: . �y� • - :
WORK-IN
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PROGRESS:
�D SMASHED; FILLED SEPTIC
❑'YES CI NO'
SEPTIC TANK PUMP D,.
AS-BUILT' ` !
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20
_ DATE: • -.
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5/molloy(forms 2014 Town OF Sauth Wliidsor•MPMMIN REFOR
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 $50.00
Name of Firm \ Phone No.
Address of Firm i.[lw Zip CodeC �`l
Location of proposed work l
Describe fully nature of permit requested
Starting date_4 Call Before You Dig No
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: 7Existing
Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑Curb Cut ❑Sidewalk Cut
Drivewa No Chan es ❑ Pro osed Drivew Wid in ❑Y, 9 p ay Widening Proposed New Driveway
Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public S%-.er ❑ Septic
Show sketch,of proposed work or furnish Indicate North This section to be filled out by,Town
two copies of separate drawing
0 No.cuts
Est.Patch Size(s) sf
Est.Pvt.Thickness in.
Est. Patch Unit Price$ /sf
1{ Est Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
Est.Curb Cost$
Est.Sidewalk Replacement sf
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Est.Sidewalk Unit Price
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 REGULATIONP FOR PERMITSAUUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREE CUT P RMIT MA�UAL
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Signed: Print Name + 'y�e \ 1 d �(� Date:
Engineering/permits/Street&cavation Permit 2017