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HomeMy WebLinkAboutStreet Cut Permits 44 Breezy Hill Drive 1900022 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 04/1 I/2019 GIS ID: 12900044 FEE: 50.00 MUNIS APPLICATION# 201900607 EXFIRATION DATE: 04/10/2020 n 3 � APPLICANT LOCATION NAME: AIROLDI'S INC. ' ADDRESS 44 BREEZY HILL DRIVE ADDRESS: P O BOX 71 u x OWNER ,, CI RSHAM DAVID M&MELISSA A n ` 441iEEZY HILL RD SOUTH WINDSORN 6D7� U PHONE 9 h i 1ft � c i } 6• a '. WORK DESCRIPTION: DRVF,9�AY Y F y y M . Aoe� SW APPLICANT AGREES TO FURNISH THR',TOW T OI SOUTH WINDSO�.TT .-AM OIJN Iz OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR A .. EKPI NOES I1�fC.IJIZRED;I Y THE TOWN ROR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TRE AP;.FLI HINT I FAI4TILM KITH Al D ALL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TO WNI~SCUT H yVINiDSOR'S STREETU;T PERMIT MANUAL. 4 �: _ , •. x, ISSUED BY DA"}E`EN �TED INSPECTED BY 4/11/2019 3:11 PM #** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** 0.0 dIi t ie k F 1 �E C{Yyt i s 14 3S 4` t 5 ti4 r, v a f all v �• V. ! 6 g IF tirdFr, "t�:"v.(i 7 .s.i•,.• .} � t c 1 a iY h �Y ( - L � 1 - i • t p t l t rs: f TOWS OF SQUTN.W�N000 INSPEC'n4N REPORT PERMIt NO.: `�00©eZA CONTRACTOR. LOCATION: � h�j/ v� o . TYPE OF WORK: DATE NVEpE[�: ME INSP: INSPECTED BY: Wo .m PROGRESS; MASHED; FILLED WITNESSED ❑-YES [] NO* SEPTIC TANK PUMPED,S F AS-INXT r Lj DATE. iNP�SPL'I�N R1�ORT14 5/m6lloy/%rms Ml4Town oP S0Ultt Windsor 4 i 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 $50.00 Name of Firm Phone No. Address of Firm C`) Zip Code )CP 0" Location of proposed work Describe fully nature of permit requested Starting date Call Before You Dig Notes PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ NN Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑Curb Cut El Sidewalk Cut Ltd Existing Driveway,No Changes O Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch.of proposed work or furnish Indicate North This section to be filled ojA by Town two copies of separate drawing No.cuts Est.Patch Sizes) sf Est. Pvt.Thickness in. -Est.Patch Unit Price Est.Curb Unit Price$ Est. Patch Cost$ Est.Curb Replacement ft /ft Est.Curb Cost$ Est.Sidewalk Replacement sf Est,Sidewalk Unit Price Z� 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 REGULATI NS{�FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH,,W�I,NDSOR'tS,STREETI CUT PERMIT MANU,(AL. / Signed: i " Print Name ' r 1 i '�T1��'f !k��� '! �( Date: J Engineering/permi0ts/Street Excavabop Permit 2017 1vx _ \