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HomeMy WebLinkAboutStreet Cut Permits 46 Dogwood Lane 1600141 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 07/19/20I6 GIS ID:28500046 k FEE: 25.00 MUNIS APPLICATION# 201601000 EXPIRATION DATE: 07/19/2017 Al,eu APPLICAN Ii ,,' y 1 ; LOCATION NAME: AIROLDI'S INC. ,4DI)RESS 46:I)MWOOD LANE ADDRESS: P O BOX 71 r .ir OWNER 1 LEWI3F'170NALD J&JANE M SOUTH WINDSOR,r CT 06(}74 %X,14006dWOOD LANE sue; SOUTH'WINDSOR,CT 06074 PHONE . . f t SSA ram r 1E z WORK DESCRIPTION: Dts • 3 3 __ + APPLICANT AGREES TO FURNISH THIVO'b'V OF�OUTHfi �r?V#NDSQI2fa AMQC71U My B6ND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AIYI'EjES INCCIRRI;]�;BY THE T�MWN, Up MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE A#�PI�,CANT I31sAMILIA t C�`IrI AIJ S WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN`ef SOUTH MNDSOR'S.SIRE T�CCJ''PERMIT MANUAL. to � - A ISSUED BY DAT INSPECTED INSPECTED BY 7/19/2016 10:29 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** ---------- t fv r a fi• 1 � T , ' tQ S 1 ' 42'- All �F' ' f ;S F3 ' � � 4� ` r` t n �• s "At C 4Tt j a t �:. wti4 f ram' i_ 000 TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO:: f t©�o /�� .! CONTRACTOR: A I �r o i S LOCATION: . , TYPE OF WORK: DATE INSP NEEDED: DATE INSP: INSPECTED BY.-- n WORK IN PROGRESS:_ be c> SEPTIC TANK PUMPED;SMASHED, FILLED WITNESSED ❑YES ❑ NO AS-BUILT: INPUT: r✓ DATE: ��2 " S/moiloy/forms 2014 Town of South Windsor INPSECTION 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 $25.00 Name of Firm `�``� s�Y ` Phone No. Address of Firm_ Zip Code Location of proposed work 4 b Describe fully nature of permit requested` -�•�e Starting date `1 a.\ Call Before You Dig No .`? PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement, Curb or Sidewalk Cut ❑ Pavement Cut ;®, Curb Cut ❑ Sidewalk Cut ❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North This section to be filled out-by Town two copies of separate drawing No.cuts Est. Patch Size(s) sf Est. Pvt.Thickness in. { Est. Patch Unit Price Est. Patch Cast$ 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$ 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 JOBSITE AT ALL TIMES 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 FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDS ET CUT PERMIT MANUAL. \\ Signed: c3.v„.��\ �v� . Print Name �`�2v� � �a �� Date: Street Excavation Permit 2014