HomeMy WebLinkAboutStreet Cut Permits 5 Bayberry Trail 1800064 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
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DATE: 06/01/2018Im
GIS ID: 08100005 a FEE: 50.00
MUNIS APPLICATION# 201800831 a
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vFIRATION DATE: 06/01/2019
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APPLICANT n k r�� �,
LOCATION
NAME: AIROLDI'S INC. w r A1jDRES x IYERRY TRAIL
ADDRESS: P O BOX 71 � 4 �> O�VUNE YUREKiaOHN W&FRANCES D
SOUTH WINDSOR, h 0�0�4' 4 f 'yA�Y$ERRY TRAIL
INDSOR,CT 06074
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WORK DESCRIPTION: DRIyEW ,Y�
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APPLICANT AGREES TO FURNISH THE I,OWI b'S�OUII-H 1�? DSQI �kIE AMOlU IT OF1B(ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WIND SOR FOR Af��` PEfz&S IhJC�b�] II °I I �WN�O AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND T1 �A'PIGAN� IS'itAfviT fAR WIC �VI� ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN t7F$OtJT)I WI1VD50�i;�S STRI; F� 'U P$RfvIIT MANUAL.
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ISSUED BY DATE IlSFE 'I'ED INSPECTED BY
6/l/20182:43 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: DDD CONTRACTOR: i r o .
LOCATION:
TYPE OF WORK:
DATE INSP NEEDED., DATE INSP:
INSPECTED BY: _>
WORK IN
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PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO-
AS-BUILT:
INPUT: )V\�-" DATE:
—44-y
S/molloy/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 FALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $60.00
Name of Firm Phone No.
Address of Firm d Lo 4 A Zip Code(DG
Location of proposed work
Describe fully nature of permit requested 1,004-11
Starting date Call Before You Dig No,
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑Curb Cut ❑Sidewalk Cut
❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public Sewer ❑Septic
Show sketch.of proposed work or furnish indicate North This section to be filled out by Town
two copies of separate drawin
No.cuts
Est.Patch Size(s) sf
Est. Pvt.Thickness in.
Est.Patch Unit Price
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ /fit
Est.Curb Cost$
Est.Sidewalk Replacement sf
2�-
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 REGULATION FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: Print Name r l l tl � L��Z _ Date:
Englneering/permits/Str t Excavation PerMIt 2017