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HomeMy WebLinkAboutStreet Cut Permits 67 Glenwood Road 1900164 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 09/05/2019 GIS ID:35700067 FEE: 50.00 MUNIS APPLICATION# 201901953 r" EXPIRATION DATE: 09/04/2020 f 't ;, U l ds � APPLICANT 1 ' , LOCATION NAME: AIROLDI'S INC. ADDRESS 61 GLsNWOOD ROAD ADDRESS: P O BOX 71 t> \ VIARTY NICKL05&LORISSA OWNER , WOOD ROAD SOUTH WINDSOI CkQFi0.74,E Y z 1' PHONE 5 t z WORK DESCRIPTION: DID W APPLICANT AGREES TO FURNISH THE TO; 1 OP SOuTI WTh[D�S13 THE AMOUNT OF IOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR NEX}'EI�iSINURRED;I 4`T'HFTO FOI'1VIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND 1 E 1k LI ANT x5-FA1�fI-IAR y(rI'I H 4�1*11 V4 II I,ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN'OF U ''SWH VV'lNDSd:*.s STREET CUT P TtMIT MANUAL. Q r <t ISSUE BY D °TEP$CTED INSPECTED BY 9/5/2019 12:28 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** i J .N. y's �� r` 4 tr F''a f 15t f a z✓ p t. r n i c ? t ", { � x ate �tl r ti' y nr 4t a <•' r x , ,r r s , r j TOWN t F SQUTM.WINDSQRco ZRprm 'RDN REPORT ! PERMIT NO.: LOCATION; TYPE OF WORK: D#k INSP NEEDED: t�A7E INSP;. /C INSPEG'TED-BY• a . WORK:IN �. 061.. i PROGRESS: �" . `-'`•-�-� ``� - f MP�D 5MASHED, FILLED ` • " W1TNE.SSED ❑.YES NO SEPTIC TANK PU , . ..,. �. AS-BUILT; DATE;��r��I S/maliny/rortas=4'MWn of South wwdsor• 14 APPLICATION FOR STREET EXCAVATION PERMIT , ppl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. �•� TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $50.00 • Name of Firm Phone No. 1d �i �C `j Address of Firm I(-)r CY. r Zip Code Q�� Location of proposed work �. Describe fully nature of permit requested Starting date 7 Call Before You Dig No—j-01 7 3soll c) PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: 7EAsting Pavement,Curb or Sidewalk Cut ElPavement Cut ❑ Curb Cut ❑ Sidewalk Cut Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch,of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing 0 No.cuts Est. Patch Size(s) sf Est. Pvt.Thickness in. Est. Patch Unit Price (, Est. Patch Cost$ Est. Curb Replacement ft Est.Curb Unit Price$ /ft Est.Curb Cost$_ (( Est.Sidewalk Replacement sf b" Est. Sidewalk Unit Price$ /s€ 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 JOSSITE 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 S FOR ERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANPAL. Signed: Print Name ! 1 - `�` Date: © C Engineering/permits/Str et Excavation Permit 2017