HomeMy WebLinkAboutStreet Cut Permits 90 Valley View Drive 1800057 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 05/24/2018
GIS ID:91200090 FEE; 50.00
MUNIS APPLICATION# 201800758 ;. EXPIRATION DATE: 05/24/2019
APPLICANT LOCATION
NAME: AIROLDI'S INC. ADDRI; S , 90 VA ;LEY VIEW DRIVE
ADDRESS: P 0 BOX 71 OV�NER ti RUBLE ERNEST]&ANITA R
SOUTH WINDSORjQ' t�6U74 n ?„ 9Q iVAI,LEY VIEW DR
T 06074
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WORK DESCRIPTION: DRITEWAY _ }
APPLICANT AGREES TO FURNISH TH&TO)09 QF SOUGH WINDS(XR THE AMOUi T pF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN ;EXPEN3ES INCURREiS,B TEIE T1 VIrN FIpR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TIFF A15 0, ANT,IS FAMIL IAR WLTH A 1D`V T;L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SQI7TH WI1IDSOR'S STREET�UhI P)RMIT MANUAL.
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fSSU96 BY DA`I'E° `SP'ECTED INSPECTED BY
5/24/2018 12:50 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: .< g 9/90 CONTRACTOR: ),s
LOCATION: 90 --tlameu VieLd jt'
TYPE OF WORK: b w W
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED wrrNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE:
S/molloy/fbrns 2014 Town of South Windsor INPSE070N REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1640 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $50.00
Name of Firm A Phone No. �
Address of Firm S�VL�' Zip Code '
Location of proposed work Clb
Describe fully nature of permit requested f
Starting date Call Before You Dig No
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: Yxisling
avement,Curb or Sidewalk Cut 0 Pavement Cut I]Curb Cut ❑Sidewalk Cut
Drivewa No Chan es O Pro osed Drivewa Widening I] Proposed New Driveway
Y� 9 p Y
Water Supply: 11 Public Water ❑Well Sewage Service: 0 Public Sewer ❑ Septic
Show sketch.of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
Est.Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price$ /sf
Est. Patch Cost$
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$
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 BONI) 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 REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: Print Name Date:
Engineering/permits/Street Excavation Permit 2017