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HomeMy WebLinkAboutStreet Cut Permits 96 Birch Hill Drive 1900024 TOWN OF SOUTH WINDS OR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 04/11/2019 GIS ID. 11400096 r ;, FEE: 50.00 MUNIS APPLICATION# 201900609 EXPIRATION DATE: 04/10/2020 i }ti APPLICANT `Y LOCATION NAME: AIROLDI'S INC ADDRE $ w6 BI1CH HILL DRIVE w ADDRESS: P O BOX 71 y OWNER �DM,�1N CALEB A k '� 96'B`IRH HILL DRIVE flvg SOUTH WINDSOR=I�CT0607 PHONE 'tu WORK DESCRIPTION: DRWEWI AY, ti k r f APPLICANT AGREES TO FURNISH TH139OW�i E.?F 30U H I IA (7R IHE AMO[1IVT To-OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY-I XFENSES 'NC THE THE Tf3 V1+ FOMAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TIDE APFLIAIT X FAI1 tLLIAR WITH t1IID U L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN°OFO�7TH WINDSbIt S STREET BUT IT MANUAL. ISSUED B DATE`I gSI'ECTED INSPECTED BY 4/11120193:17PM *•* PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** Qf C S 1 SY 4 1�y yy' Y1 1 t 1 t .. l F Z � l 1• h :: r1 i i f i TDIAI.R OFSOUrH-.WlX0SOR:IM.$0. I4N REPORT WNTRAOOR PERMIT NO.. LOCATION: TYPE OF WAX,. TE INSP NEEDED: GATE INSP: ' l� D R INSPgq.= BY: .. MAK'IN PROGRESS: SEPTIC TANK PUMPED-,.SMASHED; F�1 . -- WMESSED ONES NO* AS-BUILT' INPUT: DATE: S/mcltcllf� 2014 TOWR of SovtH Wirtdscr IIVPS RON REPORT i4 f I APPLICATION FOR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. T07N HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT/06074 FEE $60.00 Name of Firm t►v ` ' p6xj t5 CAD 7�t 8 "' � 6� Phone No. Address of Fir Zip Code d 6 C 7�j Location of proposed work rki:.- I Describe fully nature of permit requested 1,J4S4 0 Starting date__ Call Before You Dig No 017 D PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL.FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS, THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement,.Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut C "Listing Driveway, No Changes © Proposed Driveway Widening ❑ Proposed New Wveway Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public Sewer ❑Septic Show sketch of proposed work or furnish lndicate North This section to be filled out by Town two copies of separate drawing No.cuts Est. Patch Sizes) sf Est. Pvt.Thickness in. IJ� Est. Patch Unit Price Est. Patch Cost$ Est.Curb Replacement It 9� Est.Curb Unit Price$ ift 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 aft or more from the property line per Total Due$ section 2.17 of the zoning regulations O Applicant Is responsible for contacting the Police Dept.and C.B.Y.D .00ash Check# PERMIT SHALL BE KEPT ON JORSITE AT ALL TIMES Paid By µ_ 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 ANAWIL ABIDE RY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR's S T C T E NUAL. Signed: Print Name (1-L �(���"�'� Date: Engin perm t et Excavation rermit 20?7