HomeMy WebLinkAboutStreet Cut Permit 86 Juniper Lane 1
900114 TOWN OF � OUTHPERMIT NUMBER W I N D S O R, C T
�eyvovvmvovpvmvvv`vm vvv wvvvv v AvvvvvvgNNvvN\yvv�\gvpv��vvvViv
STREET CUT PE�\\N`
DATE: 0 „\ u\�\ \ \ IT
�\ \ \\ A\ti\ \p\m \\\
8/13/09 nrv4v `" ` „vvvvv
GIS ID:49200086 °v . ...N w vv„vv,avvvvvvv�
� ��� VA�, oopv�ovvu�,p VA��\�V�� pvv\\V\\q� �Aa\ \�\v
MUNIS APPLICATION# 200900957 \ `\\�l \\, FEE: 25.00
\S \�\\ \\\n \` \\) \ \\\\\ \
I.`;v vvvvu`�` y\V��wwgVw v` AE TION DATE: 08/13/10
uvA VpN\\v�qV\pw� ��`� vA�V�VwA v ` vv v
v AnwvvvvA\VAAV (p \)
V0 v v\VAF\� (�A A vvw A l\v v d�q vrw `vow) w q AA ��
APPLICANvv v,v avv \w u���,wvv vvw v A v�
NAME: ,a \ \`��\� �w\�v vavvyv`v,vu
AIROLDI'S INC. v` �v+ � \��\�ww�A\wvwvvA\\b\vow ,v a �I OCATION
ADDRESS: P O BOX 71 vvvvvv�, v ) e vv R LANE
SOUTH WIIVDSOpT �V�vvV�vp�vvv S� IICHELLE L
R, v voV ,,�oAAA�\�nvAgp�w`1\�V \\, `� v
V A\ \ V VA) V A A \A
uv �1vvV�v� \v`e�vv��VA�� v \v v��� ` ' R LANE
PHONE yvvvN�voavA a\vy�v,,\\v vvv w`y�pv v V���\,wv V�\ iv
�� A `�w�@hv��°�`v v`gA��w,��,vvv� w Av��y�w�v ��v w � � NDSOR,CT 06074
VAu hVA \�AWE���\ ���\���V�V����V`VAAA�� �VA�� AAA w A vv AAAA�A\wl\\\pvvvW`
WORK DESCRIPTION: mv, wwwv & vvvv v
����1\\Avva v gvogvv V v v vvv\�OAA\\
DRI AY�� „vvw��V om" �A v\v\`vvv`vvv pv,vvnvnv�cvv�vvvvavvVvv v\�
�� �vv� vvvvvv�u„ y�\� � yvv v vvvvvv` y
V�AA �� "vvv AVAA Vv`N 1vA v V\V
VwAi v 11AA�AA\\VAA� �V
APPLICANT AGREES TO FURNISH THE TO � � 1 ��\�` a, ,poopvm'
THE TOWN OF SOUTH WINDSOR FOR ANY � � wv O vvvv T �oOND REQUIRED AND TO REIMBURSE
CONNECTION WITH THIS PERMIT AND THE
p\\ \„\,\� \D \\ \ MAINTENANCE OR REPAIR WORK IN
E
FOR PERMITS AS OUTLINED IN THE TOWN OF SO' I I LL ABIDE BY THE RULES AND REGULATIONS
vvov�a\av, � " T�^" " RMIT MANUAL.
(\1\\\q\q\h, '
ISSUED BY a0 P to
DATE INSPECTED INSPECTED Y
8/13/200910:34AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOP,INSPECTION REPORT
PERMIT NO.: I CONTRACTOR:_ ' To(011 's
LOCATION:
'TYPE OF WORK:
-=---- DATE INSP NEEDED:
DATE INSP: 2m ro
INSPECTED BY:
WORK JN
PROGRESS: S
A /f�
• v
AS-BUILT:
INPUT.-___( DATE:
�� 1
W/2007 Town of south Windsor INPSEcnoN REPORT 07
boa 9 nn 9S APPLICATION FOR STREET EXCAVATION PERMIT 9 /
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1540 SULLIVAN AVENUE Date:
SOUTH WINDSOR,CT 06074
- � FEE $25.00
Name of Firm Phone No.
Address of Firm d Zip Codedl
Location of proposed work
Describe fully nature of permit requested
Starting date Approx.time for completion
Call Before You Dig No. °l_�� �..� Existing Water Supply: ❑ Public Water ❑Well
Existing Sewage Service: ❑ Public Sewer ❑ Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate.North Town of South Windsor
No.cuts
0
C�u� Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Lt Est. Patch Unit Price$ /sf
Est.Patch Cost$
7-13
Est.Curb Replacement ft
Est.Curb Unit Price$ fft
Est.Curb Cost$
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
` Amt.of Deposit$
Total Due$
( )Cash ( )Check#
Applicant is responsible for contactin Paid By
the Police Dept.and C.B.Y.D.
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 REGULATIONS FOR
PERMITS AS OUTLINED IN E TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed:fo'Q'��
- Date:-- C9/1 1
Title: Driver's License#:
PLEASE ALLOW AT LEAST TWO WORKING DAYS AFTER APPLICATION FOR ISSUANCE OF PERMIT
WORK MAY NOT BEGIN UNTIL A PERMIT HAS BEEN ISSUED
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Street Excavation Permit 08 REV 10-22-08