HomeMy WebLinkAboutStreet Cut Permit 129 Overlook Road 1000189 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 09/14/10
GIS ID: 67500129 FEE: 25.00
MUMS APPLICATION# 201001214 'IRATION DATE: 09/14/11
APPLICAN �� LOCATION
NAME: AIROLDI'S INC. ay - RE7V OOK ROAD
ADDRESS: P O BOX 71 .' -U JOANN&
`OV*LOOK ROAD
SOUTH WINDSOR, 4 y
- 4 L
HUD INDSOR,CT 06074
PHONE
WORK DESCRIPTION: DRI C A.
s ,
APPLICANT AGREES TO FURNISH THE I C'}UTI - AMQ _ C _ REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN N 1.� � R- AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TH ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN O _ _ PP IT MANUAL.
Ps RNA
ISSUED BY DA CTED INSPECTED BY
9/14/20108:54AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: /d 00 l e CONTRACTOR:
LOCATION: 1 a R d\J er boo 4 pQ�Q
TYPE OF WORK: r vw wa y
DATE INSP NEEDED: DATE INSP:_�1�
INSPECTED BY: �D
WORK IN
PROGRESS:_1 ,,, L
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES [:] NO
AS-BUILT:
INPUT: DATE:
S/FORMS/TOWN OF SOUTH WINDSOR INSPECTION
�OIoo12tl1- APPLICATION FOR STREET EXCAVATION PERMIT 10Q—A5cD
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1540 SULLIVAN AVENUE Date�
SOUTH WINDSOR,CT 06074
FEE $25.00
Name of Firm '�`cc�� 5 �c Phone No.
Address of Firm —o Zip Code obon 4-
Location of proposed work
Describe fully nature of permit requested
Starting date. Approx.time for completion
Call Before You Dig No. Existing Water Supply: ❑Public Water, ' ❑Well
Existing Sewage Service: Public Sewer ❑ Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.<
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
No.cuts
Est.Patch Sizes) sf
5Q"v�
Est.Pvt.Thickness in.
Est.Patch Unit Price
Est.Patch Cost'$
.ad Est.Curb Replacement ft.
Est.Curb Unit Price$ /ft
Est.Curb Cost
Est.Traffic Unit Cost$
_ �• �_ Est.Traffic Control,$
Amt.of Deposit$
Total Due$
{ )Cash O Check#
Applicant is responsible for contacting 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
PERMI UTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed. Date: \o \o
Title: Cz 9ul_ ,,c�\-sn�A�- 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
South Windsor Online Property Viewer 9/13/2010
129;Overlook Road
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Property Information ke IN at��
Property ID 67500129 t
Location 129 OVERLOOK ROAD + r
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MAP FOR REFERENCE ONLY 7
NOT A LEGAL DOCUMENT
This data settmap is for planning purposes only and should q
not be used for larger scale analysis.The Town of South
Windsor shall not be held liable for any use of the data or
images shown on this map,nor is any warranty of accuracy
expressed.All uses of this data set/map are subject to field 1iF c
verification. -