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HomeMy WebLinkAboutStreet Cut Permits 2 Collins Lane (2) 1100062 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 06/21/11 = GIS ID: 21900002 FEE: 25.00 MUNIS APPLICATION# 201100632 = EXPIRATION DATE: 06/20/12 APPLICANT ;>=== LOCATION NAME: AIROLDI'S INC. ` A T-)RES : 2 COLLLNS LANE ADDRESS: P 0 BOX 71 OWNER: C©LLIN DAVID B&DOROTHY A SOUTH WINDSOR,C0'T- 7-4 - COLLINS LANE © JTH`WINDSOR,CT 06074 PHONE WORK DESCRIPTION: DRIVEVt� Y APPLICANT AGREES TO FURNISH THE TOWN OF SOUTH --j- TEE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCUkk D 9- THE-TOWN FOR-MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE APPLICANT=IS FAMILIAR WITH AN I)WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF S(-LJT#WIN44R'S` TREETCUI'PERMIT MANUAL. ISSUED BY DA E INSPECTED INSPECTED BY 6/21/201111:28AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: D CONTRACTOR: hi LOCATION: c), c &X_ TYPE OF WORK: DATE INSP NEEDED: DATE INSP: /Z& INSPECTED BY: 6 h WORK IN PROGRESS: ----� Gz� /- SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: l'INPUT: U ' DATE: ` , W/2007 Town of South Windsor INPSECTION REPORT 07 APPLICATION FOR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT 1540 SULLIVAN AVENUE Date: SOUTH WINDSOR, CT 06074 FEE $25.00 Name of Firm \'�>� ��l S 1'"� Phone No. -o `��`1\ ` ����' o� , C` Zip Code Address of Firm Location of proposed work Describe fully nature of permit requested ���\�c�n.�w. �-'•��wa� Starting date Approx. time for completion \��w Call Before You Dig No. `moo\\aSo\\'ate Existing Water Supply: ❑ Public Water ❑ Well Existing Sewage Service: ❑ Public Sewer ❑ Septic PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURS REPLACEMENT, INCLUDING ANY 114CREASES IN PATCIi AREA, CURB LENGTH, TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS, THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed work or furnish This section to be filled out by two copies of separate drawing Indicate North Town of South Windsor No. cuts VA Est. Patch Size(s) _sf Est. Pvt. Thickness in. 3S as Est. Patch Unit Price$ /sf Est. Patch Cost$ Est. Curb Replacement ft Est. Curb Unit Price$ /ft Est. Curb Cost$ Est. Traffic Unit Cost$ /hr Est.Traffic Control $ Amt. of Deposit$ Total Due$ ( )Cash ( ) 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 PERMIT OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed: Date: to "\3 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