HomeMy WebLinkAboutStreet Cut Permits 7 Thomas Street (2) 1100152 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 09/28/11
GIS ID: 89400007 FEE: 25.00
MUNIS APPLICATION# 201101134 EXPIRATION DATE: 09/27/12
APPLICANT = LOCATION
NAME: AIROLDI'S INC. = ADDRESS, 7.THOMAS STREET
ADDRESS: P O BOX 71 = - - {S TER: f ADAMS 7RED L&MAXINE
SOUTH WINDSOR,CT 06074, 7 TIOMAS STREET
SOUTH W.INDSOR,CT 06074
PHONE = -
WORK DESCRIPTION: DRIVEWAY
APPLICANT AGREES TO FURNISH THE TOWN-OF SOUTH VM THE SOR T-1E AMOUNT OE BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANC';IPENSES INCURRED B3F TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THLAPPLICANTIS I'ANIILIAR WITH AND W L L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF�SOIITH WIIVbSR'S STREET CUT.PEI2MIT MANUAL.
ISSUED BY DATE SPECTED INSPECTED BY
9/28/201110:35AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: I ��),5�� CONTRACTOR: ,Q 1 IrO I rJ) _S
LOCATION:- 7
.TYPE OF WORK:_ r ) ( C"j a UJ
DATE INSP NEEDED: DATE INSP: i
INSPECTED BY: 8
WORK IN
PROGRESS:_
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: c DATE:
W12007 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 $25.00
Name of Firm ��`° � � �'��" Phone No.
Address of Firm _a _ `l\ a��\. c�sa r C Zip Code Ota"D�
Location of proposed work
Describe fully nature of permit requested
Starting date Approx. time for completion
Call Before You Dig No. Existing Water Supply: ❑ Public Water ❑ Well
Existing Sewage Service: ❑ Public Sewer ❑ Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY INCREASES IN PATCH AREA, CURB
LENGTH, TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
i No. cuts
i
Est. Patch Size(s) sf
Est. Pvt. Thickness in.
ao Est. Patch Unit Price$ /sf
Est. Patch Cost$
Est. Curb Replacement It
Est. Curb Unit Price$ /ft
Est. Curb Cost$
Est. Traffic Unit Cost$ /hr
\0
Est. Traffic Control $
I
I
Amt. of Deposit$
Total Due$
( ) Cash ( ) Check#
i
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:
Title: ��� p� M - 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