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HomeMy WebLinkAboutStreet Cut Permits 276 Oak Street (2) 1200014 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 03/16/12 „ GIS ID:65400276 FEE: 25.00 APPLICANT- LOCATION NAME: AIROLDI'S INC. ADDRESS, 276{AISTREET ADDRESS: P O BOX 71 ER-f = BDLLIVI AU DOROTHY H SOUTH WINDSOR,CT Ofi-74 �7f �SAI�STREET % 53UTH WINDSOR,CT 06074 PHONE WORK DESCRIPTION: DRIvtwtkY ME APPLICANT AGREES TO FURNISH THE TQWI -WDUTITUjNDSjI�EHE AMOUIJI OE$OD REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANYXI'ENEINt)YI�EI $ 'IItE TOWN Fib IYfAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE APPI RA NT IS FAiIAWITH ANC3 WIL I ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF S(7U I I I WIISSR' TREI BUT P1 RIv1T MANUAL. ISSUED BY DAT INSPECTED INSPECTED BY 3/16/20128:56AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** AN At- XFV ld 'd jam/ / TOWN OF SOUTH WINDSOR INSPEMON REPORT PERMIT NO.: f)0 1 CONTRACTOR: A LOCATION: a 1(C 'TYPE OF DATE INSP NEEDED: DATE INSP: 1 - 3- f 3 INSPECTED WORK IN PROGRESS: L­ o YL-e SEPTTr TANK DI IMDlZfI CMA VLjcr% .-r, . . AS-BUILT: INPUT: &," - DATE: l W12007 Town of South Windsor INPSEMON REPORT 07 APPLICATION FOR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC-WORKS DEPARTMENT '1640 SULLIVAN AVENUE Date: j SOUTH WINDSOR,CT 06074 FEE $25.00 Name of Finn_ a , --- - - - Phone No. Address of Firm- ,© LV-2- p 4'1 - -- - - Zip Code (X0 Location of proposed work. ZO C C)ALA -5 Describe fully nature of permit requested_ Starting date Z-- Approx.time for completion o `off Call Before You Dig No. 2m 1 �., 1 l o, `i Existing Water.Supply: ❑Public Water ❑Well Existing Sewage Service: ❑Public Sewer ❑Septic PLEASE NOTE; THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS.A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH;TRAFFIC:CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed work or furnishi This section to be filled out by two copies of separate drawing indicate North Town of South Windsor No.cuts Est.Patch Sizes) sf at.Pvt.Thickness in. 2 Z Est.Patch Unit Price$ /sf © Est:Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price l Z S Est.Curb Cost$ Est.Traffic Unit Cost$ Mr Est.Traffic Control$ Aim of Deposit$ Total Due$ •. A Applicant is responsible for contacting Paid By. •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 ANQ THAT I AM FAMILIAR-WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OU INED TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed• Date-.__.;. Title: f� Drivers 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