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HomeMy WebLinkAboutStreet Cut Permits 53 Cambridge drive (2) 1200087 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 05/30/12 CnL GIS ID: 16200053 FEE: MUNIS APPLICATION_#_20I200675 _ -- - -- - -- _-- --25.00_ DATE: 05/30/13 APPLICANT = „� LOCATION NAME: AIROLDI'S INC. tANM-RIDGE DRIVE ADDRESS: P O BOX 71 -DW IER {)MER6 WAYNE&DENISE SOUTH WINDSOR, GT OMB4 = 53 tRIDGE DRIVE PHONE STTH VINDSOR,CT 06074 WORK DESCRIPTION: DRIVEWAY APPLICANT AGREES TO FURNISH THE TQWI�OP�OUTHOFB03�1D REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY,-ffi RSE�u IN RI I),$ TITS T y�N (}R 1�rIAINTENANCE ORREPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE AP35L1CANT IS WITH ANC WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN Ol OL3TIf WINDSR��TI�EL�BUT pR IT MANUAL. ISSUED BY DATTI1tSTCTED INSPECTED BY 5/30/20124:04PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** i TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: L206OY7 CONTRACTOR: 'A 1 ©�d 1 1-S LOCATION: 53 c a v-n 6�-\d 6 e bT"\\,-e TYPE OF WORK: \ wa w DATE INSP NEEDED: DATEINSP: / fez/' INSPECTED BY: C� WORK IN PROGRESS: SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: 17 W/2007 Town of South Windsor INPSEMON REPORT 07 APPLICATION FOR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT a �a 1540 SULLIVAN AVENUE Date: - - -- - ---- -- --- - snt 1TP wimnsnR- cT n(;nza - - ---- - --- - - - FEE $25.00 Name of Firm ��`�a � ��'�' \ Phone No. 6a ••`a��1-38`l �, Address of Firm , " �� �Jov`� �O�so� C\ Zip CodeO6-nL•f- Location of proposed work �- Describe fully nature of permit requested �e ��- ANC \�L't `c,�W`.-A� Staning dal Approx. time for completion �S Cat! Before You Dig No. Existing Water Supply: ❑ Public Water ❑ Well Existing Sewage Service: ❑ Public Sewer ❑ Septic PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE, THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY INCREASES IN PATCH AREA, CURB LENGTH, TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS, THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Snow sketch of proposed work or furnish This section to be filled out by two copies of separate drawing Indicate North Town of South Windsor I No. cuts Est. Patch Size(s) sf 0 Est. Pvt. Thickness in. Est. Patch Unit Price$ !sf i Est. Patch Cost $ � , � Est. Curb Replacement It Est. Curb Unit Price $ Est. Curb Cost$ i Est. Traffic Unit Cost$ 'hr i Est,Traffic Control $ i -- ab Amt. of Deposit $ I Total Due$ ( ) Cash ( )Check# aDpitcaru is responsible for contacting - Paid By me 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 rERMITS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed: Date: i;,,e �zN���\ Cnyv 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 S—ee( Excavation Permit 08 REV 10.22.08