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HomeMy WebLinkAboutStreet Cut Permits 158 Homestead Drive (2) 1200072 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 05/14/12 GIS ID:44700158 _MUNIS_APPLICATinN# 2ni�nnaui " , XPIRATION DATE: 05/14/13 APPLICANT , LOCATION NAME: AIROLDI'S INC. ADDRESS: I�&HOMESTEAD DRIVE ADDRESS: P O BOX 71 Z3W1ER NORMEIs1 NANCY A SOUTH WINDSOR, C 1 Q04 15$ HOMESTEAD DRIVE PHONE -"- " 1?UTH WINDSOR,CT 06074 WORK DESCRIPTION: DRIVEWAY APPLICANT AGREES TO FURNISH THE TflWI�F SOUTFI TNDOR TBE AMOUL�iT OF BAND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY aPENSES IN UI REI7 BY THE TQVE N FQR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE APPLICANT IS FAMIILIAk WITH Al WIIL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OP SOUTI4 WINDS-RTREETCUT PERMIT MANUAL. ISSUED BY DATE INSPECTED INSPECTED BY 5/14/20122:55PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: OONTRACTOR: A i �f��/'S LOCATION:_ S g YI'►Pa �j .TYPE OF WORK.- 'DATE INSP NEEDED: DATE INSP: =`� INSPECTED BY.- WORK IN PROGRESS:_ b o ---e -L, S k 4 SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑YES [:] NO AS-BUILT: INPUT: DATE:_ I r/ ). � /� W12007 Town of South Windsor INPSECTION REPORT 07 APPLICATION FOR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT 1640 SULLIVAN AVENUE Date: — v SOUTH WINDSOR,CT 06074 C FEE - 26.00 / Name of Firm /J J� C Phone Na. g60" Address of Firm 0; 71 S wi n 0'7 Zip Code Location of proposed work / 0 e De�jcribe fully nature of pe mit requ 71 ed DrIV L06L 4 La 0( Neel Starting date 5—11 Approx.time for completion 6- 1 I- �z o*j Call Before You Dig No. col 2�` ('b©� 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 Size(s) sf Est.Pvt.Thickness in. Est.Patch Unit Price$ /sf L 6 WAGE Est.Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price$ /it Est.Curb Cost$ Est.Traffic Unit Cost$ /hr Est.Traffic Control$ S')D E WH L K Amt.of Deposit$ Total Due$ 6 O Cash O Check# it 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 PERMITS AS OUTLINED IN THE TOWN OF SOUTH WWDSOR'S STREET CUT PERMIT MANUAL, Signed: Dale: Title: Driver's License M 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 I0-22-08