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Home My WebLink AboutStreet Cut Permits 42 Stedman Circle (2) 1200157 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 08/27/12 ,. GIS ID: 85300042 FEE: MUNIS APPLICATION# 201201099RATION DATE: _- nR/)7/1 z APPLICANT LOCATION NAME: AIROLDI'S INC. ADI3ES 42 STEI)MAN CIRCLE ADDRESS: P O BOX 71 9NER ENG ANIA RAYMOND SOUTH WINDSOR, Tf04 42 STI DIAN CIRCLE �UUFII WINDSOR,CT 06074 PHONE WORK DESCRIPTION: DRIVE ',,Y APPLICANT AGREES TO FURNISH THE-OWN OF SOUTH IINDSaRTFIE=ANY0U1*IT 6F BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AC EPEISE II�TURRE $Y HEE TORN FOR lYfAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TI APPL- CANT IS �LIA �CTTH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN(F SO RUTH VC�YI�IDS S�T1� CIJT P�RI�IIfi MANUAL. ISSUED BY DATE INPECED INSPECTED-By 8/27/2012 2:48 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** 10 / , TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 1000 I S7 CONTRACTOR: �I co I c) l S LOCATION: TYPE OF WORK: O v " DATE INSP NEEDED: DATE INSP: J INSPECTED BY: WORK IN PROGRESS:_ SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: S/FORMS/TOWN OF SOUTH WINDSOR INSPECTION 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 $25.00 Name of Firm �o�� S \Nc. - Phone No, Address of Firm Q'\- Zip Code ©6a��F Location of proposed work �� - C Describe fully nature of permit requested Starting dale --ii �-3�\" - Approx. time for completionw��`�-s Call Before You Dig Existing Water Supply: ❑ Public Water ❑ Well Existing Sewage Service: ❑ Public Sewer ❑ Septic PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT, IN61LUDING ANY INCREASES IN PATCH AREA, CURB LENGTH, TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed work or furnish This s¢ctlon to be filled out by two copies of separate drawing Indicate North Town of South Windsor I No.cuts I Est. Patch Size(s) sf i Est. Pvt. Thickness in. Est. Patch Unit Price$ /sf Est. Patch Cost $ i j Est. Curb Replacement It Est. Curb Unit Price$ ifl Est. Curb Cost$ i i Est, Traffic Unit Cost$ ihr Est.Traffic Control $ i I Amt. of Deposit $ I I Total Due$ I ( ) Cash ( ) Check# i Applicant is responsible for contacting Paid By i the Police Dept. and C.B.Y.D. 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 FERMI IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed J� Date: � �\\l� 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 Drivew4y ;X4 1� Li