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Home My WebLink AboutStreet Cut Permits 18 Fox Hill Road (2) 1200124 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 07/19/12 = GIS ID: 33900018 M_I_INIC_A_P_P t-A_T_TnKT+F FEE: 25_()(1 EX IRATION DATE: 07/19/13 APPLICANT — LOCATION NAME: AIROLDI'S INC. Ar = ADDRESS, 1$I OXIILL ROAD ADDRESS: P O BOX 71 LWNEI S&GH A.SHA SOUTH WINDSOR, OT074 = 18_F(7X RILL ROAD PHONE 2 DR = �UTH)-INDSOR, CT 06074 jp- WORK DESCRIPTION: Is DRIVEWAY APPLICANT AGREES TO FURNISH THE TQW-N OF SOUTH WJ-NFIS?RTH AMOU1vT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AN '.I XPENSIIS INCURREI]BYTHE TOFQR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TH1 APPLICANT IS FAMILIAR WITH ANC?WII ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OP SOUTH WIIDSIZ'SSTREI;T CU 1 PERMIT MANUAL. ISSUED BY �5 DACE INSPECTED INSPECTED BY 7/19/201211:20AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: l C CONTRACTOR: ro1";/c _ 0 LOCATION: Fo X I4-l Il Gil TYPE OF WORK: DATE INSP NEEDED: DATE INSP: :2 -i3 -J3 INSPECTED BY: 'Ri� WORK IN PROGRESS: SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: &VIL, DATE: 3 S/FORMS/TOWN OF SOUTH WINDSOR INSPECTION -' 1 ,1,f!'."1 1�YY�is�±5�.!<1�f«!�q�i'nt t S'fd;v; �{ d '��7t!�;t•`�+�� N;h.•Ci'fi�'�id%S+.fH', w l .,z.qX"�:;�"- APPLICATION FOR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT 1540 SULLIVAN AVENUE Date; »- /'il_I_TJJ—\A/_I AI1�ClLQnT AL n_7_A FEE $25.00 Name of Firm �o�tT.` S �'� Phone No. �� -80% Address of Firm ova Zip Code ©6b`1AF Location of proposed work Describe fully nature of permit requested ��z�rw�� Staning date Approx. time for completion `Z). Call Before You Dig No. ��``�- g®ate` Existing Water Supply: ❑ Public Water ❑ Well Existing Sewage Service: ❑ Public Sewer ❑ Septic PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT, IN6LUDING ANY INCREASES IN PATCH AREA, CURB LENGTH, TRAFFIC CONTROL AND THE TOWWS CONTRACT COSTS, THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed work or furnish Thls secttQn to be filled out by two copies of separate drawing Indicate North Town of South Windsor i No. cuts Est. Patch Size(s) st i Est. Pvt. Thickness in. Est, Patch Unit Price$ /sf I atj _ Est. Patch Cost $ 0 j � Est. Curb Replacement it i i Est. Curb Unit Price$ /it Est. Curb Cost$ i i -- Est. Traffic Unit Cost$ 1hr I Est,Traffic Control $ Amt. of Deposit$ I • i Total Due $ ( ) Cash ( ) Check# I Applicant is responsible for contacting Paid By I 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 FERMI T]NED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed: Date:___ Title: GLr zrN��`i� c• 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 Scree( Excavation Permit 08 REV 10.22-08