HomeMy WebLinkAboutStreet Cut Permits 26 Heatherwood Drive (2) 1300112 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
STREET CUT PERMIT
DATE: 05/22/2013 —
GIS ID:41300026
MUNIS APPLICATION# 201300689 FEE: 25.00
EXPIRATION DATE: 05/22/2014
APPLICAN = -
LOCATION
, -
NAME: AIROLDI'S INC. DRE 26 MEATHERWOOD DRIVE
ADDRESS: P O BOX 71 LLEI PAUL
SOUTH WINDSOR, TW04 — gHERWOOD DR
PHONE _ -- VINDSOR, CT 06074-278
WORK DESCRIPTION: REPA ice—
APPLICANT AGREES TO FURNISH THE T �OF SOUTH -
THE TOWN OF SOUTH WINDSOR FOR ANC LR IN
P NSE� N � WAV � B ND REQUIRED AND TO REIMBURSE
CONNECTION WITH THIS PERMIT AND THgx- P- A S IT A W ABIDE BY THE RUL-'AINTENANCE OR ES AND REPAIR GULATIONS
FOR PERMITS AS OUTLINED)IN THE TOWN(No W Rb R'�wrT F E IIT MANUAL.
As
ISSUED BY
DATEI CTED INSPECTED BY
5/22/2013 11:38 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
,
off--
Aw
ki-
i
�i- -
j
-, %
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: l 3 0 01.1 a,
CONTRACTOR: i CoC [d) S
LOCATION:
TYPE OF WORK:---�D r
DATE INSP NEEDED: DATE IIVSP:
INSPECTED BY:
WORK IN
PROGRESS: T
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT.
INPUT: 0-'ll 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
SOUTH WINDSOR,CT M74
FEE $25800
Name of Firma Phone_No. _T
Address of Firm Q.® �- "1\ ��:`a;N��ti., �G. Zip Code S b
Location of proposed work `c•����►.�Y• aa� ���
Describe fully nature-of permit requested a�g\���r^-`�
Star Approx..5me for completion
ing date 5 ti� �3 `a.w S.Call Before.You Dig No: \3�go`�Sg Exisfing Water Supply: 0�PubCrc Water 0 Well
Existing Sewage Service: p Pubho Sewer 0 septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
s PRELIIAINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL.COST OF THE
PERMANENTPATCH AND CURB REPLACEMENT;VICLUMM ANY*=EASESBI PATCH AREA.CURB
LEiI+GTK TRAFFICWNTROL AND THE TOWWS-CONTRACT•COSTS. THE POINANENT PATCH IS TYPICALLY
COIMPMED WITHINA YEAR OF THE TEMPORARY PATCH H BUT IT COULD BE LATER THAN A YEAR.
.Shaw sketch'of proposed work or kindsh to be HNed out by
two copies of separate d awiip: - bxkate.North Momof ago tMhndsor
No.cis
Q - Est.Patch SIWS) . sf
Est.Pvt.Thickness in.
Est.Patch Unit Price Z 1s f
Est.Patch Cost t
&Xf Est.Curb Repiaosaw t ft
Est.Curb Unit Price t /R
Est.Curb Costs
Est..Traffic Unit Cost$ Ihr
Est.Tram Control t
Amt.of Deposit$
Total Due S
( )Cash Otea
Applicard Is responsible for mftcdng Paid By
the Police: attd 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 OY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTIQN.WITH THIS PERMfT AND.-THAT I AM FAMILIAR,WITH AND WILL ASIDE BY THE.RULES AND REGULATIONS FOR.
PERMIT TUNED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed. S Ayi
Title: ����ya\ Ct\`� Driver's-Lloense#:
PLEASE ALLOW AT LEAST TWO WORKING DAYS AFTER APPUCA71ON FOR ISSUANCE OF PERMIT
WORK MAY NOT BEGIN UNTIL A PERMIT HAS BEEN ISSUED
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Street acavation Permit 08 REV 10-22-08