HomeMy WebLinkAboutStreet Cut Permits 490 Clark Street (2) 1300238 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 09/13/2013
GIS ID:20400490 = //- - FEE: 25.00
MUNIS APPLICATION# 201301319 EXPIRATION DATE: 09/13/2014
APPLICANT LOCATION
NAME: AIROLDI'S INC. y /jam�DREM (; L RK STREET
ADDRESS: P O BOX 71 _: YS CAYK LEON&SOPHIE
SOUTH WINDSOR,gI` i074 8 ARK STREET
Or
��IiT INDSOR,CT 06074
PHONE
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WORK DESCRIPTION: DRI)AFlAm_Y _ z owl
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APPLICANT AGREES TO FURNISH THEvw SQUT I NIO f 6T B 1D REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANE3NE �1 PIf� N €}RIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THi ARPL .141_IS I W t� V�I I ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN ONOi�T ITV MANUAL.
'14 OF
ISSUED BY DA `CTED INSPEC ED BY
9/13/2013 9:26 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
ED
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: I ,_�npc)3 CONTRACTOR: l iY o kcA 'S
LOCATION: 9 0 C.IAlz' ST
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: (3 0
WORK IN
PROGRESS:_ Z) .�
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: L�_P DATE:
W12007 Town of South Windsor INPSECTION REPORT 07
`APPLICATION FOR STR-EET EXCAVATION PERMIT
Appl.No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1540 SULLIVAN AVENUE Dater g \�
SOUTH WINDSOR,CT 06074
FEE $25:00
Name of Firm c�� -S �
Phone No.
Address of-Finn Zip Code QLQ n 1
R Location of proposed work i-i-�► \��\Z S .
Describe fully nature:of,permit requested
Starting date \ Approx.aime for completion
Lail Before.You Dig No: 0�3 31�0 0 3S Existing Water Supply: []Public Water Well
' Existing Sewage Service: Public Sewer .0 So*
x PLEASE NOTE: TINE DEPOSIT FOR THE PERMANENT:PAVEMENT PATCH AND CURB.REKACEMEW IS A
PRELIMINARY ESTIMA1rL THE APPLICANT IS RESPONSIBLE FOR THE FULL ANAL COST OF THE
PIE
RWANENT PATCH AND CURB REPLACEMENT;INCLUDING ANY EIUREASES BI PATCH AREA,CURB,
'LENQ`TH,'TRAFROICORMOL AND THE TOWWS-CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
.Show sketch proposed wo. or furnish - .This 82d"tO he ttlbfl om t1Y -
two copies of separate tkawifv: k dode.Nalh Town.of emo Windsor
No.ads
Est:Patch Sizes) sf
a Est.Pvt.Thidmess in.
Est.Patch Unit P60e
Est.Patch Cost S
b .
x at Curb Replacemat ft
V33' Est.Cxb Unit Pdoe t !it
r Est.Cuw:Oosts
EeL.Traffic Uut Cost$ �hr
Est:Trdit Control S
Aunt.of Deposit$
TMaI Due s
'E- 10 —�
4 O Cash (.)Check#
Applicant is responsible for oartading Paid By
the Police-Dept.and G.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
CONNECT".WITH THIS.,-PERMIT AND:THAT:i AM FAMICrIAR.WITH_AND 1MII 1.A13fDE¢Y Thy RULES:ANQ REGI1LATiONS FOR:
PERMITS �TUNEW* TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: Date• � `8�a 3
Title•_ ��...\ � �_ Ddveesaic ense#•
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
sbedbccavaUm Pera t 08 REV 10-22-08