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HomeMy WebLinkAboutStreet Cut Permits 34 Clover Drive (3) 1300066 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 04/23/2013 -- GIS ID:21600034 FEE: 25.00 MUNIS APPLICATION# 201300498 'fll EXPIRATION DATE: 04/23/2014 APPLICANT:' ! LOCATION NAME: AIROLDI'S INC. 34 CLOVER DRIVE ADDRESS: P O BOX 71 POu ERALD E&NANCY H SOUTH WINDSOR, CT 0 074-41 CLOVER DRIVE PHONE / INDSOR CT 06074 j ---mmd WORK DESCRIPTION: DRIVEWA j THE DRAIN LAYER ASSIGNED TO THIS I R IT It-S AV- ur IsSi�EI $ ' I STATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FORTNXN Tl AIM AG SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANDARD A QEQsm-IRENi E �ATE ATTACHED CONDITIONS. AV ISSUED BY DATE INSPECTED INSPECTED BY 4/23/2013 11:34 AM �i _.� i / /� EN - TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: GbD CONTRACTOR: �1 Vold]j 'S LOCATION:- .3 C�/� U U�`► �-e TYPE OF WORK: pr 1 DATE INSP NEEDED: DATE INSP: INSPECTED BY: !�,b WORK IN PROGRESS:_ n SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: t - DATE:_ ) yT�y— 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 �1�r' FEE $25.00 -iri PG Name of f m Phone No, �6 y Address of Firm O 71 i5puAl��0� G zi T P Code 0 L� Location of proposed work 31 C7oV 2(I 3' , Describe fully naturre�of permlt requested. . 126 vJ Starting date_ 7`2- 2-013 -Approx.time for completion Call Before You Dig No. -gp Existing Water Supply: ❑Public Water (]Well Existing Sewage Service: (]Public Sewer C7 Septic PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT LATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL,FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,LNCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed work or furnish This sectleg to be filled otit by two coples of separate drawing Indloate North Town of South Windsor t-2 -:7 No.cuts 7 � Est.Patch 81xe(s) sf v Est.Pvt.Thickness In, Est.Patch Unit Prlco$�jsf Z 3 Est,Patoh Cost$ V A Est.Curb Replacement ft �0 Est.Curb Unit Price 33 �/ Est,Curb Cosh Est.Traffic Unit Cost$._ Est.Traffic Control$ Amt.of Deposit$ < 22 ? Total Du©$ 1�' a e vvA K ( )Cash ( )Check Applicant Is responsible for con o ing � $ Paid By the Police Dept.and C.B.Y.D. L 2 11 1_� 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 RE-PAIR WORK IN CONNECTION WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUT INED 114 THE TOWN OF-SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. 1PNSignori: i Date: Title: l�oL�we� Driver's License!!: PLEASE ALLOW AT LEAST TWO WORKING BAYS 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