HomeMy WebLinkAboutStreet Cut Permits 60 Windy Hill Dr (3) 1300072 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 04/30/2013
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GIS ID: 95400060 '* FEE: 25.00
MUNIS APPLICATION# 201300534 y � LPIRATION DATE: 04/30/2014
APPLICANTS , LOCATION
NAME: AIROLDI'S INC. D 1�; .; , SIN Y HILL DRIVE
ADDRESS: P O BOX 71 ILB RG NATHAN B&BARBARA
SOUTH WINDSOR GI' { 7s 6 rs 31 HILL DRIVE
Y t JTI-I I :INDSOR,CT 06074
PHONE ,» r `. I
a .€y,.. 1 ai �5
WORK DESCRIPTION: DRI
APPLICANT AGREES TO FURNISH THE a' U ,s O �F 0%, -ID REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN L O9 VAINTENANCE OR REPAIR WORK IN .
CONNECTION WITH THIS PERMIT AND TH `;IS, ., ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN T TO/JWf1N O MANUAL.
ISSUED BY DA D INSPECTED BY
4/30/2013 11:58 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
...................... ........ ...-----.......................................... .. .............----------------------..................-......... .........................._..................................................._..........------------......................................
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT'NO.. CONTRACTOR: 1
LOCATION:
TYPE OF WORK: Of t a
DATE INSP NEEDED: DATE INSP.
INSPECTED BY; rc
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS—BUILT.
INPUT: C DATE:_
S/FORMS/TOWN OF SOUTH WINDSOR INSPECTION
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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 t" Phone No. �o -�L-$0� `3$.�
Address of Firm�� o . t �ov��, � ,.. oY �r. ZIP Code
Location of proposed work
Describe fully nature of permit requested___„
Slaning date Approx, time for completion
Call Before You Dig No. '���3�1b���`� Existing Water Supply: ❑ Public Water ❑WeII
Existing Sewage Servlce: ❑ 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 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.
Snow sketch of proposed work or furnish This section to be filled ovi by
Iwo copies of sepa(ale drawing Indicate North Town of §oulh Wlnd or
No. cuts
i
Est. Patch Size(s) sf
Est. Pvt. Thickness in.
Est. Patch Unit Price$ tsf
Est. Patch Cost $
Est.Curb Replacement It
Est,Curb Unit Price$ Al
i
Est,-Curb Cost$
Est. Traffic Unit Cost$ �hr
Est.Traffic Control $
Amt. of Deposit $
Total Due$
( ) Cash ( )Check
Applicant is responsible for contacting Paid By
ine Police De t. and C.S.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
PERM[ UTLINED IN THE TOWN OF SOUTH WINDSOR'$ STREET CUT PERMIT MANUAL.
Signed, Date:
Tale 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
Sueet Excavation Permit 08 REV 10.22.08
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