HomeMy WebLinkAboutStreet Cut Permits 68 Fairview Drive (2) 1400115 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 05/15/2014
GIS ID: 31500068 FEE: 25.00
MUNIS APPLICATION# 201400574 -EXPIRATION DATE: 05/15/2015
APPLICANT LOCATION
NAME: AIROLDI'S INC. ADDRESS: 68AIRVIEW DRIVE
ADDRESS: P O BOX 71 = OWNER: PILVA ALLAN B&ELAINE B
SOUTH WINDSOR,C 0b4374 68 FAItVIEW DRIVE
SOi7TH VVINDSOR,CT 06074
PHONE -i "
WORK DESCRIPTION:
APPLICANT AGREES TO FURNISH THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY APENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPLICANT IS FAMILIAR WITH AND WI L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSR'S STREET CUT PERMIT MANUAL.
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ISSUED BY DATE INSPECTED INSPECTED BY
5/15/201411:14AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 60 l ij_ CONTRACTOR: A i r o ld l
LOCATION: Fa ; r V iiecA) Y,'i -e
TYPE OF WORK: 1b l u-o wo
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE:
S/2014 Town of South Windsor INPSECTION REPORT 14
g C6Pyi Est %V yr t f Y y. Sy rl �'y?('g,
APR-LICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1540 SULLIVAN AVENUE Date:
SOUTH WINDSOR, CT 06074
FEE $25.00
Name of Firm •'�o��` S ��'� • Phone No.
Andress of Firm o i �� �',� o� ��' —p 060�Q• �'1 � o !. � Zi Code �+
:.ovation of proposed work bg �E�Lw;�w ��
Describe fully nature of permit requested
Staning date , k- Approx. time for completion 'Z�. we��
Ca!i Before You Dig No. Existing Water Supply: ❑ Public Water ❑ Well
Existing Sewage Service. ❑ Public Sewer ❑ Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE, THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY INCREASES IN PATCH AREA, CURB
LENGTH, TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Snow sketch of proposed work or furnish This section to be filled out by
!Wo copies of separale drawing Indicate North Town of South Windsor
0 No. cuts
Est. Patch Size(s) sl
Est. Pvt. Thickness in.
Est. Patch Unit Price$ rsf
�a Est. Patch Cost$
Est. Curb Replacement It
Est. Curb Unit Price$ rft
Est. Curb Cost$
l l Est. Traffic Unit Cost$ rh(
Est. Traffic Control $
Amt. of Deposit$
Total Due $
( ) Cash ( )Check a
Appijcant is responsible for contacting Paid By
me Ponce De 1. and C.B.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
FERMI UTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
S,gneo4� Dater a ��
";ne G`r ,.,\'\�(.,<• 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