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Home My WebLink AboutStreet Cut Permits 750 Griffin Road (3) 1400068 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 04/21/2014 ' GIS ID: 39000750 FEE: 25.00 MUNIS APPLICATION# 201400391 - -EXPIRATION DATE: 04/21/2015 APPLICAlT LOCATION NAME: AIROLDIS INC ADDRESS 70 GIIIIFFIN ROAD ADDRESS: BOX 71 - OWNER - BENYtK PAUL D&JANICE M S WINDSOR,CT 06 7- 0 1 77 7-5 GIGRIFFIN ROAD SOUTH g. WINDSOR,CT 06074 PHONE = WORK DESCRIPTION: DRLVEAY = 4F z , APPLICANT AGREES TO FURNISH THi<TO QF SOUTIf` INIAM-411E AM0VV W D $OND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AY XPEN EF INCURRET3$Y THE'TOWK FOK'MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TIDE APPLICANT IS FAMILIAR WITH A1ID WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TO WN OF SOUTH WINDSR'S=STREET CUT PR1v1IT MANUAL. ISSUED BY DATE INSPECTED INSPECTED BY 4/21/201411:31AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: I CONTRACTOR: 4l re l d J �s LOCATION: TYPE OF WORK: DATE INSP NEEDED: DATE INSP: 1/9 �' INSPECTED BY: WORK IN PROGRESS: SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: W12007 Town of South Windsor INPSECTION REPORT 07 .. _ � +.:f,�Fdyit[� � � a 'gln�i�dy�'}•?'`r�}1ti,�i„.', ,:;.i g �24t"•��F��I �P`"�!��1�:5j'�7> � �. �1.4.3��.i�.•'•'f APRUCATION FOR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT 1540 SULLIVAN AVENUE Date: SOUTH WINDSOR, CT 06074 FEE $25.00 Name of Firm �n � S t"c Phone No. 4'1��(0�\�-8� Address of Firm �,a . � r �o>v�l. �' Lt' Zip Code ©6orl�F Location of proposed work Describe fully nature of permit requested Sianing dale—' Approx. time for completion =z�s Call Before You Dig No. Existing Water Supply: ❑ Public Water ❑ Well Existing Sewage Service: ❑ Public Sewer Cl Septic PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT, IN61LUDING ANY INCREASES IN PATCH AREA, CURB LENGTH, TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Snow sketch of proposed work or furnish This sgctign to be filled out by !wo copies of separate drawing Indicate North Town of §ouch Windsor No.cuts Est. Patch Size(s) sl Est. Pvt, Thickness in. 1-4 Est. Patch Unit Price$ rsf Est. Patch Cost$ Est. Curb Replacement It Est. Curb Unit Price$ ift Est. Curb Cost$ �-11L Est. Traffic Unit Cost$ 1hr Est.Traffic Control $ Amt. of Deposit $ Total Due $ A� ovv ( )Cash OCheck# S�ays j Applicant is responsible for contacting Paid By ine Police Dept. 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 PERMIT�T NED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL, Signed Date: N1 \ T;iie Gar �� - 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 Sweet Excavation Permit 08 REV 10.22-08