HomeMy WebLinkAboutStreet Cut Permits 400 Foster Street (2) 1400060 TOWN OF SOUTH WINDSO
PERMIT NUMBER R, C T
STREET CUT PERMIT
DATE: 04/14/2014
GIS ID: 33600400
MUNIS APPLICATION# 201400373 FEE: 25.00
EXPIRATION DATE: 04/14/2015
APPLICANT - LOCATION
NAME: AIROLDI'S INC. � ADDRESS: 40a"F6STER STREET
ADDRESS: P O BOX 71I�EWI*RANDI
SOUTH WINDSOR,CT 06074 ==
400'6 TER STREET
PHONE ;" SOUTH WINDSOR,CT 06074
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WORK DESCRIPTION: DRIVFIWAIfW
APPLICANT AGREES TO FURNISH THE I OY4�N OF SOUTH IYINDS[?R THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WIND SOR FOR ANY EXPENSES INCE7RRED BY THE TOWN F-6-WMAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPLICANT IS FAMILIAR WITH AhLD WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TO WN OF SOUTH WINDSR'S STREET CUT PERMIT MANUAL.
ISSUED BY DATE INSPECTED
INSPECTED BY
4/14/2014 9:21 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR:
LOCATION: VOD
TYPE OF WORK: Q-c Wa(I
DATE INSP NEEDED: - DATE LNSP:
INSPECTED BY: �
WORK IN
PROGRESS:- i�., -�r, ; b,�
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: ' DATE: '
W/2007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00
Name of Firm tv._ Phone No. C60 Address of of Firm o Roy, 5,W Zip CodeOGO�&
Location of proposed work
Describe fully nature of permit requested -fti
Starting date Call Before You Dig No m' 4
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑��No Pavement, Curb or Sidewalk Cut ❑ Pavement Cut El Curb Cut ❑ Sidewalk Cut
&Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
No. cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price$ /sf
l Est.Patch Cost$
Est.Curb Replacement ft
Est. Curb Unit Price
Est.Curb Cost$
17
Est. Sidewalk Replacement sf
Est.Sidewalk Unit Price
Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ Ihr
Est.Traffic Control$
Amt.of Deposit$
Total Due$
( )Cash ( )Check#
Applicant is responsible for contacting the Police Dept:and C.B.Y.D
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Paid By
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 CONNECTION WITH THIS PERMIT AND
THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR'S STREET UMIT MANUAL. 'n /�
Signed: Print Name`) ; ta���-� 91' iI rye ��� Date:� I �f
Street Excavation Permit 2014