HomeMy WebLinkAboutStreet Cut Permits 7 Vincent Circle (2) 1400185 TOWN OF SOUTH WINDSOR
PERMIT NUMBER C T
STREET CUT PERMIT
DATE: 06/23/2014
GIS ID: 92350007 fq
LJ
MUNIS APPLICATION# 201400805 = FEE:
PIRATION DATE: 25.00
06/23/2015
APPLICANT !%
NAME: AIROLDI'S INC. %� f LOCATION
ADDRESS: P O BOX 71 %%
�DDR I -1 QENT CIRCLE
� E�VDI 'TA THOMAS H&CONCHETTA M
SOUTH WINDSOR, 67 �� - CfQ
IUNT CIRCLE
% �-i�
PHONE �U�H�VINDSOR, CT 06074
WORK DESCRIPTION:
DRI F�WA %
APPLICANT AGREES TO FURNISH THEVO)ft Off:§OU TH- AM FOI 1R
THE TOWN OF SOUTH WINDSOR FOR AN P" // BAND REQUIRED AND TO REIMBURSE
R � TIE
CONNECTION WITH THIS PERMIT AND TVIAINTENANCE OR REPAIR WORK IN
I AFIICALT I3�IL2 gib
FOR PERMITS AS OUTLINED IN THE TOWN SOJII WT1F7DI� TR T1}TFIT MANIUDE A BY THE RULES AND REGULATIONS
ISSUED BY ® _
DATE "CTED INSPECTED BY
6/23/2014 11:24 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
Ep
AV
i
V i� ��
or
/i
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: / h o r 8 CONTRACTOR:
LOCATION:_1 V i v►Lvpo�t_C i 2c i e
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: r
INSPECTED BY: S h
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
4 Y'
INPUT: �- DATE:
S/2014 Town of South Windsor INPSECTION REPORT 14
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 $25.00
Name of Firm Phone No.
Address of Firm ,� -��J- `1 av>� •�a.s C'T Zip Code bbon L
Location of proposed work
Describe fully nature of permit requested
Starting date 6N2 1. )Xa- Call Before You Dig No
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
>Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
Est.Patch Size(s) sf
Est.Pvt.Thickness in.
M Est. Patch Unit Price$ /sf
�a Est.Patch Cost$
Est.Curb Replacement ft
`1a Est.Curb Unit Price$ /ft
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price$ /sf
Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ /hr
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 T CUT PERMIT MANUAL.
r�
Signed: �`� Print Name J � � Date:
Street Excavation Permit 2014