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Street Cut Permits 105 Skyline Drive (2)
-- ------------------ ------------------------------------- ---— 1400252 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 08/20/2014 GIS ID: 11100105 FEE: 25.00 MUNIS APPLICATION# 201401146 EXPIRATION DATE: 08/20/2015 APPLICANT - LOCATION NAME: AIROLDI'S INC. ADDRESS 10 SK,'LINE DRIVE ADDRESS: P O BOX 71 IWYLA STANLEY&TERESA SOUTH WINDSOR, `I �b074 1(IS sK INE DRIVE OUTIVINDSOR,CT 06074 PHONE WORK DESCRIPTION: DRIE4A ' APPLICANT AGREES TO FURNISH THEVOWN OF SOUTH WINDSOR THE AMO�t 1T flF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AI— PENSES INCTI�RED BY THE T ?WN FORIIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THI AISpLI CAN T IS=FAIYIILIAR WfT- ANI��VI�L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN ft SOITTH l � DSOR'S=STREETCUI PE MIT MANUAL. G to3 r ISSUED B DATE INSPECTED INSPECTED BY 8/20/2014 10:55 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: O" CONTRACTOR: ffi C (o1 _ LOCATION:- /-0 _. _ . -_ .-L1► ? '� -� ,. -- - TYPE OF WORK: '� U DATE INSP NEEDED: DATE INSP: '/'-�z 3 INSPECTED BY: !, WORK IN PROGRESS: , i :e r , SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: S/2014 Town of South wndsor IMEMON 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 $25.00 Name of Firm ` S -��`' Phone No. `1 -3B`1 � Address of Firm ©- a `l �o����'.u�sow C=` Zip Code O Low y Location of proposed work Describe fully nature of permit requested Starting date Call Before You Dig No PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement, Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut ';°Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑ WeJI Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing No. cuts Est. Patch Size(s) sf Est. Pvt.Thickness in. Est. Patch Unit Price a't Est. Patch Cost$ Est. Curb Replacement ft 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 $ I .1� 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 WINDS ET CUT PERMIT MANUAL. Signed: _ Print Name ~ � ����,\,v."� _ Date: Street Excavation Permit 2014