HomeMy WebLinkAboutStreet Cut Permits 158 Newmarker Raod (2) 1900110 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 07/2 /201
GIS ID:63300158 „ FEE: 50.00
MUNIS APPLICATION# 201901508 \ EXpZRATION DATE: 07/22/2020
APPLICANT LOCATION
NAME: AIROLDI'S INC. Aa AD#JRESS' a 1S8 NEWIVl#O D
ADDRESS: P O BOX 71 OWNER "VARLEVRY J
15$ E rVfIMARKER ROAD
SOUTH WINDSOR,CT 000744
PHONE
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WORK DESCRIPTION: DRIVEAklY, "
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APPLICANT AGREES TO FURNISH THE TO 0 w D it WINDSO i TH$AMQZINT OF�QND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY EXi'ENSE'S INCURRE1.D 31M.THI TOWN FOR I PENANCE OR REPAIR WORK IN
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CONNECTION WITH THIS PERMIT AND THE AFFLX Al�1T IS FAMIliIAR WITH ANi WIL , gDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINIOSOR''S STREET CUTPFRMIT`M UAL.
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ISS D BY-J DATE I ,.PEST INSPECTED BY
7/23/2019 2:32 I'M *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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PERMIT NO.: CONTRACTOR: fY J
LOCATION: .
TYPE OF W{ RK:
DATE INSP NEEQED: DATE INSP:. G/
INSPECTED-Bv: -- Ill
WORK-IN .
PROGRESS:
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SEPTIC TANK PUMPEQ,.SMASHED•, FXLLED .. wrmESSED ❑YES 0 NO'
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INPUT: - DATE:_u
S/mallovibrms 2014 Town of South Wfidsor•MPS&FON REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1540 SULLIVAN AVENUE Date: ` f
SOUTH WINDSOR,CT 06074
FEE -6'49-t)O - - -
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Name of Firm 4
, �� 1 Gt,� n Phone No.
Address of Firm C%' �. �� � CT Zip Code
Location of proposed work i <� l I
Describe fully nature of permit requested '�(����
Starting date Ty�►� I S ` Zoe _ _ Approx.time for completion
Call Before You Dig No. lb I Existing Water Supply: ❑Public Water D 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 TOWNS CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This section to be tilled out by
two copies of separate drawing Indloate North Town of South Windsor
No.cuts
/ Est. Patch Size(s) sf
� Aq t Est. Pvt.Thickness in. t
(� Est. Patch Unit Price$ /sf
Est,Patch Cost$
P�c
Est.Curb Replacement ft �
Est.Curb Unit Price$ /it Est.Curb cost,;-
Est.Traffic Unit Cost$ /irr
Est.Traffio Control$
_ fffi
Amt.of Deposit$ i
Total Due$
( )Cash ( )Check#
Applicant is responsible for contacting Paid By
the Police Dept.and C.B.Y.D. I
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE
TOWN OF SOUTH WINDSOR FOR NY EXPENSES INCURRED BY THE. TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WIT THIS P �11 N AT I AM FAMILIAR WITH AND WILL ABIDE BY THE.RULES AND REGULATIONS FOR
PERMITS AS O E N E F SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
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Sigrfed Date'_ 7-2_ 1 1 .
Title: A J'ZI'46i V-) 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
Street Excavation Permit 08 REV 10-22-08