HomeMy WebLinkAbout6 Charlie Circle 1800075 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 06/14/2018 n
GIS ID: 18600006 s FEE: 50.00
MUNIS APPLICATION# 201800995 r
tkl� `' $ PIRATION DATE: 06/14/2019
APPLICANT > �`�
`' LOCATION
NAME: AIROLDIr S INC. �; ASDDRE �6HA�LIE CIRCLE
ADDRESS: P O BOX 71- At NEI 1�ISHMN BENJAMIN W&
SOUTH WINDSOR,h0`''W74[N.N IE CIRCLE
PHONEr . i> ^<� �. DSOR,CT 06074
-r f 7t c .s) l > J: b n?,2C s �4l y , Yyap Y $ik
WORK DESCRIPTION: DRIBE, x1 Fr s
APPLICANT AGREES TO FURNISH THE pW�10F SpU 1151�IIJTS(OI HL`AIVIOUTtF'$ ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AI 'Y g,R,IE V ES INC i REpy ICY HT;TQ1 IaCr ORxMAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TI AF'P I A1a1F IS' AM LIAXt WI I'�i�fi 'L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS ASSOUTLINED IN THE TOWN 6F SOI'TIJI WmDSO�'�STR�1 T GU'T IT MANUAL.
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ISSUED BY DATE2INSPLCrIED
INSPECTED BY
6/14/20I810:41AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR`INSPECTION REPORT
PERMIT NO.: CONTRACTOR: J hD r
LOCATION: C-l
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: Ave-
INSPECTED BY: n
WORK IN
PROGRESS: Z,� G �✓ v
SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑YES ❑ NO
AS-BUILT: +
INPUT: DATE: -'
5/m6lloy/fauns 2014 Town of South Wlndsar iNPSECMN REPOV 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1640 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $26.00
Name of Firm �•����� �-"'` Phone No.
Address of Firm - `�\ e�v� '� Zip Code �®
Location of proposed work
Describe fully nature of permit requested P��'R- M%41 --4 I our,I
Starting Call Before You Dig No
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled_out by Town
two copies of separate drawing
No.cuts
=ti Est.Patch Sizes) sf
# z: Est. Pvt.Thickness in.
Est. Patch Unit Price$ /sf
Est.Patch Cost$
17
Est. Curb Replacement it
Est.Curb Unit Price$ /ft
iVi
Est.Curb Coat$
Est.Sidewalk Replacement sf
4--- 1� Est. Sidewalk Unit Price$ Isf
Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ /hr
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Est,Traffic Control$
- Amt.of Deposit$
Total Due$
O Cash O Check#
'A pplicant is responsible.for contacting the Police Dept:and C.B.Y.D
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Paid By
;`M1I: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!•AM 1LIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
:.:'UVINDSOR'S S UT PERMIT MANUAL.
Signed:
Print Name `'��`\ �n,4�`�pa Date:
Street Excavation Permit 2014