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HomeMy WebLinkAboutStreet Cut Permits 38 Stedman Circle (3) 1900138 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 08/13/2019. GIS ID: 85300038 FEE: 0.00 MUNIS APPLICATION# 201901747 EXPIRATION DATE: 08/12/2020 APPLICAN I LOCATION NAME: AIROLDI'S INC. ¢ ADDRE8 STEMAN CIRCLE ADDRESS: P O BOX 71 " C}4VNER w; AREK MARK J&KATHLEEN B 3 S TEIMAN CIRCLE SOUTH WTNDSOR, ,! T,'06d74`, PHONE y f 1 3 i WORK DESCRIPTION: DRI /E AY 1~F CO�LI✓CTED ON# PI,20 ( 1 �0"ICH WAS ENTERED IN EiR�R WRp1ti1 ADI?RE S "r ; APPLICANT AGREES TO FURNISH THEW OWN OF S.QU1H�1T1 D$(�R$'1'HIr AMOU1 T�OR> ND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR A Y RXPI3x.su.S II vfi 1 ED BV T i 15F O TOW hi OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TH> A3'P�ICAj iT I9 AAMII IAR W DIY AND 17VZ, L ABIDE BY THE RULES AND REGULATIONS ,. FOR PERMITS AS OUTLINED IN THE TOWN��S"lif WIN DSQR'StSTRE1;TQUT PERMIT MANUAL. ISSUED BY DATE'I1TSPECTED INSPECTED BY 8/13/2019 12:43 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** ,S 4 NAP PV Y N r 1 i 4 564 �,fi 9 'L w\ R ail� 4 1 t� y. ` L y :� t 'Rry� E�Z> t' byw—, i'r' �'15 r ;:rtR 3lES.iv r 3' kL W .FN� '•� 551 S A 1 S 1.> f 1'j' A: I 5 'I01NN OP SOi 11NINDSOR.INSPEC*l a REPORT PERMIT ND.; g oo a COIIITRACTQR. CA TYPE OF WORK; LLIY DATE INSP NEEpED: D7E INSP:. INSPECTED.BY: . WOWN . PROGRESS: .._. �= � ?' SEPTIC TANK PUMPEQ,.SMASHE©;FliLED 1 rMESSED ❑YES Q NO AS GUILT: ' DATE. �. INPt�T. � .. S/mallay/fomis ZM4 Town of South Windsor l psEk 14 REPORT 14 i APPLICATION FOR STREET EXCAVATION PERMIT Appl. No, TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT 1540 SULLIVAN AVENUE Date: SOUTH WINDSOR, CT 06074 FEE .W Name of Firm {' Phone No. (j, Address of Firm Zip Code C" u _ Location of proposed work Describe fully nature of permit requested . Starting date Z Approx.time for completion azz Call Before You Dig No. Existing Water Supply: ❑ Public Water ❑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 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. Show sketch of proposed work or furnish, This section to be filled out by two copies of separate drawing Indicate North Town of South Windsor No.cuts Est. Patch Size(s) sf Est. Pvt.Thickness in. p Est. Patch Unit Price$ /$I Est.Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price$ /ft Est.Curb Cost$ Est.Traffic Unit Cost$ mr IL Est.Traffic Control$ Amt.of Deposit$ Total Due$ 3< ( )Cash ( )Check# Applicant is responsible for contacting ` Paid By the Police Dept.and C.B.Y.D. 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 OU LINE IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed: Date: Title: Driver's License#: o1"-� 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 10-22-06