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HomeMy WebLinkAboutStreet Cut Permits 11 Victor Lane 1800058 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 05/24/2018 GIS ID:92100011 FEE: 50.00 MUNIS APPLICATION# 201800760 EXPIRATION DATE: 05/24/2019 F 5 APPLICANT' LOCATION NAME: AIROLDI`S INC. 1 VICTOR LANE ADDRESS: P O BOX 71 4 bNER SHAH HAVIN&AVANI SOUTH WINDSOR,CT 06074 ` fis 11 VICTOR LANE k2 SOU1'H4WINDSOR,CT 06074 PHONE sA .; AV WORK DESCRIPTION: DR VI;Wt Y Y 1 r J' ,. APPLICANT AGREES TO FURNISH THE TOWN OF SOUTH WT�IDSOR THE AM0�11VT QF$QND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AhiY8-XPENSES INCURRED'$ T iE TOWN,FORRMAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE A IICANT IS FAMIT IAR WITI AND ILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN"F SOUTH WINDSOR'S STRfiET CUT PERMIT MANUAL. G oI lo �, .:... idt .'. ... ISSUED BY DAT °`�SPECTED INSPECTED BY 5/2412018 2:33 PM PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** t" Y U k. 4, S x _P N 1 ' Cy1 JC:t5 t E 5 c Ck i } t f r i15 F L G S gy x 11 `,CL TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: Irv, CONTRACTOR:- rO Z �'S LOCATION: . . 1 1 TYPE OF WORK: C,t�GZ DATE INSP NEEDED: DATE INSP: A f; INSPECTED BY: WORK IN r PROGRESS: Y ✓P U k-- SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑YES ❑ NO' AS-BUILT: INPUT: DATE: S/m6lfoy/farms 2014 Town of South Windsor INPSECRON 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 $25.00 Name of Firm ��'.�`��� *' Phone No. - Address of Firm p Code Location of proposed work - Describe fully nature of permit requested Starting dates \ Call Before You Dig No PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut El Pavement Cut ❑ Curb Cut © Sidewalk Cut '�(Exlsting Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service: El Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing No.cuts s= Est.Patch Size(s) sf Est.Pvt.Thickness Est. Patch Unit Prlce Est.Patch Cost$ y ' Est.Curb Replacement ft o Est.Curb Unit Price$ /ft Est.Curb Cost$ Est.Sidewalk Replacement sf Est.Sidewalk Unit Price$ !sf Est.Sidewalk Cost$ Est.Traffic Flours hr Est.Traffic Unit Cost$ Ihr Est.Traffic Control$ Amt.of Deposit$ Total Due$ Cash O 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 ``�-• -l-AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH :'i'•.WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND CHAT JAM-FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH NINDSOR13, TR T CUT PERMIT MANUAL. Signed: E Print Name y'�.�® s\ . �u Date: Street Excavation Permit 2014