HomeMy WebLinkAboutStreet Cut Permits 507 Graham Road 1700062 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
4 4 201 DATE. 0 /0 / 7
GIS ID:37500507 FEE: 25.00
MUNIS APPLICATION# 201700329 'EXPIRATION DATE: 04/04/2018
APPLICANT , LOCATION
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NAME: AIROLDI'S INC. �jl 7'GAAHAM ROAD
ADDRESS: P O BOX 71 rr}t Y OWNER AYONSSUSAN G
SOUTH WINDSOR,"CT 136QML?`. tg
GRP HAM ROAD
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SOUTH WINDSOR,CT 06074
PHONE
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WORK DESCRIPTION: RE1QU AND^IEPLAE DRNEV4/A S ' _ y
APPLICANT AGREES TO FURNISH THE�TOVl�N OFO C]THiWI1EfD8Q,R THE AMQ111T1�F> QND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR A1ti1Y'` XP)NES INUIRE] 8X THE TOWNFOR I�✓IAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND T1 APPI,IANT IS FAMII IAR WIIII ANC WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN Of SOUTH WINDSOR'S S�REE.T CUT��$RIVIIT MANUAL.
ISSUED BY I3AT&I48PECTED INSPECTED B
4/4/201710:19AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NQ. 110 CONTRACTOR: u l off, i 'S J-
LOCATION: _S_
TYPE OF WORK: Q 2 i�> O;�
DATE INSP NEEDED: DATE INSP; .Lb
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INSPECTED BY; L3 E) '
WORK IIV
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PRO RESS
• SEPTIC TANK.PUMPED;SMASHED,FILLED WITNESSED ❑YES I]NO
AS-BUILT; ` •
INPUT:._.,,,,_.,, DATE .
S/molloy/gorms 2014 Town of South Windsor INPSW WREPOU 14 "'
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT Permit Na.
1540 SULLIVAN AVENUE Date: Liq
SOUTH WINDSOR,CT 06074
FEE $25.00
Name of Firm
Phone No. 3°6 t13
Address of Firm 0 � Zip Code U��
Location of proposed work �- h-i
Describe fully nature of permit requested
Starting date
Approx.time for completion
Call Before You Dig No.__L� '� Existing Water Supply; Q Public Water ❑well
Existing Sewage Service; ❑ Public Sewer ❑Septic
PLEASE NOTE:. THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
'PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or fumish
two copies of separate drawing .This section to be filled out by
Indicate North Town of South Windsor
No.cuts
115
Est.Patch Size(s) sf
!3 Est.Pvt.Thickness_in.
Est.Patch Unit Price$ /sf
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ /f#
Est.Curb Cost$
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
Amt.of Deposit$
Total Due$
{ )Cash ( )Check#
Applicant is responsible for contacting Paid By
the Police Dept.and C.B.Y.D.
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 WINDSOR'S STREET CUT PERMIT MANUAL,
Signed:
Date: 3
Title: Driver's License M.
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