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HomeMy WebLinkAboutStreet Cut Permits 75 Stanley Drive 1800074 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 06/14/2018 '' 4 CIS 1D: 85200075 FEE: 50.00 MUNIS APPLICATION# 201800994 �;:> " FY EXPIRATION DATE: 06/14/2019 , APPLICANT �; 7 _ i� { LOCATION NAME: AIROLDI'S INC. :k `,ADDRESS 75� TATLEY DRIVE ADDRESS: P O BOX 71 L PSON GARY R&CAROL A SOUTH WINDSOR, 6 7 a s,r ks 7, I rpEY DRIVE U`I'y kINDSOR CT 06074 PHONE F ( tis � 4 v 3'• r fiti. WORK DESCRIPTION: DRI,Fill �' Lnr'��G.M' APPLICANT AGREES TO FURNISH TH04TOWN OF S�OL H, �NIk Q �f �MOL IT°�cRj } B JND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AI ,v'l;{XPENEINGIII B` TET(}t�/NFORIAINTENANCE OR REPAIR WORK 1N CONNECTION WITH THIS PERMIT AND TI APPIkICAI�1 i5 TiA1v T IAR ITH�Ii+1D 1 L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN O SDfJTI Wl1IDSbT S STR I�`CtLIT 1tMIT MANUAL. i t1 `Y{= �r4�v1• ISSUED BY DATE INSPECTED FNSPECTED BY •6/1V201810:26AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** Zt? ;s 1 ytiS S 7 y v' q t ��es f a x\ : �h 1�;�� Kilt f#.4 r��j'��'�„ a �•x '�� W �Nt - r � 3i t� r�! � rY c+t c'iti �t✓t�)� �} f ,�, Ka j.Ph TOWN OF SOUTH-WINDSrORINSPECOON REPORT PERMIT NO.. © CQNTRACTOR: - t LO CATIO 7 TYPE.OF WORK:. DATE INSP NEEDED;. DATE INSP; INSPECTED BY: : WORK IN PROGRESS:_ SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑YES ❑ NO AS-BUILT: INPUT• (J '': DATE:^ S/molloy/forms 2014 Town of South Windsor INPSECndN REPORT 14 i 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 $25.00 Name of Firm Phone Phone No. _ Address of Firm •?;s _ � p •"�� C Zip Code Location of proposed work �^ �,• �� Describe fully nature of permit requested It IN 4- — T%� Starting date_ Call Before You Dig No PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWNS CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut El Pavement Cut El Curb Cut El Sidewalk Cut Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Wafer ❑ Well Sewage Service: ElPublic Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North This section to be filled out by To_yvn two copies of separate drawing No. cuts Est.Patch Size(s) sf Est. Pvt.Thickness in. Est.Patch Unit Price j.:.. VR 7 Est.Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price Est.Curb Cost$ Est. Sidewalk Replacement sf Est.Sidewalk Unit Price$ Isf 'S Est.Sidewalk Cost$ Est.Traffic Hours hr V Est.Traffic Unit Cost$ /hr Est.Traffic Control$ Amt.of Deposit$ Total Due$ <' ( )Cash ( )Check# Applicant is responsible.far contacting the Police Dept:and C.B.Y.D PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Paid By r'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 `T'HAT I'AWF FAM R WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH ?VINDSOR' THE CUT PERMIT MANUAL. . Signed: S Print Name_ `a��- �` . e��¢� Date: g Street Excavation Permit 2014