HomeMy WebLinkAboutDrain Layers Permit 41 Gail Lane TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit NQ 4172
Location ContFaCtbr AIROLIYT-'S..INC.
4
, 41 QAIL LANZ ' � � Adtdres8;. P 0 :BOX.=71
Type Work DRIVEWAY $pIJIH T7TN05OR. CI:._06074
:
Phonefo (8Er(1)�$9 3876
Date Insp Needed Date Tn:sp i+
---------------- 1
Time Insp Needed
M
-------------
Inspected
Work in Progress------------------------
x
�� -
s.��� �CL
--------------------------
-------------
--------------
Permit No. 4172 Town of South Windsor, CT
Date 03/31/2006 Street Excavation Permit
i
Expiration Date 03/31/2007
Descrip:
Applicant :Locate
iz
Name AIROLDI'S INC.
Addr. P 0 BOX 71
SOUTH WINDSOR CT 060 z4 ' '+ e 4f Rr T3RTVEYN}1Y
Phone (860)289-3876 ,... ;.:.....
Applicant agrees to firnlshthe Tosn pSouth Windox-tlie amount of bond
required and to reitlb_ti�"
4 _kT<`:A aor frsr<,�...:. .:
inc
urred
ed b h
;�>. « <:«:• ;_.> rt.,y e xp sn s e s
the Town,
n � >.
Y maa:[tft: nari��`';,:ors..::`.::>''<::.;:;:::<.;,:.;:.:.
�... �`�pa>.r �trrk_:;ari�Hr«t��tin_�ction with this
permit
and
tha
t a
PP1.i >
rules and
:
regulations for permits as otztl.iJTdd Clete: Fcfw <9f Sett $ W:irids'orIs Street
Cut Permit Manual.
* * PERMIT TO*.BE..K :1� .c iZ :E:»>AT' ALT�.`::T`IME'
Issue
d b Q
Y
.1tle
Date Completed ____________ ___ Inspected By -Aikl she
APPLICATION FOR STREET EXCAVATION PERMIT 7�-
TOWN OF SOUTH WINDSOR Permit No.
No.
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074
FEE $25.00
Name of Firm �\��� � s �:� � .
Phone No.
Address of Firm��.® _ � `�\ �a:7�-�� \ y'
Location of proposed work
Describe fully nature of permit requested
Starting date ys- \o o Approx. time for completion \ o b
Call Before You Dig No. \3 0 Traffic Services Control No.
Show sketch of proposed work or famish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
Pavement Cut
No.cuts
Est.Size of Perm.Patch(s)
Est.Pvt.Thickness in.
Est.Unit Price$
Amt.of Deposit$
1 Total Due$ by
34 { )Cash{ )Check#
a� Permanent Patch
No. Cuts
Size of Patch(s)
b
Final Billing
Amt. Due Payee
$
Amt.Due Town
By
Applicant is responsible for contacting Date
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
CON TION WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PER%TSUTLiIN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Sign `o�Ce�\ v, ne��.- Date:
Title: Driver's License#:
DCO11d1T CYA1 1 RC VCDT nAl IAQQITC AT Ai 1 T11111C0