HomeMy WebLinkAboutReplace driveway no road pavement involv 700186 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 10/31/07
GIS ID: 81000060 � ,i r FEE: 25.00
MUNIS APPLICATION# 200701784 h
EXPIRATION DATE: 10/30/08
APPLI A
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NAME: AIROLDI'S INC. ..... ,::x.•.::.:_ ;'
�fDI1ESS.`; : O.. C�ANT�C MEADOW ROAD
ADDRESS: P O BOX 71 <..:..,.....<...<.
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SOUTH WINDSOR,CT.. 0 ...74'` '`<:.:t:f' <; ;, `' ':. 3:<..><.'':
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<:,.:: <>s> III`DSO CT 06074
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WORK DESCRIPTION: REPLAN DI E A FWVbtVED
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APPLICANT AGREES TO FURNISH THE TOWN(� <,Q ;,. 9OND>REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANi� EX N`9t$--INC'.:`..` +
`, . 4W"'p, R-:mxl-A'TENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT'AND THE";1FLCAI�I:TAI F I :A*tb:WILL SIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN E TOWN OT?SO'fJTiVIIi'SST.REUT:P: RIIf I'=I4IANUAL.
ISSUED BY DA ,INSPECTED BY
1 0/3 1/2007 4:05PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.:__Z!Z � CONTRACTOR:
LOCATION:
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: 8 h
WORK IN
PROGRESS: OCR
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AS-BUILT:
INPUT: DATE:_ ' ac
W/2007 Town of South Windsor INPSEMON REPORT 07
CUSTOMER WORKSHEET
Name ��.Pr.�o Availability: Days Date VZ -11 0
_ Evening's
Street Other
City How Contacted Map Grid Page
Phone: Home 1+3 6 - '+ '12 2L Work To Be Performed: Remove and Replace
Work Grade and Pave
Cell 8 3 0 - 33 05 New Construction
Cap Other
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Molloy,*Catherine
From: CallCenter@CBYD2.com
Posted At: Wednesday, October 31, 2007 6:36 AM
Conversation: Locate Request-20074401531
Posted To: CBYD
Subject: Locate Request-20074401531
(CALL BEFORE YOU DIG - CT) 10/31/2007 06:36:00
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*** REMOTE BATCH ENTRY ***
***** ROUTINE *****
TIME. .06:36 DATE. .10/31/2007
REQUEST NO. . .20074401531
LATITUDE. .41.8670997 LONGITUDE. .-72.5782279
TOWN. . . . . .SOUTH WINDSOR
ADDRESS. . . 60
STREET. . . .SCANTIC MEADOW RD
NEAREST
CROSS STREET. .HARVEST LANE
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TYPE OF WORK. . . . .DRIVEWAY STREET TO CARPORT DOUBLE WIDE
AREA IS MARKED. . .YES
REMARKS: Q'
DRIVEWAY STREET TO CARPORT DOUBLE WIDE
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START DATE. . . . . .11/05/2007 START TIME. .07:00
CALLER. . . . . . . . . .BOB SHEEHAN
CALL BACK. . . . . . .
PHONE #. . . . . . . . .860-289-3876
FAX #. . . . . . . . . . .
ALT. PHONE #. . . .
EMAIL ADDRESS. . . `
CONTRACTOR. . . . . .AIROLDI'S INC
ADDRESS. . . . . . . . .PO BOX 71
CITY. . . . . . . . . . . .SOUTH WINDSOR
STATE. . . . . . . . . . .CT
ZIP. . . . . . . . . . . . .06074
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EXCAVATOR DOING WORK. .AIROLDI'S INC
ISSUED TO: DATE: TIME: BY:
DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY:
CALL BACK: 1) DATE: TIME: BY: 2) DATE: TIME: BY:
PERSON CONTACTED: PERSON CONTACTED:
1
WIX J 1 rcCC I tAGAVATION- PERMIT
TOWN OF SOUTH WINDSOR I`(/'
PUBLIC WORKS DEPARTMENT Permit No.
r> .,//
f' ; TOWN HALL
/ l 1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074
FEE $25.00
Name of Firm
Address of Firm o _ 6 +1 Phone No,_
Location of proposed work
.Describe fully nature of permit requested
Starting date �Diq
=�f1
Call Before Yo ,�, _ Approx.time for completion�� 3 Traffic Services Control No.
Show sketch of proposed work or fumish
two copies of separate drawing Indicate North This section to be filled out b
Town of South'�ndsor
. Pavement Cut
No.cuts
Est Size of Perm.Patch(s)
Est.Pvt.Thickness in.
Est.Unit Price$
Amt.of Deposit$
Total Due$ by
( )Cash( )Check#
Permanent Patch
No. Cuts
Size of Patch(s)
Final Billing
Amt Due Payee
Amt. Due Town
By
Applicant is responsible for contacti
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the Police De t.and C.B.Y.D.
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED ANO
TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK
TO REIMBURSE THE
CONNECTION WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS IN
PERMITSr: TLINED IN TPE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. FOR
Signed:
Title:
Driver's License#:
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES