HomeMy WebLinkAboutDriveway Street Cut Permits 291 Avery St 700053 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 05/21/07 ij
GIS ID: 06300291 Y}{
FEE: 25.00
MUNIS APPLICATION# 200700707 " F::•
=EXPIRATION DAT
E:
OS/20/08
APPLICANT"'
NAME __ ;- '`LOCATION
AIROLDI S INC.
y; RES. : ` .29 AVER, STREET
ADDRESS: P O BOX
71
.....
;` "• E..
? �--Tv- SHIRLEY ANN&JAMES J
SOUTH WINDSOR.,CT.i7`607 `.: :::``<'. » ku.
r :>'' <i29 1�VER STREET
;p
SO IND
T C 06074
x.
PHONE
WORK DESC
RIPTION:
PTION: D
y
f
IN
APPLICANT `AGREES TO FURNISH THE TQ.WN.OF""
S ITI " : Amoy rbF BO RE.,.:.::.. .. ND QUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN f:E NS ;•: t. $k j`'F6-- MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TH '' PP T AI T; S..F � I y � :> L <�$IDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED
I P�
IN THE TOWN OOuT? .W.1
H sR„> ; E `T'CU I I MANUAL.
ISSUED BY DATI EDw,< INSPECTED BY
5/21/2007 10:53 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: ?COaQ
CONTRACTOR:_ /dy 'S
LOCATION:_01g I N Si- ADDRESS:
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: bid
WORK IN
PROGRESS: L
f4, 5
INPUT: DATE: 30 O
y "+• APPLICATION FOR STREET EXCAVATION PERMIT 7000,�,`,3
TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
TOWN HALL
1640 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074
FEE $26.00
Name of Firm s � - Phone No.
Address of Firm o _Q� `1 \ ��y���sJ'.��i,s C L�rl'i-
Location of proposed work
Describe fully nature of permit requested Qj
Starting date �3 �'rl Approx. time for completion
Call Before You Dig No. Traffic Services Control No.
Show sketch of proposed work or fumish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
Pavement Cut
No.cuts
Est. Size of Perm. Patch(s)
Est. Pvt.Thickness in.
Est. Unit Price$
Amt. of Deposit$
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 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
CONNECTION WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMIT UTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: Date:
Title: �� Driver's License#:
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
05/1_012007 00: 57 CONNECTICUT CALL BEFORE YOU OIG Page 1
ft
(CALL BEFORE YOU DIG - CT) 05/10/2007 08: 57: 04
-5G -AH -Cl -CW
-G5 -GV -M5 -M7
-OT 2-SW SWINDS -T5 -UG
--------------------------------------------------------------------------
REMOTE BATCH ENTRY
***** ROUTINE *****
TIME. . 08: 56 DATE. . 05/10/2007
REQUEST NO. . . 20071903088
LATITUDE. . 41. 8185272 LONGITUDE. . -72. 5221252
TOWN. . . . . . SOUTH WINDSOR
ADDRESS. . . 291
STREET. . . . AVERY ST
NEAREST
CROSS STREET. . ORCHARD HILL DR
--------------------------------------------------------------------------
TYPE OF WORK. . . . . DRIVEWAY STREET TO GARAGE
AREA IS MARKED. . . YES
REMARKS: �,r �✓`'
DRIVEWAY STREET TO GARAGE
--------------------------------------------------------------------------
START DATE. . . . . . 05/15/2007 START TIME. . 07: 00
CALLER. . . . . . . . . . BOB SHEEHAN
CALL BACK. . . . . . . 7-5
PHONE #. . . . . . . . . 860-289-3876
FAX #. . . . . . . . . . .
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . . AIROLDI' S INC
ADDRESS. . . . . . . . . PO BOX 71
CITY. . . . . . . . . . . . SOUTH WINDSOR
STATE. . . . . . . . . . . CT
ZIP. . . . . . . . . . . . . 06074
--------------------------------------------------------------------------
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: