HomeMy WebLinkAboutDriveway Street Cut Permit 311 Abbe Road Permit 'No. 3448
Date.ti-w..— 04/01/2003 Town of South Windsor, CT
Street Excavation Permit
Expiration Date 03/31/2004
Descrip: INSTALL DRIVEWAY
Applicant
Location
NamAdele. 41NFANDEL
R0ICCIRCLE
B OAD EXT
TOLLAND CT 06084
Phone (860)896-0401 DRIVEWAY
Applicant agrees t } , h
required and to reimb or the amount of bond
incurred by the Town w f r any expenses
permit and that appii at am * • pay connection with this
regulations for an ide by the rules and
Permi Cut Permit Manual . th Windsor's Street
* * PERMIT T a � s ' °
L TIMES.
Issued by `
�C
Date Completed
nspected By -
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3448 Contractor AIROLDI 'S INC.
Location Address 41 ZINFANDEL CIRCLE
Type Work DRIVEWAY TOLLAND CT 06084
Phone No. (860)896-0401
i
Date Insp Needed e o
Time I nsp Needed
Inspected By
Work in Progress
° a
� f i
1
a Date
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSORf CT
FEE $25.00
Name of Firm AA Y-0I Ck I-nc- Phone No, 1'2 317
Address of Firm (2 (-cam X 7 i 5oL>v� i,y i n.A-w e-
Location of proposed worm 31 Abdo
Describe fusty nature of permit requested nq r\v(f,u) - --
Starting date , • 2r6 - i-6 3 Approx.time for completion 5 " 1 -c) I
Cali Before You Dig No. "Loc)3 !1400 004, Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of South Windsor
two copies of separate drawing
ii Pavement Cut
Indicate North 1 Prop.size of cut
No.cuts
Amt. of Deposit$ by
()Cash{)Check #
'I re
Cut size after Perm. Patch
3 �
No. Cuts
Final Billing$
Amt. Due Payee$
Amt. Due Town$
Applicant is responsible for contacting by date
the Police Dept. and C.B.Y.D. __j
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 PERMITS AS OUTLINED IN THE
TOWN OF SOUTH WINDSOR's STREET CUT PERMIT MANUAL.
Signed: AO" / Date. 3" �1'��3
Title: err `Z& D.L.#® -
PERMIT SMALL BE KEPT ON JOBSITE AT ALL TIMES
Standard Forms\permltslStreet!excavation Permit.doc