HomeMy WebLinkAboutDriveway Street Cut Permits 577 Barber H Per t-rtio. 3411 Town of South Windsor, CT
Darter. 10/07/2002 Street Excavation Permit
.Expiration Date 10/07/2003
De's'crip:
Applicant Location
Name AIROLDI 'S INC. AR. R HILL ROAD
Addr. 41 ZINFANDEL CIRCL
TOLLAND CT 06084 DRIVEWAY
Phone (860)896-0401
Applicant agrees t sor the amount of bond
required and to rei b T ut o4, or any expenses
incurred by the Tow t = ep n connection with this
permit and that app if.4 h a bide by the rules and
regulations for perm T off.. uth Windsor's Street
Cut Permit Manual .
* * PERMIT ® R E LL TIMES.
Issued by ' t
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Date Completed Inspected dy
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3411 Contractor AIROLDI 'S INC.
Location -,#GrAAftAddress 41 ZINFANDEL CIRCLE
Type Work DRIVEWAY TOLLAND CT 06084
"'—"" ne No. (860)896-0401
Date Insp Needed 4ns 16 :;L;?_! o z_
Time Insp Needed
Inspected By
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Work in Progress Ci
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( Date
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APPLICATION FOR STREET EXCAVATION PERMIT
i TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm i Stec- Phone No.
Address of Firmer (60x -I l So 0 Y� V2%y- `or -
Location of proposed work 17 1 E-ErE—r 4L I Q A --
Describe fully nature of permit requested Po,Ni
Starting date 7 1,.f Dd- Approx.time for completion 177
Call Before You Dig No.a„pog)c�c/ob 12,27 Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of South Windsor
two copies of separate drawing
_-- Pavement Cut
/ CI����' Pro
Indicate North / P• size of cut
I I ? No.cuts
3 Amt. of Deposit$ by
PiN
v 13 O Cash( )Check #
30 t;> " Cut size after Perm. Patch
v
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.
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.
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Signed: G�i' Date: 2-1
Title: 612L D.L.#:
PERMIT SHALL BE KEPT ON 30BSITE AT ALL TIMES
Standard Forms\Permlts\Street Excavation Permit.doc