HomeMy WebLinkAboutDriveway Street Cut Permits 10 Beechnut Permit No. 3556 Town of South Windsor, CT
Date 07/29/2003
Street Excavation Permit
Expiration Date 07/28/2004
Descrip:
Applicant
Locat' 4n
Name AIROLDI'S INC. b£37U .iEECHNUT. LANE
Addr. 41 ZINFANDEL CIRCLE
TOLLAND CT 06084 "ls .e of SPork I3RIYEWAY
Phone (860)896-0401 "
L
Applicant agrees to.furnxsFt the Tp`z3 € th Windsor fhe amount of bond
required and to reimburse the Towtx. vqt Y3jLs9r 'Qr any expenses
incurred by the Town €Qr ma ' t trance or repair woxl iz� cqn :@coon with this
permit and that applicant x.s° a the rules and
regulations for permits as outlined the town` of South. Windsor's Street
Cut Permit Manual.
* * PERMIT TO BE` KEPT ON JOB 91TE AT.-ALL_::.TIMES.
Issued by ------ --------- e >: — --------- ---
Date Completed ` Inspected By
s
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3556 ,•"`..;,
Cont.rac't.."or AIROIiTtI-;-S INC.
Location 0010 BEECHNUT LANE Address 41 INFAND8L,;,CIRCLE
Type Work DRIVEWAYQLAND CT 06084
Rhone:Ilo (8- 13)896 "04,01
Date Insp Needed ----------- Date I.
Time Insp Needed Tsme I
Inspected By _ ,
Work in Progress : w�
--------------------------------
----------------------------- —.
Input _ Date 0 — —
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm A S ��- L Phone No. Q '1642- 3 2-2�n
Address of Firm W'r fit Ut>
Location of proposed work v W°, j 4; &I--
Describe fully nature of permit requested /-�-
Starting date Approx.time for completion C�3
Call Before You Dig No. mob j Traffic Services Control No. A_21l}
Show sketch of proposed work or furnish To be filled out by Town of South Windsor
two copies of separate drawing
Pavement Cut
Indicate North Prop. size of cut
No. cuts
Amt. of Deposit$ by
()Cash ( )Check#
Sa Cut size after Perm. Patch
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.
Signed, Date:
Title D.L.#:
PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit.doc