HomeMy WebLinkAboutDriveway Street Cut Permits 16 Benedict Permit No.Date 3264
04/ 11/2002 Town of South Windsor, CT
Expiration Date 04/.1. V 2003 Street Excavation Permit
Descrip;
Applicant
-Location
Name AIROLDI 'S INC.
Addr. 41 ZINFANDEL CIRCLE . Dq "6 BENEDICT DRIVE
TOLLAND CT 06084
Phone (860 )896-040i 'TyPe cif.,Wonk''.DRIVENIAY
Applicant agrees to i='u�n�.s:h the Tawrt of .;,Scutt "W i nei�o r
required and to re i mbrse owe�of , the amount of bond
incurred by the Town for trma nt n '�Ce o $ha�t�ncl$or for any expenses
permit and that app7 rant ; : p Wo-rk �in connection with this
regulations for �mm� li` ! and �w11 .abide by the rules and
permits as v i; '9 To Q f South Windsor 's Street
Cut Permit Manual .
* * PERMIT TO BE KEPT Qd ,fag SITE, AT ALL TIMES.
Issued by
Date Completed
"Inspected By 1
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3264
Location 001=6- $ENEDICT DRIVE Contractor AIROLDI 'S INC.
Address 41 ZINFANDEL CIRCLE
Type Work DRIVEWAY TOLLAND CT 06084
Phone No. (860)896-0401
Date Insp NeededDe Insp.--�A/6,
Time I_nsp Needed Time ' ►s
9x,
Inspected By
Vork in Progress b A[o SQL ,R L
:77-
Input �' Date _®�
" APPLICATION FOR STREET EXCAVATION PERMIT (`
TOWN OF SOUTH WINDSOR 7
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm A►f 1A � � i S _L nc- Phone No. 1 Cu o - Q B 9- M 1(p
Address of Firm_ P.O - e n K 9 1 . So a+h ;n A r C-r gyp'?y
Location of proposed work t to Itz,P n-d ,c+ D r,v
Describe fully nature of permit requested -Pa vkn!E�j Ar,YP I A 3 CtI�fron
Starting date-1p . 1 S+ Anproy_ time for completion Xcull 1 5-
Call Before You Dig No. a D i 4 08D Traffic Services Control'No.
Show sketch of proposed work or furnish To be filled out by Town of South Windsor
two copies of separate drawing
Pavement Cut
Indicate North �a Prop. size of cut
1
No. cuts
i
Amt. of Deposit$ by
�� ()Cash()Check#
n/ Cut size after Perm. Patch
No. Cuts
1 Final Billing$
Amt. Due Payee$
Amt. Due Town $
sP.
Applicant;s responsible for contacting by date
he Police Dept. and C.B.Y.D.
i
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: C 'Y Date v"_-
Title: D.L.#:
PERMIT SHALL BE KEPT ON 70BSITE AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit.doc