HomeMy WebLinkAboutDriveway Street Cut Permits 67 Blue Ridg Permit No. 2249
Date' 10/`18/'1996
Town of South Windsor, CT
Expiration Date 10/18/ 1997 Street Excavation Permit
Descrip:
App l i cant
Name PALAZZO CONSTRUCTION INC. Location
Addr. 150 DIVIDEND RD (3Q67 BLUE RIDGE DRIVE
ROCKY HILL CT 06067
Phone 1, 860 j665-,4,, Type: of Work DRIVEWAY
Applicant agrees to furnish the Town of South
required and to reimbUr�se t;hs,-;Town ref path W th''Wi for an e
W�ntlsor the amount of bond
incurred by the Town for
permit and that a ma'intenanc4 or repair work y expenses
regulations for applicant a is familiar wi'tht and will connecde tion with this
Permits as outlined in the Town of South Windsor 's Street
Cut Permit Manual . y the rules and
PERMIT KEPT ON ,lp�3 SITE AT 'ALL TIMES.
Issued by ES.
T i t l e
Date Compli�,te -
__. Ir;spected By
aAPPLICATION FOR
OF SOUTH EXCAVATION PERMIT
PUBLIC TOWN DEPARTMENT
1540 SULLIVAN AVENUE tiQ
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm Palazzo Construction, Inc. Phone No. 860-563-6468
Address of Firm 150 Dividend Road Rocky Hill , CT 06067
Location of proposed work 67 R 1 i i p R i r7 cf p -inr i Xe South Windsor, CT
Describe fully nature of permit requested Install new driveway
Starting date October 21„ 1 9 9 6 Approx.time for completion 30 Days
Call before you dig no. 96402614 Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of So. Windsor
two copies of separate drawing Pavement Cut
n
Indicate North Prop.size of cut
{U��
No.cuts
GA'rAge N"``ae Amt.of Deposit$ by
Cash O Check#
Cut size after Perm. Patch
No.Cuts
c+>
Final Billing$
Amt. Due Payee $
Amt. Due Town $
Applicant is responsible for contacting
the Police Dept.and C.B.Y.D. by date
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: / 14Z'4
Date: October 17, 1996
Title: i �/`� D.L.#f i 3 L2 S �-
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES