HomeMy WebLinkAboutDriveway Street Cut Permits 18 Cardinal TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3532
Location 0018 CARDINAL WAY Cont.r:aC't'tir"AI22GT�'DL:;!;>S INC.
A'ddresg' 41 SNFANDkL.,..CIRCLE
Type Work DRIVEWAY
TQLLAND C'T` 0
Shope,:N.6 f 0.j 895"°O401 >.
Date Insp Needed
Time Insp Needed _ --- Time
Inspected By —
Work in Progress
IiiSut i7ate
Permit No. 3532 Town of South Windsor, CT
Date 06/19/2003 Street Excavation Permit
Expiration Date 06/18/2004
Descrip:
Applicant Locat.io;n
Name AIROLDI'S INC. iO4 ARDINAV"WAY,
Addr. 41 ZINFANDEL CIRCLE
TOLLAND CT 06064 Type of Tutor., DRIVEWAY
Phone (860)896-0401
Applicant agrees to furnish the TvW df Sauth. Win4sor jhe amount of bond
required and to reimburse the ..Tow1 Sotiih YZindor fA any,"expenses
incurred by the Town roF tria�xit nance,;.ox.,repair work ixi'`:connection with this
permit and that applicant is familial sq?ith and Wa11 aks.ide''by the rules and
regulations for permits as outlinea the..<.2au+xY :,of South CI'Yndsor's Street
Cut Permit Manual.
pll
* * PERMIT TO &E K$EtpN, JOB SITE AT
FILL• TIMES.
Issued by � Title
Date Completed __ _ __ Inspected By
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
n FEE $25.00
Name-of Firm 13 Yo'(C,A 13 a L Phone No. Q- , C1 -m 7 la
Address of Firm P. OO 71 S (AjnJkSLw-
Location of proposed work 1`b C'ct.rr_C .�CU u)cl-c.+ f o�-4' by n5-, 5--
Describe fully nature of permit requested S+c,{' yoA o •} kZ eCc_
Starting date -1- I - � Approx.time for completion
Call Before You Dig No. �00 3--ZS 00''(e f Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of South Windsor
two copies of separate drawing
Pavement Cut
Indicate North Prop. size of cut
LZ
No. cuts
Amt. of Deposit$ by
()Cash O Check#
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: 1114 42 CsaJ 43L Date: Le
Title: j24f 5;,d e ,r D.L.#:
PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit.doc