HomeMy WebLinkAboutDriveway Street Cut Permits 7 Case Hill TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No 83 Contractor AIROLDI ' S INC.
Location
Type Work G � Address 41 ZINFANDEL CIRCLE
x' TOLLAND CT 06084
No. (860 )896-0401
Date Insp Needed /
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Time Insp Needed
Inspected By
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•� TOWN: iF',,°J U "i t' INSPECTION REPCrRT t.
Permit No, 3283'` Contractor AIROLDI '5 INC.
Location 0067 CASE H14L CIR& Address 41 ZINFANDEL CIRCLE
Type Work DRIVEWAY + TOLLAND CT 06084'"
No. (.869 )896-0401
Date Insp Needed"
Time Insp Needed
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• APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUES a�3
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm Ry-O�C 1 W !s -Inc- Phone No. Zu 3�9' D
Address of Firm P.D, 6c)x 91 , ALA—h Q i n At,or , �� b(od7�
Location of proposed work 1-Wlk -("krcuSo
Describe fully nature of permit requested 'PE Qe- dr y r2 a co-j y 1Z2mov� lc�csL e �Ckin�
Starting date Porn x Maw.{ k9", Approx.time for completions
v„ n y N: a ih(� 1 cl f) i�-1 to Traffic rs-c Control No.
Call Before You v �. ,r r Ge i oc
Show sketch of proposed work or furnish To be filled out by Town of South Windsor
two copies of separate drawing
Pavement Cut
Indicate North Prop. size of cut
A No. cuts
� ,�7 r
ZS Amt.of Deposit$ by
()Cash ()Check#
�9 Cut size after Perm. Patch
�a
No. Cuts
E I Z 7 Final Billing
2 $
Amt. Due Payee$
1�2m°'re (a&.p kc-cs— e `S�`n S �v c v�x�-` p„`n( Amt. Due Town$
Applicant is responsible for contacting by date
the Police Dept. and C.B.Y.D.
I AGREE TO FURNISH TO THE TUVVN 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:_ Z ! Date: %=5- o-0a
Title: Y—L2Z Zl1-f D.L.#:
PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit.doc