HomeMy WebLinkAboutDriveway Street Cut Permits 31 Duck Cove ; OWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3293 Contractor AIROLDI ' S INC.
Location 31 DUCK COVE Address 41 ZINFANDEL CIRCLE
Type Work DRIVEWAY TOLLAND CT 06084
Phone No . (860 )896-0401
Date Insp Needed Date Insp ,
Time Insp Needed — I,me, Ir►sp
Inspected By
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Work in Progress
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Permit Nc. 3293 Town of South Windsor , CT
Date 05/22/2002 Street Excavation Permit
Expiration Date 05/22/2003
Descrip : FOR 31 DUCK COVE ( LAKEWOOD )
Applicant Location
Name AIROLDI 'S INC. S1 DUCK COVE
Addr. 41 ZINFANDEL CIRCLE
TOLLAND CT 06084 TVpe of-Wo,rk ,DRIVEWAY
Phone ( 860 )896-0401
Applicant agrees to furnish ',th4-' Town`' of South ,Windsor the amount of bond
required and to reimburse the Town of South W,in'dsor "for, any expenses
incurred by the Town for maintenance oi ' repair 'work in connection with this
permit and that app l i cantj's fam`r liar ,wj,th,. and -W7;1 l °abide by the rules and
regulations for permits as 'out l'ined i.�i��'1;he ,Town �:of, South Windsor ' s Street
Cut Permit Manual .
* * PERMIT TO BE KEPT ON JOB,, SITE, AT ALL TIMES .
Issued by T-itle ,Z-511^6 �^
Date Completed __ Inspected By
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm Y S n L Phone No.
Address of Firm C> (boy -1 S • Lk--)i n--� 'ca r
Location of proposed work v-e_ Ci A ScSr Lc uxx1
Describe fully nature of permit requested c ouA 4 (- �i, i 517 n vc.0
Starting date -!5/55 U�) n»c� Approx.time for completion i 1
Call Before You Dig No. Q oo �7 a L, Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of South Windsor
two copies of separate drawing
Pavement Cut
Indicate North —r--— Prop. size of cut
No.cuts
i
-� Amt. of Deposit$ by
()Cash ( )Check#
Cut size after Perm. Patch
- b No. Cuts
Final Billing $
Amt. Due Payee$
Amt. Due Town $
Applicant is responsible for contacting by date
t he Police Dept. and t-A i Z.
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: a1��- ��r Date:
Title: D.L.#•
PERMIT SHALL BE KEPT ON 30BSITE AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit.doc