HomeMy WebLinkAboutDriveway Street Cut Permits 200 Felt Roa TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3300 Contractor AIROLDI 'S INC.
Ldbation ""No Address 41 ZINFANDEL CIRCLE
Type Work TOLLAND CT 06084
No. (.860 )896-0401
Date Insp Needed
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Time Insp Needed y *�O
Inspected By
Work in Progress
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Permit No. 3300 Town of South Windsor, CT
Date 05/24/2002 Street Excavation Permit
Expiration Date 05/24/2003
Descrip:
Applicant Location
Name AIROLDI ' S INC. L • OAD
Addr. 41 ZINFANDEL CIRCL
TOLLAND CT 06084 DRIVEWAY
Phone (860)896-0401
At
Applicant agrees the nd or the amount of bond
required and to reim o th r any expenses
incurred by the Town t ena pai I ,i connection with this
.,,.
permit and that appli erlf an ide by the rules and
regulations for permi so0a f uth Windsor's Street
Cut Permit Manual , kf
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* * PERMIT T � T� LL TIMES.
Issued by
Date Complet d Inspected ByQ
APPLICATION FOR STREET EXCAVATION PERMIT J ��
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm_1 wota\ 'S Zhc_ Phone No. a$I-
Address of Firm A D Zo4 '1 l S,Wi ngsdr OTT to[o�)75F
Location of proposed work cZ 00 9* L-t- � 5oU_j::b Wfi2 Snr , 0 7
Describe fully nature of permit requested
Starting date PYO)c L-k. a.D} 3,00 a Approx.time for completion I S�
Call Before You Dig No. as I 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
i
a!_ No.cuts
Amt. of Deposit$ by
()Cash ()Check#
Cut size after Perm. Patch
No. Cuts
Final Billing $
a Amt. Due Payee$
.io 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:_ 4o // � - Date: -c-Y!S
Title: � D.L.#:
PERMIT SHALL BE KEPT ON 70BSITE AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit.doc
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(CALL BEFORE YOU DIG - CT) 05/22/2002 07:38: 17
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-OT 2-SW SWINDS -T5
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*** REMOTE BATCH ENTRY ***
***** ROUTINE *****
TIME. . 07:36 DATE. . 05/22/20(92
REQUEST NO. . . 20022101482
/° ���
LATITUDE. . 41. 8254718 LONGITUDE. . -72. 5415840 L-�k��
TOWN. . . . . . SOUTH WINDSOR
ADDRESS. . . 200
STREET. . . . FELT RD
NEAREST
CROSS STREET. . OAKLAND RD
__________________________________________________________________________
TYPE OF WORK. . . . . PAVE DRIVEWAY
AREA IS MARKED. . . YES
REMARKS:
PAVING FROM ROAD TO HOUSE
__________________________________________________________________________
START DATE. . . . . . 05/23/2002 START TIME. . 20:00
CALLER. . . . . . . . . . CHRIS AIROLDI
CALL BACK. . . . . . . 8-5
PHONE #. . . . . . . . . 860-896-0401
FAX #. . . . . . . . . . . NO
ALT. PHONE #. . . . \ � /Jce~^
EMAIL ADDRESS. . .
CONTRACTOR. . . . . . AIROLDI' S INC
ADDRESS. . . . . . . . . PO BOX 71
CITY. . . . . . . . . . . . SOUTH WINDSOR
STATE. . . . . . . . . . . CT
ZIP. . . . . . . . . . . . . 06074
__________________________________________________________________________
EXCAVATOR DOING WORK. . AIROLDI' S INC.
ISSUED TO: DATE: TIME: BY:
DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY:
CALL BACK: 1 ) DATE: TIME: BY: 2) DATE: TIME: BY:
PERSON CONTACTED: PERSON CONTACTED:
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