HomeMy WebLinkAboutDriveway Street Cut Permits 21 Fox Hill TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3487
Con,traotor AIR'O'LDI S INC.
Location 0021 FOX HILL ROAD Address ' i 41 Z'IIFANbEL CIRCLE
Type Work DRIVEWAY TOLLAND_ T 06084
Phone No !(860)896 0401,
Date Insp Needed
Time Insp Needed TZY1e
Inspected By
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Work in Progress Lu
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_ Date
Permit No. 3487 Town of South Windsor, CT
Date 05/09/2003 Street Excavation Permit
Expiration Date 05/08/2004
Descrip:
Applicant Location
Name AIROLDI'S INC. 'Q021.,FOX HIh:L ROAD
Addr. 41 ZINFANDEL CIRCLE
TOLLAND CT 06084 Type d PTork DRIVEWAY
Phone (860)896-0401
Applicant agrees t urnish th Uit,h ount 3 . of bond
required and to reimburse tie TaWa Cif .Sotath Wsny3 .pr, for any e-xpenses
incurred by the Town ::for maintenance or repair wor:in Connect`:: with this
permit and that applicant is f4m '7i�x xlrtkt aiar3 will°';abide by ,the rules and
regulations for permLts as"Out.liri d :tl.-e TNwh of South''Windsor's Street
Cut Permit Manual.
* * PERMIT TO;BE ICE,'T ON JO'B SITE"AT. ALA, TIMES.
Issued by
Date Completed _ 7`— 1 Inspected By a y G(j,'
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm Al y'o l c i 'S Phone No.
Address of Firm F. 0 127771 ("t Sv r
Location of proposed work_ a i f-c�
Describe fully nature of permit requested `--br o c,� y 1,� � Cc Ca vC r O r\J-k-LO(
Starting date 15- a-`F - Approx.time for completions
Call Before Ynu Dia No.. _O3 - ICIO CA,) @-�c Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of South Windsor
two copies of separate drawing
Pavement Cut
Indicate North Prop. size of cut
t�C��ISC No. cuts
Amt. of Deposit$ by
�1 2v -
'78 ()Cash ()Check#
U 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: Date: 5 U 3
Title: c o t -2
D.L.#:
PERMIT SHALL BE KEPT ON 30BSrTE AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit.doc