HomeMy WebLinkAboutDriveway Street Cut Permits 515 Graham R TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. Contractor AIROLDI 'S INC.
Location Address 41 ZINFANDEL CIRCLE
Type Work DRIVEWAY TOLLAND CT 06084
hone No. (860)896-0401
Date Insp Needed0,�s p ,2$ 3
Time Insp Needed
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PerM�t No. 3451 Town of South Windsor CT
Date , , 04/01/2003 Street Excavation Permit
Expiration Date 03/31/2004
Descrip: INSTALL DRIVEWAY
Applicant Location
Name AIROLDI 'S INC. 6tA ROAD
Addr. 41 ZINFANDEL CIRCLE �`
TOLLAND CT 06084 DRIVEWAY
Phone (860)896-0401 °
Applicant agrees t h or the amount of bond
required and to reimb w r r any expenses
incurred by the Town n pa KID connection with this
permit and that appli ant a '. an 1 ide by the rules and
regulations for permi "�" `. To th Windsor's Street
Cut Permit Manual .
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* * PERMIT = AJA TIMES.
Issued by
Date Completed pected By
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm Xy-o c t +s z jnc_. • Phone No. Z?Cl- L�7 lA
Address of Firm P o fbd x 11 o - w,(' %or
Location of proposed work-- I s[.rroeuLm P-4 -
Describe fully nature of permit requested- n o A
Starting date - -b::23 _Approx.time for completion 4- a 5-- n- -
Call Before You N No. Zoc�3-- )30 i I q(o Traffic Services Control No.
Show sketch of proposed work or furnish IR be Ailed g9t by Town of South windsor
two copies of separate drawing
Pavement CUt
Indicate North Prop, size of cut
No.cuts
Amt. of Deposit# - by
V
(}Cash ( )Check#
�( -7 Cut size after Perm. Patch
No. Cuts
Final Billing$
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: ✓�2 .� C2-{ Date: --3 - U 3
Titter_ Sr �, e-A, D.t. :
PERMIT SHALL BE KEPT ON 3OBSITE AT ALL TIMES
Standard Farms%Permlts\Street Excavation Permit.doc