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HomeMy WebLinkAboutDriveway Street Cut Permits 123 Greenwoo � r TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 3533 Contz.a.etCcrr"'�'k'T'R'O'LD:Z.,,�.,5 INC. Location 0123 GREENWOOD DRIVE Address: i41 tINFANDE:j, CIRCLE Type Work DRIVEWAY TOLLAND. Cr 060'8,4 Phone 'No, ($S©`j$q: A401, Date Insp Needed Date �4ris.p Time Insp Needed — -,— Inspected BY Work in Progress XJXXf111XXX���a ` Input ,Date Permit No. 3533 Town of South Windsor, CT Date 06/19/2003 Street Excavation Permit Expiration Date 06/18/2004 Descrip: Applicant LocatJ- Name AIROLDI'S INC 012 .GREENWggp DRIVE Addr. 41 ZINFANDEL CIRCLE TOLLAND CT 060$'4 fiype'ofrirk TlTt7EWAY Phone (860)896-0401 Applicant agrees. to furnxsk' the IM of . gtzth, Windsor the :amount of bond required and to reimburse i:the Townf SouCh'54ds6r for';"any'expenses incurred by the Town for tUaint0nance or repair work in conne.c;tion with this permit and that applicant 'is aTii tr1 � will ab �Te by t;he rules and regulations for permits as. dUt ined the Tpw of SSSUCh Windsor's Street Cut Permit Manual. * * PERMIT TO BE i I�EP4 Oj� "AT :.F1 1.I,L ,TIMES. Issued by -- (� Title Date Completed ' 0) - Inspected By V�D- APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT -'' ` : TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of Firm_ L L1L ,CS 1 nL Address of Firm p Phone No. 2", Location of proposed work 111, Describe fully nature of permit requested ,jy o Ly U/a y, Starting date Call Before You Dig No. b�?3 �S�0��3� , Approx. time for completion_ Traffic Services Control No. Show sketch of proposed work or furnish two copies of separate drawing To be filled out b Town of South Windsor Indicate North Pavement Cut �u�L Prop. size of cut No. cuts Amt. of Deposit$ by 4k O Cash O Check# Cut size after Perm. Patch No. Cuts Final Billing $ Amt. Due Payee$ Amt. Due Town $ Applicant is responsible for contacting b the Police Dept. and C.B.Y.D. y date 1 AGREE i 0 FURNIS!1 TO THE TOWN OF SOU T H VVINDSOR THE AMOUNT OF 30ND REQUIRED AND TU REIMBURSE THE TO SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS YViV OF 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: r'14�� tit�� �t /'rt 3r L�� Date: Ca / -a 3 Title: D.L.#: PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Standard Forms\Permits\Street Excavation Permit.doc