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HomeMy WebLinkAboutDriveway Street Cut Permits 155 Greenwoo TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 3623 Kl Contract:bT"'7T'T�''C7EB:L;'..S INC. Location 0155 GREENWOOD DRIVE Address, 41 '2INFAN DEL;. CIRCLE Type Work DRIVEWAY TOLLAND CJ060'8:4 hona:allo f$ .0)836>0401; Date Insp Needed ,app Time Insp Needed Inspected By f� Work in Progress 0� 1 ------------ '- 3 ------------- — - ' /fo Y No �. Input _ Date Permit No. 3623 Town of South Windsor, CT Date 10/30/2003 Street Excavation Permit Expiration Date 10/29/2004 Descrip: Applicant r,ocation Name AIROLDI'S INC 0 $ Q.REENWO6 DRSVE Addr. 41 ZINFANDEL CIkCLE; TOLLAND CT 06084 Trje of Mork DRTVEW}1Y Phone (860)896-0401 Applicant agrees to ;;furns;k1 the T©Wn Czf Sut'h Wincaor the amount of bond required and to reimburse Ch Town ref SouthTndSpr .for any expenses incurred by the Towxt fb'r maintigance qr repair wp k 1Xi'CohxY on with this permit and that apply cant 1 s, arkiij a'ak i kt a t ''wi11 a}a1 de;"by the rules and regulations for permits a otit�ined, £ .tkZ Towi of SO— ors Street Cut Permit Manual. * * PERMIT TO SE`kEPT.,ON' .70: 'STYE" AT A�,T,`':,TzhfES. Issued by (_-- �I�i litle.>,:.:>.. Date Completed _—__---- Inspected By -- • APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No, TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00 Name of Firm �.�c��; S Address of Firm O , Phone No. Location of proposed work \S 5 Describe fully nature of permit requested Starting date S o"31 Approx. time for completion Call Before You Dig No, 5 Traffic Services Control No. Show sketch of proposed work or furnish two copies of separate drawing r-- indicate North This section to be filled out b Town of South Windsor -7I o p Pavement Cut No. cuts 3s� Est. Size of Perm. Patch(s) Est. Pvt. Thickness in. Est. Unit Price$ �— Amt. of Deposit$ i Total Due$ by ( )Cash( ) Check# Permanent Patch No. Cuts Size of Patch(s) Final Billing $ Amt. Due Payee $ I Amt. Due Town By I Applicant is responsible for contactin I the Police De t. and C.B.Y.D. I o k G' Date 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: '��\30��3 Title: �s: ...Q�e,� Driver's License#: PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES