HomeMy WebLinkAboutDriveway Street Cut Permits 131 Hilton D ~ TOWN OF SOUTH WINDSOR INSPECTION REPORT
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Permit No. 3495 Contractor AI'RC�T�'DZ:.;;S INC.
Location 0131 HILTON DRIVE Address: 41 t.TNFANDtL.;.CIRCLE
Type Work DRIVEWAY
TOLLAND C-T0AA
Phone :N:O ( 0;j$g6 '0401
Date Insp Needed
------ Datz
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Time Insp Needed ------- Time
Inspected By
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Work in Progress
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Irigut D '`
Permit No. 3495 Town of South Windsor, CT
Date 05/13/2003 """ Street Excavation Permit
Expiration Date 05/12/2004
Descrip:
Applicant Location
Name AIROLDI'S INC. EY131 HILTON 'IaRIUE.
Addr. 41 ZINFANDEL CIRCLE
TOLLAND CT 06084 Type of"S7ork D;kZIVEWAY
Phone (860)896-0401 .
Applicant agrees to,: furiskf the �1x�frxrUl�th Win3ox the amz�unt of bond
required and to resmburse the ;ToWzr'0'7^ s idspx for any"'expenses
incurred by
the Town f{ r maintenance'o " ".r
""'repair' woxk � s be fiect,�.on with this
permit and that applicant is fami],3.a:r: �S. axed."wild abide:=.by the rules and
regulations for permits as out'lined,fxa khe Toutxi'of South Wa$dsor's Street
Cut Permit Manual.
* * PERMIT TO'-BE:' PT ON cTOEITE AT ALL, TIMES.
Issued by ---� �1� Title
Date Completed _-------_ Inspected By
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm AA YO 1Cal '5 ao� Phone No. 222-32%
Address of Firm P- 0 6 o,r 17 t 50,)-t-h 1,W+n A S 6 r—
Location of proposed work 4.51 \4k 4 1)r 5•W .
Describe fully nature of permit requested 5-6,j2 dLivewe
Starting date to I - 03 Approx.time for completion U- Z U
Call Before You Dig No 2003 - 0001 d 14 Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of South Windsor
two copies of separate drawing
Pavement Cut
Indicate North ��O�l S Prop. size of cut
No.cuts
N 25
Amt. of Deposit$ by
5! ()Cash ( )Check#
y Cut size after Perm. Patch
N�rl
No. Cuts
Z3 ,> 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 /j 0.3
Title: QrfSt AA4- D.L.#:
PERMIT SHALL BE KEPT ON 70BSITE AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit.doc