HomeMy WebLinkAboutDriveway Street Cut Permits 11 Jessica D TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3945 Soft ragtp3.� AIROIDFIr''8:,..,TNC.
Location 0011 JESSICA DRIVE }Ad'Ll e; $ %' P 6-t 73
Type Work DRIVEWAY :<:;5t •:<.yJINbSaR`C :;. 06074
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Date Insp Needed £ De Insp
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Permit No. 3945 Town of South Windsor, CT
Date 04/20/2005 Street Excavation Permit
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Expiration Date 04/20/2006
Descrip: h•N
Applicant
icant
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Na
me AI ROLD I S INC
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Addr. P O BOX 71
SOUTH WINDSOR •T 3:'.:'< "r'
Phone (860)289-3876
Applicant agreed the Town ofGh Win .the amcjunt of bond
required and to reamhuxs� thy•TQktA a �b kTi t3iror Eor auy e�kpenses
incurred by the T0cd1 for`:.rtia .a":', ec'
x.; ?#; ;,R#in ti:bn with this
permit and that appict'; '`r>f. t•'.:]i:�x::::a ah::> a:,;,'
.::...;s.r a :r;w a33' 'de by:::�:'tYi rules and
regulations for permits as >out,,117agd on"a Bind or's Street
Cut Permit Manual, a:j? f..
t * PERMIT TC3:a,B>E iK ;PT '()T''. OB? T F',"ALFa:::::I` •T�!$:S'. * t
Issued by
"",<>:,. z
Date Completed Inspected B
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR f CT
FEE $25.00
Name of Firm C�
Address of Fi Phone No.
Location of proposed ork
Describe fully nature of permit requested
Starting da Approx.time for completion c� Z
Call Before You Dig Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of South Windsor
two copies of separate drawing
Pavement Cut
Indicate North Prop. size of cut
No.cuts
Amt.of Deposit$ by
Cash O Check#
Cut size after Penn. Patch
No. Cuts
C: =7
Final Billing$
Amt Due Payee$
Asibl�
� Amt. Due TownApplicant is res or dng 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: `� �_ ^�
g Date:
Title ����
PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES
Bernard Drabek- Locate Request-20051700317 Page 1 j
From: <CallCenter@CBYD2.com>
To: <cbyd@southwindsor.org>
Date:, Mon, Apr 18, 2005 10:08 AM
Subject: Locate Request-20051700317
(CALL BEFORE YOU DIG -CT) 04/18/2005 10:04:28
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-OT 4-SW SWINDS -T5
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*** REMOTE BATCH ENTRY***
***** ROUTINE *****
TIME..10:04 DATE..04/18/2005
REQUEST NO...20051700317
LATITUDE..41.8543796 LONGITUDE..-72.5009384
TOWN......SOUTH WINDSOR
ADDRESS...11
STREET....JESSICA DR
NEAREST
CROSS STREET..DEBBIE DRIVE
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TYPE OF WORK.....PAVING DRIVEWAY
AREA IS MARKED...YES
REMARKS:
PAVING DRIVEWAY FROM ROAD TO HOUSE
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START DATE......04/26/2005 START TIME..08:00
CALLER..........LU-ANN HORN
CALL BACK.......8-5
PHONE#.........860-896-0401
FAX#...........NO
ALT. PHONE#....
EMAIL ADDRESS...
CONTRACTOR......AIROLDI'S INC
ADDRESS.........PO BOX 71
CITY............SOUTH WINDSOR
STATE...........CT
ZIP.............06074
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EXCAVATOR DOING WORK..AIROLDI'S INC
ISSUED TO: DATE: TIME: BY:
DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY:
CALL BACK: 1) DATE: TIME: BY: 2) DATE: TIME: BY: