HomeMy WebLinkAboutDriveway Street Cut Permits 103 Northvie e TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 4193 Contra:ot'O-i;!.'AIR'dIl'D !;:S.,,INC.
Location
As3dres.s iii 0 BOX 71
Type Work VEW
SOUTH WTN1?S�R CT,;,, 06074
PhonQ �o j$6£!)289 '3876
Date Insp Needed
Time Insp Needed
»�-
Inspected By j_Syt _
Work in Progress _— V1
---- _ -
• Permit No. 4193 Town of South Windsor, CT
Date 04/18/2006 Street Excavation Permit
Expiration Date 04/18/2007
Descrip:
Applicant Loeatoa
Name AIROLDI'S INC. 0 [3 NORTHVIW AR1.duE
Addr. P O'BOX 71
SOUTH WINDSOR CT6074 Ty4e'a,f IE[+TAY
Phone (860)289-3876
Applicant agrees to furnish the T.a .; Szth Windsor the artfount of bond
wiiii
req
uired
d and to r '
4 .the f ri3 ie:xpehses
incurred b the Town:ii.fps` "' n Y .. .: �a ce""or' fed'fir"w�r�k:;;: n�<dp`.ing:.ction with this
permit and that applicant i :famx7 ab d by tkye rules and
regulations for permif's as::..o''u;t;3' ne'�3' ' z. tlig�, p #.:;oft3 is Str;':p S e e t
Cut
Permit
Man
ual.
* * PERMIT TO S.E ••$CE.PT:.,ON 3F7.S;.:: .T:TE AT .:API;:;;TIMEF:u.
Issue
d b
;;.
Date Completed Inspected B
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074
FEE $25.00
Name of Firm
Phone No.
Address ofFirm7: . _ �� `�;\ z»�`� \,J:, �,.��,. �, 7 6o,—ILt
Location of proposed work
Describe fully nature of permit requested
Starting date Approx. time for completion
Call Before You Dig No.`-�o06 1 S 001-} r7 Traffic Services Control No.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
Pavement Cut
No.cuts
�= Est.Size of Perm. Patch(s)
i
�$ Est. Pvt.Thickness in.
Est. Unit Price$
F Amt.of Deposit$
Total Due$ by
( )Cash( )Check#
Permanent Patch
r
3 No. Cuts
�l Size of Patch(s)
Final Billing
Amt. Due Payee
Amt. Due Town
By
,nt is responsible for contacting Date
Dept.and C.B.Y.D.
FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE
7UTH WINDSOR FOR ANY EXPENSES.INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
'TLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Date:
Drivers License#:
'IIAI IAQQITC AT Al t TIOACC
Bernard Dra 11 bek Lobate Request 20061500467 Pagej1
From: <Cal ICenter@CBYD.com>
To: <cbyd@southwindsor.org>
Date: Mon, Apr 10, 2006 12:01 PM
Subject: Locate Request-20061500467
(CALL BEFORE YOU DIG -CT) 04/10/2006 11:54:08
-5G -C1 -GV -OT
12-SW SWINDS -T5 -W3
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*** REMOTE BATCH ENTRY***
***** ROUTINE*****
TIME..11:53 DATE..04/10/2006
REQUEST NO...20061500467
LATITUDE..41.8143939 LONGITUDE..-72.5872421
TOWN......SOUTH WINDSOR
ADDRESS...103
STREET....NORTHVIEW DR
NEAREST
CROSS STREET..ELLINGTON RD
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TYPE OF WORK.....DRIVEWAY STREET TO GARAGE
AREA IS MARKED...YES
REMARKS:
DRIVEWAY STREET TO GARAGE
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START DATE......04/13/2006 START TIME..07:00
CALLER..........BOB SHEEHAN
CALL BACK.......7-5
PHONE#.........860-289-3876
FAX#...........
ALT. PHONE#....
EMAIL ADDRESS...
CONTRACTOR......AIROLDIS 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: