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HomeMy WebLinkAboutDriveway Street Cut Permits 203 Northvie 700017 TOWN OF SOUTH WINDSOR CT PERMIT NUMBER , STREET CUT PERMIT DATE: 04/03/07 GIS ID: 64500203 MUMS APPLICATION# 200700384 ' `" FEE: 25.00 E'XPIRATION DATE: 04/02/08 r . APPLIA r..:C N T k^k .. < LOCATION AME: :...r h�, AIROLDI S INC. :% � ; r:. <;}.;;:: .< POBOX71 ADDRESS DRIVE 'I'HVIEW SOUTH W IND S OR C FDSON CAROLYN B NHS.. I�VIEW DRIVE `4. 'I' W`f Ii�D PHONE a CT 060.k... 74 WO RK DE SCRIPTION: SCRI TI O N: D i• u�% rr"t . r.✓. APPLICANT <S:s�<+ AGREES TO THE'I�WN 0� THE TOWN OF SOUTH WINDSOR FOR AN*,E �NSEa INS:.„r< .y �; "'.`::, �©F ONL)REQUIRED AND TO REIMBURSE CONNECTION WITH THIS PERMIT AND THL A 'PLCIT T`` <: +TOS IQp TENANCE OR REPAIR WORK IN FOR PERMITS AS OUTLINED IN THE TOWN OLIH>Wjl j; '. pA BY THE RULES AND REGULATIONS L. IS D D I E}INC E : INSPECTED BY 4/3/20072:15PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** l TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: `) 0 0 0/7 CONTRACTOR: A4 e)I Gt l S LOCATION:-A V)eu) ( ADDRESS: TYPE OF WORK:_ w ct.. DATE INSP NEEDED: DATE INSP: /z 4 INSPECTED BY: R.h WORK IN PROGRESS: INPUT: DATE_I 1 APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT TOWN HALL 1640 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00 Name of Firm �� S c Phone No. Address of Firm 0 `1 \ �v���,�,,�� Sov C'C� c!) Location of proposed work Describe fully nature of permit requested Starting date G 1 Approx. time for completion Call Before You Dig No. ` �o�l\3 0�S Traffic Services Control No. Show sketch of proposed work or furnish This section to be filled out by two copies of separate drawing Indicate North Town of South Windsor Pavement Cut No. cuts Est. Size of Perm. Patch(s) ;�' Est. Pvt.Thickness in. Est. Unit Price$ Amt. of Deposit$ Total Due$ by ( ) Cash( )Check# Permanent Patch No. Cuts Size of Patch(s) Final Billing IV Amt. Due Payee Amt. Due Town By Applicant is responsible for contacting 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 CONN WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERT AS O TLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed: Date: 3 �� Title: Driver's License#. PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES BePnw d Grabek-Locate Re uest 20071302547 Page 1 From: <CallCenter@CBYD2.com> To: <cbyd@southwindsor.org> Date: Thu, Mar 29, 2007 8:53 AM Subject: Locate Request-20071302547 (CALL BEFORE YOU DIG -CT) 03/29/2007 08:50:31 -5G -Cl -GV -OT 2-SW SWINDS -T5 -W3 -------------------------------------------------------------------------- ***REMOTE BATCH ENTRY*** *****ROUTINE ***** TIME..08:50 DATE..03/29/2007 REQUEST NO...20071302547 LATITUDE..41.8123855 LONGITUDE..-72.5846099 TOWN......SOUTH WINDSOR ADDRESS...203 STREET....NORTHVIEW DR NEAREST CROSS STREET..PLEASANY VALLEY RD -------------------------------------------------------------------------- TYPE OF WORK.....DRIVEWAY STREET TO GARAGE AREA IS MARKED...YES REMARKS: DRIVEWAY STREET TO GARAGE -------------------------------------------------------------------------- START DATE......04/03/2007 START TIME..07:00 CALLER..........BOB SHEEHAN CALL BACK.......7-5 PHONE#.........860-289-3876 FAX#........... ALT. PHONE#.... EMAIL ADDRESS... CONTRACTOR......AIROLDI'S INC ADDRESS.........PO BOX 71 CITY............SOUTH WINDSOR STATE...........CT Z I P.............06074 -------------------------------------------------------------------------- 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: