HomeMy WebLinkAboutDriveway Street Cut Permits 27 Oxbow Lan TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No 3372, Contractor AIROLDI 'S INC.
Location ` Address 41 ZINFANDEL CIRCLE
Type Work DRIVEWAY' -3t TOLLAND CT 06084
ne No. (860)896-0401
Date Insp Needed
I l2 oZ
Time I nsp Needed f ¢ ,({M
Inspected By
Work in Progress
SORmDate �----
Ffermft No. 3372 Town of South Windsor, CT
Date 08/15/2002 Street Excavation Permit
Expiration Date 08/15/2003
Descrip:
Applicant ` Location
Name AIROLDI 'S INC. Xv �O LANE
Addr. 41 ZINFANDEL CIR
TOLLAND CT 06084 DRIVEWAY
Phone (860)896-0401
Applicant agree o Wi dsor the amount of bond
required and to re out $�Q for any expenses
incurred by the To n nte, rep r in connection with this
permit and that ap 1 a � � i i'° �,. h abide by the rules and
regulations for per *tls u 04 South Windsor's Street
Cut Permit Manual .
� A
* * PERMIT ALL TIMES.
Issued bysop co , e k do
�P
Date Completed Inspected By
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT l
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSORf CT
FEE $ ' .K
Or
I (PC)- , r
Name of Firm it Phone No, o2
Address of Firm P.v > i C<D 1 rr d E e- -
Location of proposed work Q 7 0 Y h n to S IA-)/.2--t r
Describe fully nature of permit requested aA.;.. e
Starting date WZY- $-i T og Approx.time for completion
Call Before You Dig No. D(7,C, ) 3a DP.17 q Traffic Services Control No.
Show sketch of proposed work or furnish To be filed oUt by Town of South Windsor
two copies of separate drawing
Pavement Cut
Indicate North Prop. size of cut
A No.cuts
�Q �-t�S7 zcj li
Amt. of Deposit$ by
� n
O Cash{)Check#
Cut size after Perm. Patch
No. Cuts
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:..T �e � i Date: ,"7 L1
Title: � D.L.#.
PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES
Standard FormsWermitAStreet Excavation Permit.doc
(CALL BEFORE YOU DIG -- CT) 11.18 0 7 2 0 O'C-::,
17:55:0 1.
--J:l --mo I—SW SWINDS
BA-rCH ENTRY
ROU-r
IINE
TIME. 17.04 DATE. . 1218/17.17/2002
REt-,lL.JEST NO. . . 2 00 2 3 0 2 17 4
L 41. 849817.101 LONG I TUDE. . —72. 60"71357
TOWN. . . . . . SOUTH WI NDSOR
ADDRESS. . . '_7
STREET. . . . OXBOW LN
N E(I R E S T
CROSS STREET— OLD PARISH DRIVE-
2>9
TYPE OF WORT:. . . .. . EXC TO PAVING DRIVEWAY
AREA IS MARKED,, . . YES
REMARKS-,
PAVING FROM ROAD TO HOUSE
START DATI-E. . . . - 08/15/2002 START TIME- 08.00
CALLER. . . . . . . . . . CHRIS AIROLDI
CALL BACK. . . . . . . 8-3
PHONE Mkt. . . . . . . . . 860-896-0401.
FAX #. .. . . . . . . . .. . NO
ALT. PHONE #. . .. .
EMAIL ADDRESS. . .
CONTRACTOR. ., . . . . AIROLDI' S INC
ADDRESS. . . . . . . .. . PO BOX 7.1.
C I TY. . . . . . . . . . . . SOUTI--1 WINDSOR
STATE., . . . . . . . . .. . CT
ZIF.. . . . . . . . .. . . . .. 0607.4
EXCAVATOR DOING WORK. AIROLDI' S INC
ISSUED TO: DATE a T I ME a BY:
DATE/TIME ARRIVED: TIME LEFT COMPLETED BY.-
CALL BACK: 1 ) DATE.- T I ME n BY-. 2) DATE. TI ME n BY.
PERSON CONTACTED: PERSON CONTACTED.-