HomeMy WebLinkAboutDriveway Street Cut Permits 161 Oxford D Permit No. 3496 Town of South Windsor, CT
Date 05/13/2003 Street Excavation Permit
Expiration Date 05/12/2004
Descrip:
Applicant Locat.iom
Name AIROLDI'S INC. ,:: O .6l.:OXFORD DRIVE.
Addr. 41 ZINFANDEL CIRCLE
TOLLAND CT 06084 pe of Work DRIVEWAY
Phone (860) 896-0401
Applicant agrees to furnish the To' ; of $.buth Windsor." the: amount of bond
required and to reimburse t;he'Town .S;oath tinds;or f6r any expenses
incurred by the Town'>for maintenance ox, repa .r work in* ctinnectd on with this
permit and that applicant is fami will abide by the rules and
regulations for permits as. butlinedn the To'vsn of .South "Windsor's Street
Cut Permit Manual.
* * PERMIT TO BE KEPT:. O.N JOB SITE AT ALL TIMES.
Issued b i' '` f Title
Date Completed __ >____�y�=�''J Inspected By 1y��_
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3496 Contractor j1IROLDI.'S INC.
Location 0161 OXFORD DRIVE Address 41TNkANDEL.. CIRCLE
Type Work DRIVEWAY TOLLAND: GT 0601,4
Phone "No, (86:0)896'.-0401
Date Insp Needed
------------ ---- IIate Ln ,: L_ ��
Time Insp Needed i
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Inspected By ,l
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Work in Progress
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Input — Date —2—
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. APPLICATION FOR STREET EXCAVATION PERMIT l I J
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
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FEE $25.00 .
Name of Firm AIroAi .S -L►'lc- Phone No,
Address of Firm P O 0 o e ?l Lu .
Location of proposed work ire 1 b r
Describe fully nature of permit requested _ r
AA A P;a c-C.o--n
Starting date b -/ - 63 Approx.time for completion 30 - ��-
Call Before You Dig No.Z-,2-0a 3 D 0c,jd- Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of South Windsor
two copies of separate drawing
Pavement Cut
Indicate North <- I Z 7 Prop. size of cut
No. cuts
z�
i Amt. of Deposit$ by
v
-A O Cash O Check#
Cut size after Perm. Patch
V 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.
1 AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND T 0 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:_ , /� ��L�6'% Date:
Title: � D.L.#:
PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit.doc