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HomeMy WebLinkAboutDriveway Street Cut Permits 20 Ridgefiel ' TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 3252 Contractor AIROLDI ' S INC . Location Address 41 ZINFANDEL CIRCLE Type Work DRIVEWAY TOLLAND CT 06084 Phone,, No. (860)896-0401 Date Insp Needed flate '�Insp > Time Insp Needednsp, Inspected By Work i n Progress Input Date S O Permit, No. 3252 Town of South Windsor, CT Date 03/18/2002 Street Excavation Permit Expiration Date 03/18/2003 Descrio: Applicant Location Name ATROLDI ' S INC. t�C120 RIDGEFIELD DR Addr. 41 ZINFANDEL CIRCLE TOLLAND CT 06084 type of Work DRIVEWAY Phone (860)896-0401 Applicant agrees toi furnish the Town of South ''Wi'ndsor the amount of bond required and to reimburse . ihe', Town of ,South Windsor for any expenses incurred by the Town far maih,,tenance .or=.t^epair .'work in connection with this permit and that applicant is; fami 1 isr trith ..and . wfl l , abide by the rules and regulations for permits as' outlined in the Town- of South Windsor's Street Cut Permit Manual . * .* PERMIT TO ' BE KEPT ON'' JOB'' SITE AT 'ALL TIMES. Issued by _-- `� �ER�JI� Title • E�c Date Completed � _ Inspected B d v J� APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of Firm Address of Firmill Phone No. Location of proposed work -------------- Zc9 Describe fully nature of permit requested Starling date Z-Z Call Before You Dig No. oci o 9©2�Approx.time for completion � �- Traffic Services Control No. 71ndicateNorth roposed work or famish arate drawing Tie f&ed out by Town of South Wind ^� Pavement 9 Prop,size of cut No.cuts Amt.of Deposit$ by Cash O Check# Cut size after Perm, Patch No. Cuts Final Billing$ _ Amt.,Due Payee$ Amt. Due Town Applicant is responsible for contacting the Police De t.and C.B.Y.D. by--------.date I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE 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 THE TOWN OF TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. FOR PERMITS AS OUTLINED IN THE Signed: T � Date: 0 Title:_ D.L.#: PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES Standard FormsWermitAStreet Excavation Permit.doc