HomeMy WebLinkAboutDriveway Street Cut Permits 39 Rosemary TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3935
Location 0039 ROSEMARY LANE c.ntract9r AIP,.GLD,I�''S „<;INC.
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Type Work feS ' P Ci°'B', 7t
DRIVEWAY ` .
CT 06074
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Permit No. 3935 Town of South Windsor, CT
Date 04/15/2005 Street Excavation Permit
Expiration Date 04/15/2006
Descrip:
Applicant
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a a on
Name AIROLDIIS INC. #
ck� RASA&Y LANE
Addr. P 0 BOX 71 ,Fy
SOUTH WINDSOR GAT V15074 a
x ` 1? � wotk b?T2I-AWAY
Phone (860)289-3876 r .
Applicant agreesou�i4s1i th.e ' c7wxf p` Ut Sh Wi1#rc�z the amount of bond
p... .:
required and to re mburse'; kt 'Town #dsor
incurred b the To poi f ysy
Y P,
Y s aan en x f �i wQxk a connsB:Qtion with this
permit and that apply ant mif' ar w`` Ii ands"tisi4 a,..�a9 b* the rules and
regulations for pertis'as., �'' •. < `':z : ::<.>»g; .
..`
�uth Winci$or s Street
Cut Permit Manual.
* t PERMITAT;t'A'LL::::TM$3'.
Is
sued
sued b
Y
Date Completed n• ri ""'" --_
P I'Yf`sp'e c t e d B y
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSORf CT
FEE $25.00
Name of Phone No, -`�
Address of Firm ..
Location of proposed work
Describe fully nature of permit requested-
Starting date �_ Approx.time for completion_ \ \\
Call Before You Dig No.. Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of South Windsor
two copies of separate drawing
Pavement Cut
Indicate North VA i _ Prop. size of cut
No.cuts
Amt.of Deposit$ by
()Cash()Check#
Cut size after Perm. Patch .
No. Cuts
Lt)4) Final Billing $
Amt. Due Payee$
Amt Due Town$
Applicant is responsibl or co;i cf-ntj� 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.
'E
Signed ^� \ Date:—),,.
Title: �-
D.L.#•
PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit.doc
f Bernard Drabek-Locate Request-20051601239 Page 1
i
From: <Cal ICenter@CBYD.corn>
To: <cbyd@southwindsor.org>
Date: Tue, Apr 12, 2005 9:39 AM
Subject: Locate Request-20051601239
(CALL BEFORE YOU DIG -CT) 04/12/2005 09:34:47
-5G -C1 -CW -GV
-OT 2-SW SWINDS -T5
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*** REMOTE BATCH ENTRY***
***** ROUTINE *****
TIME..09:34 DATE..04/12/2005
REQUEST NO...20051601239
LATITUDE..41.8490104 LONG ITUDE..-72.5432624
TOWN......SOUTH WINDSOR
ADDRESS...39
STREET....ROSEMARY LN
NEAREST
CROSS STREET..ABBE ROAD EXT
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TYPE OF WORK.....PAVING DRIVEWAY
AREA IS MARKED...YES
REMARKS:
PAVING DRIVEWAY FROM ROAD TO HOUSE
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START DATE......04/20/2005 START TIME..08:00
CALLER..........LU-ANN HORN
CALL BACK.......8-5
PHONE#.........860-896-0401
FAX#...........NO
ALT. PHONE#....
EMAIL ADDRESS...
CONTRACTOR......AIROLDI'S 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: