HomeMy WebLinkAboutDriveway Street Cut Permits 35 Skyline D TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 33$6 Contractor AIROLDI 'S INC.
Location Address 41 ZINFANDEL CIRCLE
Type Work VEWAY �,. TOLLAND CT 06084
�h No. (860)896-0401
Date Insp Needed ns
Time Insp Needed
Inspected By
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Permit,'NO'. 3386 Town of South Windsor, CT
Date 09/09/2002 Street Excavation Permit
Expiration Date 09/09/2003
Descrip:
Appl i,cant ` a Location
Name AIROLDI 'S INC. Y DRIVE
Addr. 41 ZINFANDEL CIRCL •
TOLLAND CT- 06084 RIVEWAY
Phone (860)896-0401
Applicant agrees t 'ind or the amount of bond
required and to reim th r r any expenses
incurred by the Town fo en pai i connection with this
permit and that appli an ., ide by the rules and
regulations for permi li tl fL uth Windsor's Street
Cut Permit Manual . '
a
* * PER IT T LL TIMES.
Issued by
Date Completed Inspected By � -��
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APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm R1 I'b I:�- 'S Phone No. � j"3 9 7
Address of Firm P•0 160Y '1 I - -500*- l.yjr)ck36r-
Location of proposed work_3_ 1�-rye �Jr (.t:j�r)�;o—
Describe fully nature of permit requested cc ye
Starting date Approx.time for completion - ' v. d 2-
Call Before You Dig No. 3 WO I(o'-70 Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of South Windsor
two copies of separate drawing
Pavement Cut
Indicate North L Prop, size of cut
No.cuts
Amt.of Deposit$ by
rs {)Cash{ )Check#
Cut size after Perm. Patch
,vcu }-�Ci nth No. Cuts
Final Billing$
Amt. Due Payee$
37-,e Amt. Due Town $
Applicant is responsible.for contacting by date
the Police Dept. and C.S.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: 14 'A� ^-4 Date:
Title: D.L.#:
PERMIT SHALL BE KEPT ON 7OBSITE AT ALL TIMES
Standard FormslPermits\Street Excavation Permit,doc