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HomeMy WebLinkAboutDriveway Street Cut Permits 1010 Stong R TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 3548 Con,.;t>rA'ctor. AIRO LT3`l,:S,,.INC' Location 1010 STRONG ROAD AddreS 41 INPANDEL<;.;CIRCLE Type Work DRIVEWAY TOLLAND CT;' 060$'$,, Phone No.:,:( 0:4,,01 :. Date Insp Needed DaG '" Insp Time Insp Needed --_---- "rt lime InS3 Inspected By ,7 . F � � Work in Progressz -- aVS2 TInPn't �J—yDate / u Permit No. 3548 Town of South Windsor, CT Date 07/17/2003 Street Excavation Permit Expiration Date 07/16/2004 Descrip: Applicant L©oati' n ;. Name AIROLDI'S INC. 1fl10 STRONG RpAD,` Addr. 41 ZINFANDEL CIRCLE TOLLAND CT 06084:; Tpe .o Work pRiVELn7AX Phone (860)896-0401 s Applicant agrees "to Urhl:$�1 the Ts Wzx of dg.'h W1ndSPx hhe ampunt of bond required and to reimburse the. TtSv� p ` ot( yzi sor Apr ally. expenses .;j.. incurred by the Tows -- 1.ma�ntenarsd ect 'on with this "ox i�23aii� work �r�' 'pn permit and that applicant ::is fant2liais t�rY<1:1 abi3e by:`the rules and regulations for permits as out:- ned n; the Town of SotYth Wzizd'sor's Street Cut Permit Manual. * * PERMIT .�T,O�:B/1E f4EPT TIM.-8S. Issued by ---� �it'le Date Completed --_------- Inspected By ' <V %��'' APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of Firm Phone No. Address of Firm L) E7, C - -- Location of proposed work I o i Describe fully nature of permit requested 2 , Starting date 6ij 1 L CUB_ Approx.time for com letion u b Call Before You Dig No._o�c�o.S -o �Obc 3 Traffic Services Control No. Show sketch of proposed work or fumish To be filled out by Town of South Windsor two copies of separate drawing Pavement Cut Indicate North �1 Prop. size of cut No.cuts Amt. of Deposit$ by ()Cash ()Check# 0 Cut size after Perm. Patch INo. Cuts Final Billing$ Amt. Due Payee$ Amt. Due Town$ Applicant is responsible for contacting by date the Police Dept. and C.B.Y.D. o 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: Date: rf—D-03 Title: r (`� /11►_x' „ ,/# PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES Standard Forms\Permits\Street Excavation Permit.doc