HomeMy WebLinkAboutDriveway Street Cut Permits 62 Timber Tr TOWN OF SOUTH WINDSOR INSPECTION REPORT
Trermit No.-
Location Contractor AIROIDI�S: INC.
Type Work AY k �. Address P O,"BOA .:71
�LTTH WINpsO
Ph
CT 06074
Date Insp Needed
:
---------- Date^ Iy. ► (�
Time Insp
Needed
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Inspected By
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Work in Progress -- _
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Permit No. 4269 Town of South Windsor, CT
Date 08/18/2006 Street Excavation Permit
s
Expiration Date 08/18/2007
Descrip:
Applicant I ocatio'n
Name AIROLDI'S INC. 00 2, TIMBER
Addr. P O BOX 71
SOUTH WINDSOR Cl 060 F4 1y pfs IfTVETo7?Y
Phone (860)289-3876
Applicant agrees' to fu•rnxsh ,the T.�:s �7 36tktf Wind ,gr tie ;amotint of bond
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required
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Y x�is , c?�., �e�anc'e 'or"r'ep'a`ir'"w� :;2ne�An.e,ction with this
permit and that applicant is f ri4ilxar 7 e K ,W 1 d rp by tk'e rules and
regulations for permits asi outla.ned :L: �hz
0. of Sgtith 432ncis'br's Street
Cut Permit Manua
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* * PERMIT- TO '$:E <K$:PT"ON"
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Issued by Title
Date Completed Inspected By
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074
FEE $25.00
Name of firm �`� � S �� C- _ Phone No.
Address of Firm" _ Qa `-1
Location of proposed work_
Describe fully nature of permit
Starting date Approx.time for completion-
Call Before You Dig No. Traffic Services Control No.
Show sketch of proposed work or famish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
y' -
F ° Pavement Cut
No.cuts
as
e t Est.Size of Perm.Patch(s)
1-1
Est.Pvt.Thickness in.
Est.Unit Price$
Amt.of Deposit$
1�
0
Total Due$ by
{ )Cash( )Check#
ab Permanent Patch
No. Cuts
Size of Patch(s)
Final Billing
Amt Due Payee
Amt.Due Town
BY
Applicant is responsible for contacting 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
PERM UTLINED I�N THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: Date:—
Title: Driver's License#:
DFOUIT CI.IA1 1 12F ICFDT AW t NCICITC AT Al I VIRACC