HomeMy WebLinkAboutDriveway Street Cut Permits 56 Wendy Dri TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3601
Location 0056 WENDY DRIVE Cont;z.a:et'ti'r"' 'Y' �jID,I .S INC.
Type Work DRIVEWAY fiddress; 41 .ZSNFANDET,- CIRCLE
T.OLLAND. C:: 060"B:4
Phone A7o, 180)8g6 0;.401..;,
Date Insp Needed
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Time Insp Needed —
Inspected By
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Work in Progress
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Permit No. 3601 Town of South Windsor, CT
Date 10/02/2003 Street Excavation Permit
Expiration Date 10/01/2004
Applicant Loct`z'an
Name AIROLDI'S INC. WENDY DRxVE
Addr. 41 ZINFANDEL CIRCL:E';
TOLLAND CT 060&4 Tae of:ti4Crk ARTVEWA�
Phone (860)896-0401
Applicant agrees to .fur44s the ,Town ofj�i 5outi'h Windsor 'the amount of bond
required and to reitnbiirse the ToWtz of South WansoroY axiy expenses
incurred by the Town for malt' nance or repair with this
permit and that appl`i dant 1s £'amili W a�3 ' ivi13 O.L e,.: tie rules and
regulations for permits as outlined the Towzi"'of ScsuCh, W; :ndsor's Street
Cut Permit Manual.
* * PERMIT TO KEPT ON JOB SITE AT
Issued by _—l/_ (1-� a- Title
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P y
Date Completed Inspected B
y
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT �o
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm 17tro�c�,i�S T�nC,. Phone No._c %% t- 38l(c
Address of Firm F.0 Q>0,�e `i 1 So UA-K \j--1rdsor
Location of proposed work 54 W_en4 y by-
Describe fully nature of permit requested "Re move. Ar�ye-w g=t4
Starting date to 3 -O 3 Approx.time for completion _1 O- 31-U 3
Call Before You Dig No.-IM3- oo 1 74 9 Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of South Windsor
two copies of separate drawing GAR.flc-tE
Pavement Cut
Indicate North 1 R > Prop. size of cut
No. cuts
Amt. of Deposit$ by
44 ()Cash ()Check#
I Cut size after Perm. Patch
V/ No. Cuts
Final Billing $
Amt. Due Payee$
Amt. Due Town$
a
Applicant is responsible for contacting by date r
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.
Signed:&all f' gartz1a Date:
Title: S.l_r D.L.#:
PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit.doc