HomeMy WebLinkAboutDriveway Street Cut Permits 86 Windshire TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3516 Cont:ra'ctor AIROliDl:l::S....INC.
Location 0086 WINDSHIRE DRIVE Addres:$,< 41 Z RNF AND CIRCLE
Type Work DRIVEWAY
..OLIAND'"GT. 0608`4.;.
Phone No ($Sa`)896 "0'491
Date Insp Needed Dade Tnsls
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Time Insp Needed Time Insp
Inspected By
Work in Progress
Input Date
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Permit No. 3516 Town of South Windsor, CT
Date 05/29/2003 Street Excavation Permit
Expiration Date 05/28/2004
Descrip:
Applicant Lo.catxin
Name AIROLDI'S INC. 0086 WINDSHIRE v$
Addr. 41 ZINFANDEL CIRQt.E
TOLLAND CT 06084 Te at�r1:..DRIVEWAY
Phone (860) 896-0401
Applicant agrees t'o furn .;hi'the Town ::s-f ScruC Windsor ;:the .,amount of bond
required and to reatnblirse tkie iow is l#f Sztiukh T7 gor:: csr any expenses
incurred by the Town ;Or maN tenance or `repair work 'an caz nection with this
permit and that appll,cnt as' fai1'iah �aisd wall..,abide.by the rules and
regulations for permijs as outlined i C;he tocsin of Sglith W.a.,tad.aor's Street
Cut Permit Manual.
* * PERMIT TO '$E KEPT ,ON '7L)B. ^sIT.$'"7IT,ALL TIM$'S.
Issued byit1 —_
Date Completed _��=`� �`r', Inspected B �1
a 5.
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm !r®I S -_!_nC_ Phone No. g9lo " DW f1
Address of Firm b 17— 60vy�- Wi nc(Sor
Location of proposed work tyr n Ts T Am"— h r
Describe fully nature of permit requ -to r-e-ri c a—
Starting date & - S_63 Approx.time for completion 1, - J 0-0 3
Call Before You Dig No.aoa3- j 003977 Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of South Windsor
two copies of separate drawing
Pavement Cut
Indicate North 35 Z Prop.size of cut
No.cuts
4\
Amt. of Deposit$ by
Cash ( )Check#
Cut size after Perm. Patch
`i to
No. Cuts
v
Final Billing$
Amt. Due Payee$
C- `� '� Amt. Due Town $
Applicant is responsible for contacting 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.
Signed: .� Z--- 1 Date: 5 , 17 d3
Title: D.L.#•
PERMIT SMALL BE KEPT ON JOBSITE AT ALL TIMES
Standard Farms\Permits\Street Excavation Permit.doc