HomeMy WebLinkAboutDriveway Street Cut Permits 19 Woodcock TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 4212 Con AIRCD .,:,TNC.
Location
Aedres O BpX 71
Type Work
S6Li WINDGDR. Ct-,06074
P ons No (.8"F312898'7$
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Date Insp Needed Datq. 'Iris
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Time Insp Needed
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Inspected By
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1 Permit No. 4212 Town of South Windsor, CT
Date 05/05/2006 Street Excavation Permit
Expiration Date 05/05/2007
De s c r ip:
Applicant Location
Name AIROLDI'S INC. QJ1$ OODCOK, i?R'3�FE
Addr. P 0 BOX 71
SOUTH WINDSOR CT 0' 067 Type c�, Work ARIVEW,AY
is
Phone (860)289-3876
Applicant agrees; t� fusrx sh t'he,TQ n 'Sa1� 'h Windsor the 3iito int of bond
required and to reinburse.;'.the 'down of.•;Soufh Wiie3sor fd ; any expenses
incurred by the Towa fior ma ip I �adxk :tion with this
permit and that appl;zcs�t,:1 familiar tasty• aht�'�ry.7l abd b the rules and
regulations for perms ts' 'a's purl `net at �. I + tip Sotith Mind"so.r's Street
pi
Cut Permit Manual.
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* * PERMIT TO BE„'KEPT ON:..Jt7
Issued by �'itle
Date Completed ----- ;:;:;;>=:;I:asp 'et`e d By ------
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
TOWN HALL
1`540 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074
FEE $25.00
Name of Firm '��o\ S \ Phone No.—
Address of Firm
Location of proposed work �47A
Describe fully nature of permit requested
Starting date Approx. time for completion '� YS
Call Before You Dig No. Traffic Services Control No.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
Pavement Cut
No.cuts
Est.Size of Perm. Patch(s)
-lc, 1Z Est.Pvt.Thickness in.
Est. Unit Price$
Amt.of Deposit$
Total Due$ by
0
\3l ( )Cash( )Check#
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
CONK WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMIT S OY tN N THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: Dat6: O
Title: e{ \ \` "*' a s Driver's License#:
Bernard Drabek Locate Request-20061704011 Page 1
From: <CallCenter@CBYD.com>
To: <cbyd@southwindsor.org>
Date: Fri, Apr 28, 2006 12:32 PM
Subject: Locate Request-20061704011
(CALL BEFORE YOU DIG -CT) 04/28/2006 12:25:47
-5G -Cl -CW -GV
-OT 4-SW SWINDS -T5
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*** REMOTE BATCH ENTRY***
***** ROUTINE*****
TIME..12:25 DATE..04/28/2006
REQUEST NO...20061704011
LATITUDE..41.8382186 LONGITUDE..-72.5244407
TOWN......SOUTH WINDSOR
ADDRESS...19
STREET....WOODCOCK LN
NEAREST
CROSS STREET..NORTON LANE _
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TYPE OF WORK.....DRIVEWAY STREET TO GARAGE
AREA IS MARKED...YES 4 v
REMARKS:
DRIVEWAY STREET TO GARAGE
-- ---- -----------------------------------------------------
START TIME..07:00
CALLER..........BOB SHEEHAN
CALL BACK.......7-5
PHONE#.........860-289-3876
FAX#...........
ALT. PHONE#....
EMAIL ADDRESS...
CONTRACTOR......AIROLDI'S INC
ADDRESS.........PO BOX 71
CITY............SOUTH WINDSOR
STATE...........CT
ZIP.............060 74
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EXCAVATOR DOING WORK..AIROLDI'S INC
ISSUED TO: DATE: TIME: BY:
DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY:
CALL BACK: 1) DATE: TIME: BY: 2) DATE: TIME: BY: