HomeMy WebLinkAboutDriveway Street Cut Permits 9 Pear Tree 700175 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER //w1 STREET CUT PERMIT
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DATE: 10/18/07rY:s
GIS ID: 70500009
3_ FEE: 25.00
MUNIS APPLICATION# 200701709
IRATION DATE:
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10/17/08
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APPLICANT`'
'LOCATION
NAME: HOMEOWNER '
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ADDRESS: SOUTH WINDSOR,C b6074,: 171` <.:': UAIHOMAS R&DIANE P
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APPLICANT AGREES TO FURNISH THE TOWN€1:,zt F .<.. H ,.f. 10S 1)REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANI' 1S '. jIIxI.' ,>«,R (} VNp >IvZt1INTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE A P I ANT T A YI'I Al2:WITHAN17.fX 3I 'ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OFQT1tI "ST12 Uv IPE'RIIfi MANUAL.
ISS ED BY ATE INSPECTED INSPECTED BY
10/18/20072:11PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 75- CONTRACTOR:_ �
LOCATION:_
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: fi�D
WORK IN
PROGRESS:
AS-BUILT:
INPUT: Ok DATE:_ Se)-
W/2007 Town of South Windsor INPSECTION REPORT 07
Molloy, Catherine
From: CallCenter@CBYD2.com
Posted At: Tuesday, October 16, 2007 2:19 PM
Conversation: Locate Request-20074201540
Posted To: CBYD
Subject: Locate Request-20074201540
(CALL BEFORE YOU DIG - CT) 10/16/2007 14 :18:54
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***** ROUTINE *****
TIME. .14 :18 DATE. .10/16/2007
REQUEST NO. . .20074201540
LATITUDE. .41.8654980 LONGITUDE. .-72.5833543
TOWN. . . . . .SOUTH WINDSOR
ADDRESS. . .9
STREET. . . .PEAR TREE LN
NEAREST
CROSS STREET. .FARNHAM DR
--------------------------------------------
TYPE OF WORK. . . . .EXC TO REMOVE & REPLACE & WIDEN
AREA IS MARKED. . .YES
REMARKS:
DRIVEWAY . . . . . . . . . . . . . . .WORKING FROM THE STREET TO THE HOUSE WIDEN LOFT OUT THE RIGHT SIDE
---------------------------------------------
START DATE. . . . . .10/19/2007 START TIME. .07:00
CALLER. . . . . . . .. . .THOMAS TROIANO
CALL BACK. . . . ... .
PHONE #. . . . . . . . .860-289-9464 � .
FAX #. . . . . . . . . . .
ALT. PHONE #. . . .860-212-4652CELL
EMAIL ADDRESS. . .
CONTRACTOR. . . . . .HOMEOWNER
ADDRESS. . . . . . . . . 9 PEAR TREE LN q
CITY. . . . . . . . . . . .SOUTH WINDSOR
STATE. . . . . . . . . . .CT
ZIP. . . . . . . . . . . . . 06074
--------------------------------------------
EXCAVATOR DOING WORK. .SAME
ISSUED TO: DATE: TIME: BY:
DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY:
CALL BACK: 1) DATE: TIME: BY: 2) DATE: TIME: BY:
PERSON CONTACTED: PERSON CONTACTED:
1
AFFLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL
+ 1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074
FEE $25.00
Name of Firm_
Address of Firm Phone No.—S C,za ;?-p f3 'i
Location of proposed work
/Z C iJ OTI- t-J,N l ti
Describe fully nature of permit requeste
Starting date k �
Call Before You Dig No Approx. time for completion_ t J K
Traffic Services Control No.
Show sketch of Proposed work or furnish
two copies of separate drawing Indicate North This section to be filled out by
Town of South•Wndsor
Pavement Cut
No.cuts
Est.'Size of Penn.Patch(s)
Est.Pvt.Thickness in.
Est.Unit Price$
Amt.of Deposit$
Total Due$ by
a
( )Cash( )Check# .
Permanent Patch
# I No. Cuts
--- r Size of Patch(s)
I
Final Billing
$
Amt.Due Payee
Amt.Due Town
By
Applicant is responsible for contacting
the Police De t.and C.B.Y.D. Dat
AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE
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:
Title:
Driver's License#:
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES