Loading...
HomeMy WebLinkAboutYard drain for driveway to CB no road cu 70a202 � TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 11/30/073` GIS ID: 11400141 FEE: MUNIS APPLICATION# 200701948 ` i' 25.00 :CATION DATE .. ..:: 11/29/08 APPLICANT SKIPS SEPTIC `zy< LOCATION NAM C ADDRESS: UM HILL ' S. 27 MUDDY BROOK ;�.�> t, t::..k,,: : ,., 'FE€7NARD S JR FAMILY TRUST THE ELLINGTON CT 060 . `; *' ` '"ri ' : `- C 29'„ H'HILL DR l,:.. ". THi: S 1N OR, CT 06074 _PHONE 860 875-2332 r WORK DESCRIPTIONYARD� �. R.' •/:.f�::� CUT NEEDED rc , APPLICANT AGREES TO FURNISH THE TOVN kQTITH; O +% REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANYkiIENES` +I4 :1 ' pj F©1 I1INTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THEPPITC�IN' +I- J tvIlltkiZ;lXitH'`AND yV1LI i`ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF St)LJTTTS1Z "STIR f CU `#' R1I MANUAL. .,.. ISSUED BY DATE SPECTED INSPECTED BY 11/30/20073:37PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** Aliv N+ y r .'{k ':.S;t' �'�'". rc.v,•• •i%.i.,.+i...N,iC<2t`F.. ` n`�,���v , TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: '7 CONTRACTOR: 5 k' � .LOCATION: 00 ,G rc� lei Il I�-i i iti TYPE OF WORK: `I a�c) a-, r DATE INSP NEEDED: DATE INSP: ; INSPECTED BY: 'r, WORK IN PROGRESS:- a:J r 9 LT D�► AS-BUILT: INPUT: DATE:_ W12007 Town of South Windsor INPSEC RON REPORT 07 APPLICATION FOR STREET EXCAVATION PERMIT 7C0 TOWN OF SOUTH WINDSOR L� PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 �, FEE $25.00 Name of Firm f5 / C !/l C.4 Phone No._ Address of Firm 2 dk of k— b t� Location of proposed work ' Describe ully nature of permit requested ar A ` Starting date ZcX-5rj Call Before You ig N Do. u 7 -� Approx. time for completion_ Traffic Services Control No. Show sketch of Proposed work or furnish two copies of separate drawing Indicate North This section to be filled out by Town of South'Windsor Pavement Cut No.cuts Est.Size of Penn.Patch(s) r Est.PvL Thickness in. Est.Unit Price$ AV c� Amt.of Deposit$ Total Due$ by )Cash( )Check# . r , Permanent Patch u 61 y��, No. Cuts 0. PVc ° s Size of Patch(s) Final Billing Amt.Due Payee Amt.Due Town ' By Applicant is re nsible for contacti ffl the Police De t.and C.B.Y.D. Da 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 CONNEC ON WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMIT S OU2P IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed: ILA Date:_ j I—2k ®1 Title: Lr Driver's License PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES