HomeMy WebLinkAboutDriveway Street Cut Permits 847 Ellingto 700132 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
STREET CUT PERMIT
DATE: 08/20/07
GIS ID:30300847
MUNIS APPLICATION# 200701326
FEE: 25.00
RATION DATE:
08/19/08
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APPLICANT
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LOCATIO N
NAME: QUALITY .. <.:. �;;:��A.>:
Q TY PAVING CO.> .. .:� ... .:....:::.: ....
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LINGTON ROAD
ADDRESS: 194 S.MAIN STREET '`
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.. ARNESI FRANK J&ROSE PL/U
AST WINDSOR,C
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L7 H VV I111DS O CT 06
074
PHONE �
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60 52 34 1 82
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SCRIPTION:S C RIP T IO
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APPLI
CANT AGREES TO FURNISH THE TQWN 0�.:
lOIxTD>REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY':,EX' NSS INCks F:.'::.: O :;1vIAIITTENANCE OR RE CONNECTION WITH THIS PERMIT AND THI�>;APPIC I�Tf"'IS" ' ":. ,:"'' PAIR WORK INWILs' IDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN Off:so
J,T.I WTIDS.I #S: C{7"I;..PERI;.:1ANUAL.
ISSUED BY DAFT=•: I: .C>FEI INSPECTED BY
8/20/200711:41 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: ®0 3 a CONTRACTOR: UUO i
LOCATION: Sys L'E L I c �kr\ f-oa JC
TYPE OF WORK:_ 17 l \1 'e, w C u
DATE INSP NEEDED: DATE INSP: If 1_�er7
INSPECTED BY: 6 D
WORK IN
PROGRESS:
AS-BUILT:
INPUT: Cott~ DATE:_
W/Z007 Town of South Windsor INPSECTION REPORT 07
Bernard Drabek- Locate Request 20073301826 Page 1
From: <Cal[Center@CBYD.com>
To: <cbyd@southwindsor.org>
Date: Wed, Aug 15, 2007 9:57 AM
Subject: Locate Request-20073301826
(CALL BEFORE YOU DIG -CT) 08/15/2007 09:53:46
-5G -C1 -GV -OT
4-SW SWINDS -T5 -W3
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***** ROUTINE*****
TIME..09:53 DATE..08/15/2007
REQUEST NO...20073301826
LATITUDE..41.8183631 LONGITUDE..-72.5879104
TOWN......SOUTH WINDSOR
ADDRESS...847
STREET....ELLINGTON RD
NEAREST
CROSS STREET..QUARRY BROOK DR
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TYPE OF WORK.....EXC TO RPLC DRIVEWAY
AREA IS MARKED...YES
REMARKS:
WORKING FROM STREET TO BACK OF HOUSE ON THE QAURRY BROOK DRIVE SIDE OF
THE PROP
THIS IS A CORNER PROP
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START DATE......08/18/2007 START TIME..08:00
CALLER..........DON DEVANZO
CALL BACK.......8-5
PHONE#.........860-523-4182
FAX#...........860-292-1103
ALT. PHONE#....
EMAIL ADDRESS...
CONTRACTOR......QUALITY PAVING CO
ADDRESS.........194 SOUTH MAIN ST
CITY............EAST WINDSOR
STATE...........CT
Z I P.............06088
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EXCAVATOR DOING WORK..SAME
ISSUED TO: DATE: TIME: BY:
DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY:
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
t TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074
FEE $25.00
Name of Firm LC
_ Phone No. �
Address of Firm
Location of proposed work EZZ exlk�twat
Describe fully nature of permit requested
Starting date a Approx. time for completion �o
Call Before You Dig No. e�D 7�3" /�,� _Traffic Services Control No.
Show sketch of proposed work or furnish
two copies of separate drawing Indicate North This section to be filled out by
Town of South Windsor
Pavement Cut
No.cuts
Est.Size of Perm. Patch(s)
Est.Pvt.Thickness in.
Est.Unit Price$
Amt.of Deposit$
Total Due$ by
( )Cash( )Check#
Permanent Patch
No. Cuts
Size of Patch(s)
final Billing
Amt. Due Payee
/ $
l 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
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:
Driver's License#:
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES