HomeMy WebLinkAbout6 PVC installed for sump pump and roof l TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3552 Contractor VIOLETTE,.:.SILVESTER & SONS
Location 0008 BROOKHAVEN LANE Address 65 CHERRY STREET
Type Work STORM ZAST HART-FOR
D CT. 06108
Phone 'No (&60)289-3466 '
Date Ins Needed
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Time Insp Needed —� � rn.
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Inspected By
Work in Progress
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Permit No. 3552
Date 07/21/2003 Town of South Windsor, CT
Street Excavation Permit
Expiration Date 07/20/2004
Descrip: CONNECT SUMP AND ROOF LEADER TO CATCH BASIN
Applicant
Location
Name VIOLETTE SILVEST.ER & SONS.
Addr. 65 CHERRY STREET 00.0$ BROOKHAVEN LANE
EAST HARTFORD CT 06,108
Phone (860)289-3466 Type of .Wcrk STORM
Applicant agrees to furnish the Town of Scuth Windsor the amount of bond
required and to reimburse the Tower . Sough Windsor for. an} expenses
incurred by the Town for, maantenance or, repair work in connection with this
permit and that applicant is f`amilia'x WGad will Abide by the rules and
regulations for permits as outlinedthe. Town 'of South Windsor s Street
Cut Permit Manual.
* * PERMIT TO BE KEPT ON JO$ 81. E AT, ALL TIMES.
Issued by
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Date Completed f;
----------------- Inspected By _T'i --_—`�` J
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm L� J, V � Phone No. U
Address of Firm 4
Location of pro work � ;]� f�. �f�r w�.� L,.+
Describe fully nature of permit requested_ L. 42,rV_`<.
Sta g' date33 Approx.time for completion
Call No.ac:c 3 G ` 6 Traffic Services Control No.
aet c� d work or famish es of To be filled out by Town of South--Winds or
tw i ' g7,o �
Pavement Cut
Indicate N �U2G� Prop.size of cut
No.arts
Amt of Deposit$ by
(a ()Cash()Check#
Cut size after Perm. Patch
No. Cuts
Final Billing$
Amt Due Payee$
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:,k t 6, ?j
Date:
Tide:
PERMIT SHALL BE KEPT ON 70BSITE AT ALL TIMES
Standard Farms\Permits\Street Excavation Permit.doc