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HomeMy WebLinkAboutDriveway Street Cut Permit 202 Abbe Road 700039 TOWN OF SOUTH WINDSOR, CT PURMIT�NUMBER STREET CUT PERMIT DATE: 04/30/07 GIS ID: 00600202y. FEE: 25.00 MUNIS APPLICATION# 200700545 EIRATION DATE: 04/2 9/08 F Fy :✓�F APPLICANT T '°<.L O CAT I O NAME: M&S PAVING AND SELII ESS >'.: "> B<. 70 2. E;ROAD ADDRESS: 435 BUCKLAND ROAD #..h ..,.;: ,,< . ;;::, AMBER;GEORGE J&MARYANN L SOUTH WINDSOR, :. SO C 0 ,01 ,.:.:. 22;" lit ROAD Ix DSO WIN P � . CT 06074 PHO NE 860 -- 64 81 915 WOR K DE SCRIPTION:SC RIFT IO N: VE DRIT::<' A > :a APPLI CANT ' .�s k NT AG REES ST OF FURNI SH TH E T.:, WN© Off''..:: ��;.,.<:: �M41'i'€`�QP O�TL3`REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANC,E ?frEI�3'��§SINd >$�?;*:rOA FQ �A�TENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TH AI' JiC IS`:`Fr :s ] �tL AgIDE BY THE RULES AND REGULATIONS FOR PERMI�T+�S AS OUTLINED IN THE TOWN 6':,so J*' pI R��T:>1VIANUAL. . : :.:} � ISSUED BY OkM,: 'ECTEI!Y "'x: INSPECTED BY 4/30/20079:35AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 70003 7 CONTRACTOR: !'1') I IS lJoa y> n LOCATION: - o, ADDRESS: TYPE OF WORK: D<-'o4- vA)u DATE INSP NEEDED: DATE INSP: / -e zhy INSPECTED BY:_ L�_n WORK IN PROGRESS: INPUT: DATE:_ 3o D� -,— L_ ATtON FQR STREET EXCAVATION lE,:R r TOWN OE SOUTH WINDSOR, Psrni#t#�16 PtJBL#C W©RKS DP`ARTNtENT TOWN HAIL ' 5ti=StJC:L1VA1�1 A1fENU . . SOUTH WINt3S8�GT U 074 FEE 9 --oo Nams of Firmest 1\l t.N G 1 Phone"No " Address of ftrm u - " { Location of proposed ilk 2" f LsIbsl{y natucs of# unit requested �' ►t isr l -tt Im� Fx. u�r Starting date pprox tunsforwMpletion"�f o � -- _ Call"Before"You©ig Na / 3 Tray_Sitvrces Control:No: Star sketci�of proposed w�x#c or turrnstc." twa ides of s a lti fftewi g # sate t�fotih This=section t f "flNocl"oc p T of: c dsor Prett�ettt"Cut " No.cats�, Est:Size+c Perm.PatCF�(s} Est:Pvt Thtdcness in. EstUn#t Pace i , II Amt.of t7�epo it1 Tetai Due$" " ey - ( )cash{ )Check# Prrat P�tat No, c Size of-Patc, Finat Bitti L Amt:ire Payee _$ a4rnt.Dits Tcwnrft _ .By Ap#tlicant tespc3nsrbte 6or c-fac ti_V Date the'P�i#cd De t ar�d C:t3.Y:d, [A TO PURNiSFf TO THE TOWN t?t=S011T#f W#N©SOR THE AMOUNT`Oi= BONp REQUIRE©AND TAD RE#tN8t1RSE THE TOWN OF $Ot1TH YIFtNt350R FO- ,1 E _, E%' _- #NCURRE-6 BY THE TO1NN rVM MAIN 7 ENgNCE 4R_REP}k#R itY€SFtK #N GONNECT#ON,WITH TH# PERM#T AIVD THAT#AM"FAM#LIAR Wit #NND Witt AB1#3E 13Y THE RULES AND"REGU[AT#E3NS:FOR" II II LIL II III iI IIII II PERMITS CftJTLtN f3#N THE T N- - l , TH_1140SOR'--___TCtJ7 PERM iT"MA►itiikl : Signed: This ©river's Liesnse#: - PERMt€SHALL BE KEPT ON JOBSi€E A€ALL''iM€S LI ., JOB INSTRUCTIONS r PROJECT NAME: ���'�q-� CONTACT NAME: ADDRESS: Abe R(� PHONE: CITY . LJ �-?- " ALT PHONE: WEEKEND L7 WEEKDAY Q CRACKS t LI= BOXES %WITH GRASS ^� NOTES: +� O 5 PAVING SF RESURFACE SF EXCAVATE j y SF STRIP I�1 l SF GRADE&PAVE 6 v2 LF CURB TON NOTES: DIRECTIONS SEALER SF % EDGE �.�. j SHADE. [ CURB STOPS CLEANING r NOTES: JOB*49MUCTt M 'C�4' � � 1 ��` COWACTWME 3C fir' PROJECT NAME ADDRESS: { �_^� '. ,2 Pi'IQNE: CIS �. t - ' ALTPHONe WEMMEND0 a- VMEE3MY Q l$Xti CRACKS t LF _ BOXES 4!o VVffH GRASS NOTES: ti all rJ..3 I PAVING SF RESURFACE SF EXCAVATE Il 0 SF STRIP SF GRADE&PAVI_ L.F CURB TON NOTES: ©iREGTIONS SEALER SF 5 � %TO EDGE SHADE- CURB STOPS Pikt - CLEANING C NOTES: - '+