HomeMy WebLinkAboutTemporary driveway apron Street Cut Perm d
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 2897 Contractor CARON COLLISION, DBA
Location 0389 ABBE ROAD Address CARON PAVING CONSTR.
Type Work DRIVEWAY 115 PARK AVE.
EAST HARTFORD CT 06108
'hoe. iVca,. (860)297-1840
Date Insp Needed Date- Insp
Time Insp Needed Time Insp
Inspected By
Work in Progress
Input Date
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 2897 Contractor CARON COLLISION, DBA
Location 0389 ABBE ROAD Address CARON PAVING CONSTR.
Type Work DRIVEWAY 115 PARK AVE.
EAST HARTFORD CT 06108
eT40 ( 860 )297-1840
Date Insp Needed
tQ .IhSp
Time Insp Needed trr Inp�.
Inspected By
Work in Progress
1
'Input Date
sermit No. 2897 Town of South Winosor . CT
)ate 12/ 13/1999 Street Excava-,ion Permit.
:xpiration Date 12/ 12/2000
)escrip : DRIVEWAY APRON
Applicant; Location
lame CARON COLLISION . DBA 0389 ABBE ROAD
�ddr. CARON PAVING CONSTR.
EAST HARTFORD CT Ott 108 I.�,p(F� of. Wor.k. . DRIVEWAY
Phone ( B60 )297- 1 H4Ci
Applicant agrees to furs3sh the Town of South Windsor the amount of bona
required and to reimourse, the Town of South Windsor for anv exuenses
incurred by the Town for maintenance orrepair work in connection .with this
permit and that applicant- i, '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 .
PERMIT TO ,�E KEPT 'ON JOB .SITE AT ALL TIMES.
issued by (�tle
Date Completed
--------- ---. _.----- Inspected By
APPLICATION FOR STREET
EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm i.N1yr) tf
Address of FirTmnVn Phone No.
Location of proposed work
Describe fully nature of permit requested
u
Starting date Cali Before You ig o. Approx.time for completio
Traffic Services Control
Show sketch of proposed work or furnish
two copies of separate drawing To ire th'Windsor
Indlca"orth Paveme
Prop.size of cut
No cuts
Amt.of Deposit$ by
O Cash{)Check#
F"- Cut size after Perm. Patch
No. Cuts
�1 Final Billing
Amt. Due Payee
Amt. Due Town$
Applicant is responsible for contacting b
the Police Dent-and C.B.Y.p. Y date
------------
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF
SOUTH WINDSOR THAT I AM FAMILIAR WITH AN FOR ANY EXPENSES INCURRED 8Y THE TOWN FOR PERMIT AN MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS
D 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 --
D.L.#'
PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit.doc