HomeMy WebLinkAboutWater Street Cut Permits 60 Bidwell Road Permit No.
Da Town of South Windsor, CT
__ : .; 08/16/2001 001 Street Excavation Permit
Expiration Date 08/16/2002
Descrip: TRENCH FOR WATER SERVICE
Applicant Location
Name CAS CONSTRUCTION CO. , IAC 060-�BIDWELL ROAD
Addr. 160 SEBETHE DRIVE
CROMWELL CT 06416 Typ�" of
rW1)rk WATER
Phone (860)632-1617
Applicant agrees to fu rn l sh,`th'O gouivh W j nd or the amount of bond
required and to re7mbU se. the ".1'6wn of _ t #� #(, dsQr for any expenses
incurred by the Town i`pn m*jttt0nahc , r�pafr ; p k Tr1 connection with this
permit and that appl i arrt ;I ;farm l i.ar S F1 anc� .�tj�l,l - abide by the rules and
regulations for permits s .` U t n ; #i® Towr� ,. South Windsor' s Street
Cut Permit Manual.
* * PERMIT TO !3 KEPT` ON J , 8 SITE AT; ALL` TIMES.
Issued by E(ZNA Ti:tl`e �c '
Date Completed Z 3 bI 'Inspected By
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. Contractor CAS CONSTRUCTION CO. , INC
Location Address 160 SEBETHE DRIVE
TYpe Work WATER I!
` N i L- 1 ,urvL (X- CROMWELL CT 06416
Phone No. (860)632-1617
Date Insp Needed 60 Z7 � ,Date Insp.`
Time Insp Needed 4�. it • 3 p R
7im� ,Insp .. r'J
Inspected By
Work in Progress
Input Date
�Ttl�
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Fimt G,4S Phone No.
Address of Firm Xe- E- E 908ox IP6L'2o s
Location of proposed work t /-s4 ooq
-Z
Describe fully nature of permit requested
Starting date-7-7 Ze - O ! Appr,thne for oenpt
Call Before You Dig No. I d Traffic Services Control ryo,
Show sketch of proposed work or furnish To be filled out by Town of South Windsor
two copies of separate drawing ,
evement
Indica6e North (/ ive W. #
Prop.sire of cut 6 = �2� ,c 3.3 4
No.cuts
.ant.of Deposit by
OCash OCheck
#._
Out sire after Perm. Patch
No. Outs
Final Billing$
ant.Due Payee$
ant.Due Town$
Applicant is responsible for contacting by date
the Police Dept and C.B.Y.D.
1 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 PERMIT MANUAL
Signed: Date:
Title: D.L#:
PERMIT SHALL BE KEPT ON 306SITE AT ALL TIMES
Standard Fonns\Permits\.Street Excavation Perrnitdoc