HomeMy WebLinkAboutMiscellaneous Street Cut Permits Between TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 2996 Contractor LOGICAL ENVIRONMENTAL SOLUTION
Location BETWEEN CHAPEL&PLEASANT VALLfYAddress 354 SOUTH RIVER ROAD
Type Work MISCELLAN TOLLAND CT 06084
Phone No. ( 860 )870-1780
Date InSp Needed _ _ - __. __._. Date Insp .-._ _- _--
Time Insp Needed _t _ Time Insp. ----_..----- - -- -- _-_.._
Inspected By
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Work in Progress
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Permit No. 2996 Town of South Windsor, CT
Date 07/24/2000 Street Excavation Permit
Expiration Date 07/24/2001
Desc:rip : 13 GEOPROBE SOIL BORINGS TO 8 ' BELOW GRADE - SEA CONSULTANTS
Applicant Location
Name LOGICAL ENVIRONMENTAL SOLUTION, BETWEEN CHAPEi_&PLEASANT VALLEY
Addr. 354 SOUTH RIVER ROAD
TOLLAND CT 06084 Type of Work >MISCELLAN
Phone (860 )870-•1 780
Applicant agrees to furni'sh the `Town` of South Windsor the amount of Mond
required and to reimburse the fiown `of South Windsor' for any expenses
incurred by the Town for maintenance or repair work in connection with this
permit and that applicant is 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, BE KEPT ON JOB SITE AT ALL TIMES.
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APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm 06 1 c A L Erly;ILoN e,u A L- !�a Phone No. glob 870 1 ygp
Address of Firm S ;�� d Q„ CT D
Location of proposed work CIAIL o R.fl.W.
ojp C +
Describe fully nature of pe mi r uested
!Zi Q r Way ^ a �rv1 { v�
Starting date a pprox.t o for completion 1 u
Call Before You Dig No. V c'o 0.30 00 z 22 Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of South Windsor
two copies of separate drawing
PavernentCut
Indicate North Prop. size of cut
No. cuts
Amt. of Deposit$ by
O Cash O 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: D�
Date: 7 21
Title: / 2ESi®t D.L.#:
PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit.doc