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HomeMy WebLinkAboutMiscellaneous Street Cut Permits 480 Cla r TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 3818 Con,t,ractor TRT,MBULL CONSTRUCTION CO. ,INC Location 0480 CLARK STREET Add ress 14 RIV$RSTDE DRIVE Type Work MISCELLAN ;:ANSONTA C.T p64,Q1-1224 Phone No. (203)73`2-3733,, Date Insp Needed Date.:;Snsp T (J�r Time Insp Needed me 'sp Inspected By ® 9g Work in Progress rr t , Input t — Dae tt Permit No. 3818 Town of South Windsor, CT Date 08/05/2004 Street Excavation Permit Expiration Date 08/05/2005 Descrip: GATEWAY TRUNK SEWER.PLANS ©N.FILE Applicant Location Name TRUMBULL CONSTRUCTION CQ IIC;... t4Bp .CiARK STREET ..:' Addr. 14 RIVERSIDE DRIVE ANSONIA CT 06401u1224 Type WprS' Ml 8LLAN Phone (203) 732-3733 . Applicant agrees to furnish the: Tow11-10. !; f South Wiudsox the amount of bond required and to reimburse the Town of Scautki Wxi�dsor for any expenses incurred by the Town for maintexlarce or rep AS uzork xn connection with this permit and that applicant isrfamil'3ar Wiithl anti will abide by the rules and regulations for permits as butli.n;e:d it# the Torn of South Windsor Street Cut Permit Manual. * * PERMIT TO BE KEPT ,ON JQH! SIT "AT ALL TIMES,. Issued by __— -7 (�r Tit,le _ ----------------- Date Completed ---------------- „I ns pe t'e d By y ®fir _ 1ArrL.1t,A t 1UN t-UK STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR Per— PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00 Name of Firm Phone No. ? 7� Address of Firm O Location of proposed work Ar R t RO—CIA S ice a I: Describe fully nature of permit requested Starting date_I/►q Approx.time for completion Call Before You Dig No.ZQn z-C2—Traffic Services Control NO. Off— T - Show sketch of proposed work or fumish 71 two copies of separate drawing Indicate North This section to be filled out by ,f� [ Town of South Windsor 1 FIrTf15 Or1 '1T I'e Pavement Cut No:cuts SS une? Est.Size of Perm.Patch(s) Dom / Est.Pvt.Thickness in. Est.Unit Price$ r Amt.of Deposit$ �: � Total Due$ by 7/Z. Cash( )Check# Z51 Cr7 -Permanent Patch . No. Cuts Size of Patch(s) Final Billing Amt.Due Payee Amt.Due Town $ By Applicant is responsible for contacting Date the Police Dept.and C.B.Y.D. 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 F -RMITS AS OUTLINED IN TH TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. OR ed: Date: Driver's License#: �-- r SHALL BE KEPT ON JOBSITE AT ALL TIMES