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HomeMy WebLinkAboutDriveway Street Cut Permits 36 Cliffwood K TOWN OF SOUTH WINDSOR INSPECTION REPORT N '� Permit No 3.151 Contractor COLONIAL PAVING Location Address 244 LOMBARDO DR Type Work DRIVEWAY E. HARTFORD CT 06118 Phone No. (860)568-9613 Date Insp Needed ©ate Inspa, 2-bl v1 Time Insp Needed Tame Insp.' Inspected By Work in Progress x Input Date rv' "i' ` 'vv• .5101 Town of South Windsor, --CT Date 01/24/2001 Street Excavation Permit Expiration Date 07/24/2002 Descrip: CK 1665 $50.00 2 PERMITS Applicant Location Name COLONIAL PAVING Op36 dLIFFWOOD DRIVE Addr. 244 LOMBARDO DR E. HARTFORD C7 06118 Type of Wor DRIVEWAY Phone (860)568-9613 ; f r Sb Applicant agrees to furn la ,the �crn of SathWndaor the amount of bond required and to reimburse t�Me ;T ►wr1af Sixth �Vindsor for any expenses i""t~ incurred by the Town f m "i b ance� r ttepatr work. 'i n connection with this permit and that app 1 i cast # f m a and"v�f 1 -abide by the rules and regulations for permits - as "oot'lined n ,­ Town ,of South Windsor's Street Cut Permit Manual . `° * * PERMIT TO 8E M a 'SI1E. A7 ALL TIMES. Issued by Date Completed 2, Z &7 I respected By r- APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of Firm 1-0,�1/ �i o A' /All- CO. dF- E.#-PPhone .- J 46 Address of Firm oZ ,B o , E. d Location of proposed work GL!F l,JOOA Describe fully nature of permit requested Starting date - -O Approx.time for completion Call Before You Dig No, d o / 30 0 O 3 Traffic Services Control No. Show sketch of proposed work or furnish To be filled out by Town of South Windsor two copies of separate drawing Pavement Cut Indicate North Prop. ►ze ut— ', r /� No cuts Amt.of Deposit$ by / O Cash O Check# ( Cut size after Perm. Patch 1 g ; No. Cuts �b Final Billing $ 13 I Amt. Due Payee$ Amt. Due Town$ Applicant is responsible for contacting d-0 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. r Signed: ctJ Date: 7,�2 Title: PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Standard Forms\Permits\Street Excavation Permit.doc