HomeMy WebLinkAboutDriveway Street Cut Permits 128 Clinton TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3931 r 3itract�_xt+'M&/Sti!tPAVIft-:;t;AND SEALING, INC
Location 0128 CLINTON DRIVE r>`s
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Type Work DRIVEWAY ''
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Permit No. 3931 Town of South Windsor, CT
Date 04/12/2005 Street Excavation Permit
Expiration Date 04/12/2006 ' '
Descri
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Name M&S PAVING
4 �INON DIVE
Addr. 435 BUCKLAND ROAR, f
SOUTH WINDSOR€iCT-.-.96.fl7#+,.>"!:,.;,,-
Phone (860) 648-1915? }�
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�h"�`� ".; .'t k��e`4�amount of bond
reAborequired and to rexmbr:rs`e » 'MTo3 'tef`:4 so:x'
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incurred b the Towh :1:6'r'"a:':•:'"'"
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ermit and that a I<:' 'ia.`' aitr :: ' ::.;,,:a•.,:� >s 'a :,>
P PP cantx'3w'�;th<<ard`i' 'T'7,'ab1d by sthe rules and
regulations for permits,> ;5., x.G<1in' c' 1; ?e:"'Isua3x ofi;'.Su.t11.:Widsor's Street
Cut Permit Manual. .3g '
* * PERMIT TO Pi .Q'N ^e�OB.>.SIE: : I#:ALA ,lTMES.
Issued b
=— � ----- -Date Completed Completed Inspected B
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118S PAYING AN®SEAUNG INC.
435 Buckland Road 6 5pringoide Avenue
MING AND SEALING5outh Windsor CT 06074 Danbury,GT 06610 Toll Free-1-&00-486-5EAL
(560)64&-1915 (203)790-9727 Email:sale6Pm5oea1coat.com
Fax:(860)646-46002 Fax:(203)7,94--9172 www.mooealcoat.com
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18
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E Bernard Drabek- Locate Request-20051502042 Page 1
From: <CalICenter@CBYD.com>
To: <cbyd@southwindsor.org>
Date: Wed, Apr 6, 2005 11:23 AM
Subject: Locate Request-20051502042
(CALL BEFORE YOU DIG -CT) 04/06/2005 11:18:53
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--------------------------------------------------------------------------
*** REMOTE BATCH ENTRY***
*****ROUTINE *****
TIME..11:18 DATE..04/06/2005
REQUEST NO...20051502042
LATITUDE..41.8233833 LONGITUDE..-72.5220031
TOWN......SOUTH WINDSOR
ADDRESS...128
STREET....CLINTON DR
NEAREST
CROSS STREET..AVERY STREET
--------------------------------------------------------------------------
TYPE OF WORK.....WIDEN RIGHT SIDE OF DRIVEWAY
AREA IS MARKED...YES
REMARKS:
RESIDENTIAL DRIVEWAY
--------------------------------------------------------------------------
START DATE......04/11/2005 START TIME..08:00
CALLER..........SARAH
CALL BACK.......8-5
PHONE#.........860-648-1915
FAX#...........860-644-4602
ALT. PHONE#....
EMAIL ADDRESS...
CONTRACTOR......M &S PAVING AND SEALING, INC.
ADDRESS.........435 BUCKLAND RD
CITY............SOUTH WINDSOR
STATE...........CT
ZIP.............06074
--------------------------------------------------------------------------
EXCAVATOR DOING WORK..M&S PAVING AND SEALING, INC.
ISSUED TO: DATE: TIME: BY:
DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY:
CALL BACK: 1) DATE: TIME: BY: 2) DATE: TIME: BY:
APPLICATION FOR STREET EXCAVATION PERMIT -
r TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
TOWN HALL
1640 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074
FEE $25.00
Name of Firm I� �� pp'v'I t-�Ca 4,tj D �5•EaLI>j I t jC
Phone Nd. gL 0�
Address of Firm y 3S B"c V-L.A�/� p,q
Location of proposed work /,9L-9-
Describe fully nature of permit requested ��
AA4
Starting date 3 p
Call Before You Dig No.�OO S� /5Go?��a Approx.time for completion
Traffic Services Control No.
Show sketch of proposed work or fumish
two copies of separate drawing Indicate NorthFESLPvt
on to be filled outby
of South Windsor
t
enn.Patch(s)
ness in.
Est. Unit Price$
Amt.of Deposit$
Total Due$ by
( )Cash( )Check#
Permanent Patch
No. Cuts
Size of Patch(s)
Final Billing
$
Amt.Due Payee
Amt.Due Town
$
By
Applicant is responsible for contacting the Police Dept.and C.B.Y.D. Date
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 A OUTLINED IN THE TOWN 90F SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed*
( Date:
Title: �QC/ -✓
Driver's License#:
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES