HomeMy WebLinkAboutDriveway Street Cut Permits 124 Commerce TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit N Contractor MAC CTIAIN..:CONSTRUCTION, LLC
Location `
a Address„ 278Q, ;IiE£3RON""AVENUE
Type WorkCzIASTONBURl C.T 0§033
Phorl.e No .,(8 kj 5S.8 :8870
Date Insp Needed
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Time nsp Needed
Inspected By —
Work in Progress
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�. Permit No. 4296
Date Town of South Windsor, CT
09/26/2006 ''
Street Excavation Permit
is
Expiration Date 09/26/2007
Descrip: WIDEN DRIVEWAY E NTRANC g i:>
Applicant
� Locatycwn
Name MACCLAIN CONSTRiICTION ' TLC
Addr. 2784 HEBRON AVEI)U;F,, CQMMERC WAY
GLASTONBURY CT ,0&0:33
Phone (860)558-8870 Q of Work DRI E. y
Applicant agrees t.o furnish the � wn' t WindSor'tieount of bond
required and to reib'urse, the.,,Towiz:::.>.:;Q ,:::;;Sut:. `;: ,'.....;' '.
h,Wrtt3so .. r'"ahy% :x: enses incurred b the �.>e T ow'"Y n': Czr. °'.
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permit nn<e:c.tn with t t a his
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r math atc ,;abkdz by tt3e rules and
regulations for permitp as ou ]ine, h pf Spu 'h.;Ty.y�d, or s Cut Permit Manual. Street
* * PERMIT TO 'BE 'KEPI OL333 SiF£+''}�T ALi, TIMES.
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Issued b
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Date Completed
------__—__-- Inspected By
09/14/2006 THU 15:57 FAX 880 644 7280 South Windsor Town Hall Q004/005
APPLICATION FOR STREET EXCAVATION:PERMIT 4 �(�
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL,
1540 SULLIVAN AVENUE
:SOUTH WIND$0R,CT 06074
FEE-$25.00 .
'Name of Fkm 1�►nA t A..a s u��d o ,
Address of Firm z z ¢ tam B Phone No._ g
Location of
proposed work . -SOILL o
Co
Describe fully nature of permit 4
t eque
Starting date
Cd Before You Dig Na.Z o go o - AWOX.time for completion
Traffic Services Control No.
Show sketch ofpropow wank or famish
of separate drawing ftdcate Notch TI+#s section xo fili�d out by
T�ym of Sauth•Winda••.
Pavetnent Cut
No.cuts
Est.Size of Perm.PaWs)
Est.Pvt Thickness in.
Est Unit Price g
,a rn•:inn z 4 VA
Q � Amt.of Deposit$
TOW Due$ ,
/ t ?Cash t )Check
:6 Pennanent Patch ,
No. Cuts
Size of Pa*s)
9
• mt Due kyee .
t Due flown
ttcarnt is mspappima for
e Police"Ant.and C.a v F%
1 AGREE TO FURNISH TO THE TOWN OF SOS WINDSOR THE AMOUNT OF BOND REQUIRE?AND TO REIMBURSE
TOWN OF SOUTH WINDSOR FOR ANY EISES INCURRED BY THE TOWN FOR MAINTENANCE. OTHE
CONNECTION WITH THIS PERMIT AND THAT JAM FAMILIAR WITH AND WILL,ASIDE BY THE RULES AND REGULATIONS FOR
PERJ=AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
OR REPAIR WORK IN
Signed: -
Date:
Title:
D dvees License#:
PERMIT SHALL BE KEPT ON JOBSIT'E AT ALL TIMES
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