HomeMy WebLinkAboutDriveway Street Cut Permits 33 Deming St TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3340 Contractor BLUE DIAMOND PAVING INC
Location Address 1064 EAST ST NORTH
Type Work
P.O. BOX 273
SUFFIELD, CT 06078
. (800 )728-4644
Date Insp Neededs
Time Insp Needed
ssAM
Inspected By
Work in Progress S#
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i
Date
'Ape► 4 ` o• 3340 Town of South Windsor, CT
Date 07/09/2002 Street Excavation Permit
k,Ex-piration Date 07/09/2003
Descr i p
-Applicant Location
Name BLUE DIAMOND PAVING M STREET
Addr. 1064 EAST ST NORTH
SUFFIELD, CT 06078 DRIVEWAY
Phone (800)728-4644
Applicant agrees h nd or the amount of bond
required and to reim u o th r any expenses
incurred by the Town e a pai i connection with this
permit and that app7i f an ide by the rules and
regulations for permi Cut Permit Manual uth Windsor's Street
, � .. � Qamo✓
* * PERMIT T T LL TIMES.
Issued by �. ,,�
Date Completed Inspected By 16
3 qD
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSORf CT
FEE $25.00
Name of Firm Gc� Phone No. 6a '
Address of Firm ay 6 tCd. a_ 7a g y�
Location of proposed work
Describe fully nature of permit requested ct
Starting date Z__. Approx.time for completion 758 MEti-t
Call Before You ig No. (o Traffic Services Control No.
Show sketch of proposed work or furnish To be fulled out by Town of South Windsor
two copies of separate drawing
Pave ent Cut
Indicate North Prop.size of cuts
_ No.cuts
a 3 Amt.of Deposit$ by
O Cash()Check#
C1d Cut size after Perm. Patch
., No. Cuts
.2o anal Billing
AM
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: Date:
Title
D.L.#c
PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES
Standard Forms\Permits\Street EXcavation_Pe nit.doC