HomeMy WebLinkAboutMiscellaneous Street Cut Permits 60 Demi TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. Ll,58 . Contractor COLONIAL PAVING
Location Address 244 LOMBARDO DR
Type Work MISCELLAN E. HARTFORD CT 06118
Phone No. (860)568-9613
Date Insp Needed batb ' Insp.
Time Insp Needed TiMe 'Ins'p `
Inspected By
Work in Progress ®� �� �„�4%
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Input,, , Date
Permit No. 3158 j Town of South Windsor, CT
Date 07/30/2001 ; Street Excavation Permit
E7 r6t i on .D i, e 07/30/2002
Descrip: INSTALLING _',rPfj,,jAit
Applicant Location
Name COLONIAL PAVING � �:r>oQ66"flEMING STREET
Addr. 244 LOMBARDO DR
E. HARTFORD CT 061 1$'. T r�e Of ,Wr, k MISCELLAN
Phone (860)568-9613 .
Applicant agrees to furi i s fah$ ' 'o ' ^Of Sout h 'Wi ndsor the amount of bond
required and to reimburse' �he°1,,Towri +f S t Winc sor `far any expenses
incurred by the Town For, m enan or: r�epair,'work In connection with this
permit and that app 1 i cant ;j s , amI1 1 i,ar i # ancf rai ] T 'abide by the rules and
regulations for permitsa5 0'ut1Tns3 i' ,M Towrr. ':af South Windsor's Street
Cut Permit Manual .
* * PERMIT TO AE, KEPT ON MOB S•I`T€ AT' ALL TIMES. xc
Issued b
Y 'T i t 1 e
Date Completed Inspected By _-
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSORf CT
FEE $25.00
Name of Firm C%6 L oN,__L-_ I°R1/i44, C4. 1 - Phone No.
Address of Firm g9W 4 kOM6 .d 4*66 ,R • f-14
Location of proposed works 4D A /Y)1,416- S7'
Describe fully nature of it requested 77773 o 2w1 2,Roz
op to o��� m,+,<r_ED 0wr !AI / 187E
Starting date — —0 1 Approve.time for completion_ /- i4y5
Call Before You Dig No. '.I o o Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of South Windsor
two copies of separate drawing
Paymment
Indicate North Prop•size of cut
.05�1: NO.cuts
/�PP�►c�T n� O r'O¢' -Amt.of Deposit$ by
O Cash()Check#
Cut sae after Perm.Patch
No. Cuts
Final Billing$
-Amt Due Payee$
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: 2 3 0^0 1
Title: SECIe E7 D.L#:
PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES
Standard Forms\Permits\Street Excavation Pemtitdoc
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