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HomeMy WebLinkAboutDriveway Street Cut Permits 153 Edgewood TOWN OF SOUTH WINDSOR INSPECTION REPORT s Permit No. 4274 -� Conta'Cor QUALITY RAVING CO. Location xS9-,EDdtWO0b DR14i Address.,. :." 194 5;. MAIN S.TPEET Type Work DRIVEWAYF3OR C7;.;,06088 Ph0,4 NO" .("8a0)52:2 41a2 Date Insp Needed _ Date' Tnsp Time Insp Needed _—__--- Tim Irx&p.,;. ; Ll Inspected ByEd Work in Progress : Permit No. 4274 Town of South Windsor, CT Date 08/29/2006 Street Excavation Permit i Expiration Date 08/29/2007 Descrip: Applicant Lcrca't:ion Name QUALITY PAVING CQ; %Q1SDU" WpOI} DRIVE Addr. 194 S. MAIN STREET " EAST WINDSOR CT i0608& 'jre .cs Wox}g DRIVEWAY Phone (860)523-4182 Applicant agrees :Q furf#gsb the 'Town o South WiHidscx ;'tP1e:.aYiio3xnt of bond required and to reEmburse't'he down of S©�ath 'W�ndsor foz any expe�hses incurred b the To'&i ;:: s Y for mainben nds . repro t w©rk �n :onbection with this permit and that ap plicant 3;4 semi sir wl. and ts$ sxb d by the rules and regulations for permits as outlan } xh" 1ie � 'SouthfWnc�spr's Street Cut Permit Manual. •: PE RMIT T. 'Q BE:;>:K�'P:1'>.:bN `cTEY$s''�T:�: ::•A'Tt•f':�>,'��• T'T, �' '''� :r Issued by 1 � `..� z Date Completed _----_------ 'ed' By — Bernard Drabek- Locate Request-20063402324 Page 1 From: <CaliCenter@CBYD.com> To: <cbyd@southwindsor.org> Date: Wed,Aug 23, 2006 3:33 PM Subject: Locate Request-20063402324 (CALL BEFORE YOU DIG -CT) 08/23/2006 15:32:55 -5G -Cl -GV -J1 -OT 10-SW SWINDS -T5 -W3 -------------------------------------------------------------------------- C i ***** ROUTINE***** TIME..15:32 DATE..08/23/2006 REQUEST NO...20063402324 LATITUDE..41.8252239 LONGITUDE..-72.5947265 TOWN......SOUTH WINDSOR ADDRESS...153 STREET....EDGEWOOD DR NEAREST CROSS STREET..HILTON DR -------------------------------------------------------------------------- TYPE OF WORK.....EXC TO RMV/RPLC DRIVEWAY AREA IS MARKED...YES REMARKS: /� U WORKING FROM STREET TO GARAGE / \ ------------------------------------------------------------------------- START DATE......08/28/2006 START TIME..08:00 CALLER..........DON DEVANZO CALL BACK.......8-5 PHONE#.........860-523-4182 FAX#...........860-292-1103 ALT. PHONE#.... EMAIL ADDRESS... CONTRACTOR......QUALITY PAVING CO ADDRESS.........194 SOUTH MAIN ST CITY............EAST WINDSOR STATE...........CT ZIP.............06088 -------------------------------------------------------------------------- EXCAVATOR DOING WORK..SAME 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 TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT r TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00 Name of Firm C _l c Ca tlz c phone No. Address of Firm Location of proposed work1;7 , Describe fully nature of permit requested - , -- r,nti Z-•7- ,t �E B T' St mg date 7 ApproX. time for completion etc - Call Before You Dig No. = - �l Z 3 Z Traffic Services Control No. Show sketch of proposed work or furnish two copies of separate drawing Indicate North This section to be filled out by Town of South Windsor Pavement Cut No.cuts Est.Size of Perm. Patch(s) Est. Pvt.Thickness in. Est.Unit Price$ Amt.of Deposit$ Total Due$ by Cash( )Check# /1 Permanent Patch / No. Cuts Size of Patch(s) Final Billing Amt. Due Payee Amt. Due Town r $ t By Applicant is responsible for contacting 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: ? �. l ,,: / ���.. �` Date: Title:_. Driver's License#: PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES