HomeMy WebLinkAboutDriveway Street Cut Permits 105 Farmstea (2) . TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 2939 Contractor ANTONIO P. RODRIGUES
Location 0105 FARMSTEAD DRIVE Address 1947 MAIN STREET
Type Work DRIVEWAY EAST HARTFORD CT 06108
?hone N0. (860 )528-9562
Date Insp Needed Dt� ;InOtt
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Permit No. 2939 Town of South Windsor, CT
Date 04/05/2000 Street Excavation Permit
Expiration Date 04/05/2001
Descrip:
Applicant Location
Name ANTONIO _P. RODRIGUES 0105 FARMSTEAD DRIVE
Addr . 1947 MAIN STREET
EAST HARTFORD CT 061018 I'y e ,of Wor* DRIVEWAY
Phone (860)528-9562
Applicant agrees toE fur"nish.:ithe" "TO-W " f South:";Windsor the amount of bond
required and to reimbu`ree nth ",town p� Sbyth `�ti.n�sor �for any expenses
incurred by the Town or `main.ten"arise or` repail work in connection with this
permit and that applint '. stfamilia"r with and "will abide by the rules and
regulations for permits as 110utl`i'.Ited ,ra thO"ToWn , of South Windsor 's Street
Cut Permit Manual .
* PERMIT TO BE K"EPT" O, N 01B SITE" AT ALL TIMES.
Issued by _ �, � A Titles , �,v�, £se,
Date Completed _ Inspected By i
- APPLICATION FOR`STREET CAVATION PERMIT
TOWN OF SOL WNDSOR
PUBLIC WOR
RTMENT
TOWN HAIL
1540 SULLIVAN.AVENUE
SOUTH 'WINDSOR. CT
FEE $2S.00
Name of Firm QV)n Phone No. (Bob
Address of Finn 5r, i
. dlp D
Location of proposed work ;
Describe fully nature of permit requested en 41 Va0
Starting date Approx.time for completion . a3z44hS
Call Before You Dig NO. a1ODD K'D 1 1 Traffic Services Control No. �%�•
Show sketch of proposed work or furnish To be filied of out by Town South Windsor
two copies of separate drawing
Pavement
Indicate North Prop.size of cut -
No.cuts
Amt.of Deposit$ by
R {)Cash O Check# ,
Cut size after Perm. Patch . . .
No. Cuts
a2 Final Billing$'
ayee T-
Amt. Due Town$
Applicant is responsible for contacting by date
the Police De . and C.B.Y.D.
I AGREE TO FURNISH TO THE TOWN OF.$OUTH 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: bate: y-s-da
Title:- Z Z( � D.L.#•
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Standard Forms\Permits\Street.Excavadon Permit.doc .