HomeMy WebLinkAboutMiscellaneous Street Cut Permits Felt Ro TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 4114 Contr.ac!t"o"r""ASSO'CT'AT:ED BORINGS CO. , INC.
Location FELT ROAD AT CULVERT119<< ARGAREI:...;CIRCLE
Type Work MISCELLAN ( AUGATi7GK CT ,06770
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Date Insp Needed ------_—_— Date Tzsp
Time Insp Needed _------
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Permit No. 4114 Town of South Windsor, CT
Date 10/21/2005 Street Excavation Permit
Expiration Date 10/21/2006
Descrip: TEST BORINGS FOR ER IDG' :: PROF:ECT ,;
Applicant ta.bzi
Name ASSOCIATED BORINGS C'O INC F 'if T ROAD A GULVERI
Addr. 119 MARGARET CIRCLE.:.,
NAUGATUCK CT 06;77Q Tyke of I4piS� MT'$CELLZT7
Phone (203) 729-5435 iii
Applicant agrees; to',f�rn'Ish�the Town::-.Q.. $'otff Windis4r the; amount of bond
required and to rei'mbvr"'. thy. �O:W.a Q 9YSuth, 1s 3pr f.?z any ::expanses
incurred y the Town :;ert ma: zxt'_,gan '°'br r pa'i'r raY7c,;3:rv;: t�lnoction with this
permit and that appl3.c nt :abide by' the rules and
regulations for perm ''ts as., aa.t`l n'e-d n">£'he 3'o;v .c::fsf""South L'rid `''or's s Street
Cut
Permit
Ma
nual.
* * PERMIT TO BE KEPT OTJ) Ga SITE AT AI,I,',TIMPyS.
Issued by -----v i =1—�--- -- ' it1e• J, 4:n✓�
Date Completed _ \51'L}�r?� — Inspected By _
10/18/2005 TUE 8:53 FAX 560 644 7284) South Windsor Town Hall I�1005!013
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR,CT 06074
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/ FEE $25.00
Name of Firm koGAto f wjnr q Co -J;%( _ - ---Phone No. 3 729$9t35
Address of Firm 11 9 MAeQf#W 67--- &R CGE
Location at proposed Nvork_ Fff-!� t- QOA6 -a 1z4 b 6sC 58&- Athicoe-b _,z4/.aMq-
Describe fully nature of permit requested 4 r&--ST' Zo4iNjij f e Ba#D66r 2drPA CQ-MCrvt-
Starting date_ fv Z!I Zvi Approx.time for completion I
Call Before You Dig No. Zc,05 430 10 27 Traffic Services Control
Shona sketch of proposed work or furnish Z hissection to befitted out by
two copies of separate drawing Indicate North a
Town of South Windsor
Pavement Cut0 �
No.cuts
Est.Size of Perm.Fatch(s)
Est.Pvt.Thickness _in.
i
Est.Unit Price$
Amt.of Deposit$ ��
Total Due$ --by
( }Cash( )Check#_
i
Permanent Patch
No. Cuts
Size of Patch(s)
Final Billing
Amt,Due Payee
Amt.Due Town
SY_.�—
Applicant is responsible for contacting Date
the Police Dept,and C.B.Y.D. — I _
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 1 AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULA TIONS FOR
PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSSOR'S STREET CUT PERMIT MANUAL.
Signed: Date:
Title;______ --- -- Driver's License#:
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
,8:10 FAX 2032486448 CALL BEFORE. YOU DIG Z002
05 06:36 20?72551'6 ASSOC FSGRINO$ CLl jNC 'AGE :71
:E705 1B:?� 18 �iac�l3Fi 1aMC EM4 INFERS
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