HomeMy WebLinkAboutMiscellaneous Street Cut Permits 239 Fel TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 2974 Contractor COVEN CONSTRUCTION CO.
Location 0239 FELT ROAD
Address P.O. BOX 427
Type Work MISCELLAN
COVENTRY CT 06238
P'hone No. (860)282-0526
Date Insp Needed ti�te 'I.ns
Time Insp Needed _ Ire
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Inspected BY T�6r ��•tc
Work in Progress All,
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Input Date
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,Perm��t No. 2974
Date 06/01/2000 Town of South Windsor, CT
Street Excavation Permit
Expiration Date 06/01/2001
Descrip: SIDEWALK REPLACEMENT
Applicant Location
Name COVEN CONSTRUCTION Ca 59 FLTROAD
Addr. P.O. BOX 427
COVENTRY CT 06238 Typo o. Wo k,uMISCELLAN Phone (860J282-�0526
Applicant agrees tofurn i sh ,the Town bf South. W i.ndso r the amount of bond
required and to reimt�Urse tie ,'''own "South .�Y•pdsor _,for any expenses
incurred by the Town -form terakncle, ,:or repai r nl .in connection with this
permit and that applrtcant 1S farm W t and J,, abide by the rules and
regulations for perm�ts �,ae• a�t1��ne� a.� th+ei, Town �f,youth Windsor's Street
Cut Permit Manual . .
* * PERMIT TO BE . KEPT',pAl ,'JOB. SITE AT ALL TIMES.
Issued by Title
Date Completed �/�/mod Inspected By
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm �7'AU A, Phone No, f 0Y7r
Address of Firm o
Location of proposed work
Describe fully nature of permit requested
Starting date Approx.time for completion
Call Before You Dig No.I Traffic Services Control No.
Show sketch of proposed work or f mish To be filled out by Town of South Windsor
two copies of separate drawing
Pavement Cut
Indicate North Prop. size of cut /1110
No.cuts
Amt.of Deposit$ by
OCash OCheck#
�] \ 1 Cut size after Perm. Patch
r� 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 M FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE
TOWN OF SOUTH N OR'S ST CUT PERMIT MANUAL.
Signed: 4) /1")
Date:
Title: D.L.#:
PERMIT SHALL BE KEPT ON 70BSITE AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit.doc