HomeMy WebLinkAboutMiscellaneous Street Cut Permits 63 Fost TOWN OF SOUTH WINDSOR INSPECTION REPORT
tPermit No. 4260
Location
Core:=rActor„BEHRMAN"EXCAVATION & REMODEL.
Aad,re's; 512 e',iAlho STREET
Type Work MISCELLAN
i�AIT.CRSTE>12 CT 06042
Phone No: �$600:64.9 ;T :$„3
Date Insp Needed
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-- Date InSpsCo: ,
Time Insp Needed
Inspected Byua
Work in Progress r` — «�
_S iz�Ttca i ` 5 t�wAJ,
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Permit No. 4260 Town of South Windsor, CT
Date 07/26/2006 Street Excavation Permit
Expiration Date 07/26/2007
Descrip: INSTALL CONC. SIDE:kP:::L':FROM ;,HOf7SF dO P OA;A.:.
Applicant Loatatzl
y
Name BEHRMAN EXCAVATI6N & PEMODEI ; 0068 FOSTER STREET
Addr. 512 TAYLOR STREET >:.
MANCHESTER CT O,6042 W- I IS L LAM"
Phone (860)649-7583
Applicant agrees. Co f ni b the I�ru� of south Windsor` the amoixnt of bond
required and to reitnkirse tljo cx Stuth;Tdiadsor fir :any expenses
incurred by the Town for maanC�' fir• 'Ye�7aiYr• 7cnbnnOction with this
permit and that
. s',: `a's app
ide bY t he ru
les and
.::::!:<:re regulations for Permts as �u �ine tz t�e; T ;.c5f Squ'C:h d: r s Street
Cut Permit Manual.
* * PERMIT TO "3iE.:'K
.., ....x`.i.. P11 A :7�;,TIMES.
PIssued by
Date Completed _--------__— Inspected By {' `
APPLICATION FOR STREET EXCAVATION PERMIT #4-4-90
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL
1640 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074
FEE $25.00 J
Name of Firm
Address of Firm CNA Phone No. 4 2 S _
r41
Location of proposed work
Describe fully nature of permit requested
Starting date a
� to Approx time for n co
Call Before You Dig No. mpletion
�"- Traffic Services Control No.
Show sketch of proposed work or furnish
two copies of separate drawing Indicate North This se7hd!
d out b
Towndsor
Pavement
No.cuts
EsL'Size of )
Est.Pvt.Thiin.
Est.Unit PriAmt.of DepoTotal Due$ by
( )Cash( )Check#
rPermanent Patch
No. Cuts
Size of Patch(s)
Final Billing
Amt.Due Payee
Amt Due Town
., By
Applicant is responsible for contacting
the Police De t.and C.B.Y.D. nn -
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE
TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORKtIN
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: � �_'? 0 Date:4"o
Title: Vag v — r
Driver's License#:
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES