HomeMy WebLinkAboutMiscellaneous Street Cut Permits Gail La f �
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 4010 G r£raGt r MARTIN LAIVUERO CONTRACTORS
Location GAIL LANE AT CHAPEL RD °tS
"Add,, v 373°`P RY, ILhE AVENUE
Type Work MISCELLAN ° c:
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Inpu ^'� ., V!;. "Date -- ��
Permit No. 4010 Town of South Windsor, CT
Date 06/14/2005 Street Excavation Permit
Expiration Date 06/14/2006
Descrip: PATCH RESTORATION:H AI' TN` & .0 <}'"'•R9,
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Applicant d,z 'oc�tion
Name MARTIN LAVIERO . 09`€12A�TQR$�;` ��.'�L"Y;AN'E 7��' CpT7�PE� •R17;;;
Addr. 371 TERRYVILLE'A,VENUY,_.
BRISTOL CT 06(}10 40R � Kp Wor]r
Phone (860)589-75791. ?
Applicant
ant a r e es':.t.o 'ile6i211,
s#i the.T..p.ui�?,.%'4?"fig:�3�tt h W i sj;�0o:r'• 'e�.h mount of bond
required and to r"i q e m"—`r�34':'kY''"
sex enses
incurre
d by th e T 'o` n
�v r`�.
on with this
permit and that app. i:g n .xs r
the rules and
regulations for "
9 permits asp otlxedy Ct� pwry erfi 5ph W�n 'sor's Street
Cut Permit Manual.
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* * PERMIT Vol h:;'T'T
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Issued b ( .
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Date Completed N
--_—_ Inspected By
06/06/2005 MON 9:34 FAX 860 644 7280 South Windsor- Town Hall 001too;)
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR,CT 06074
FEE $25.00
Name of Firm_ A Phone No. Flo `5-Ps?'7.5— 7f
Address of Firm a
Location of proposed work cd
Describe fully nature of permit requested
Starting date Approx.time for completion
Call Before You Dig No,?cav 5`.7 VO-Z Sri Traffic Services Control No.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
Pavement Cut
—4 No.cuts
Est.Size of Perm. Patch(s)
Est. Pvt.Thickness in.
Est.Unit Price$
Amt.of Deposit$
��\ p Total Due$ by
( )Cash( )Check#
7d Permanent Patch
No. Cuts
Size of Patch(s)
Final Billing
Amt.Due Payee
Amt.Due Town
By
Applicant is responsible for cc-nta ting 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 0 LINED461 THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.'
Signed: A4, Date:
Title: Driver's License#:
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
06-06-05 07 :45 RECEIVED FROM:860 644 7280 P • 01
�ii6ii.�8 2005 15:12 FAX 2032486448 CALL BEFORE YOU DIG [A004
ip•860 5$5 6551', P •93
06-98-65 13:46 MARTIN LAVIERO CONTRACTOR p,)a
�v%urn cuua ia: n raa =us�arsi�as �ALi ml-'URE YOL, VIG
D�—Aa-65 12:19 MARTIN L,AVIER COjJTA,ACTbII ID'06$ 585 Eyfi51
• — — -- -��` CALL BEFORE Ytilu Sa.itf��[lyC
••/���.�('[�llll a Y ,yew�yy may,-r./-� y�,-�a'��(y.� .
(203) 248-6448
ROUTINE LOCAA i OUIESAS ONI- ♦I V RENFY l S
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C0N -PACTC1]R NM.Mi grLR• 17.97
,NAME QIF CALLRR,: GARY LAVIERC _. PRESID N'9�
COMPANY I`.Y.A WE; MARTIN LAVIER8 CONTRACTOR, INC
AD)O ass= 611 WORTH MAIN STRUT/P..p E[3)� 1 r,5�
clTyr- - �RI5'2{�b STATE: CT 5 01 1--1 G=Z'q
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06-08-96 12:S7 RECEIVED FROM:86S248544.8 p-41
06-08-05 14:23 RECEIVED FROM:2032486448 P. 04