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HomeMy WebLinkAboutDriveway Street Cut Permits 45 Good Hill TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. - 3147 Contractor COLONIAL PAVING Location 'lLL Aolw il Type Work DRIVEWAY Address 244 LOMBARDO DR E. HARTFORD CT 06118 'Phone No. (860)568-9613 Date Insp Needed Date Insp. /OJ Time Insp Needed m nsp Inspected By s,�Z -' Work in Progress input �_ Date Perfn4-No: 3147 Town of South Windsor, CT Dad., 07/11/2001 Street Excavation Permit Expiration Date 07/11/2002 Descrip: Applicant Location Name COLONIAL PAVING ''"GOOD' HILL ROAD Addr. 244 LOMBARDO DR E. HARTFORD CT 0611$ Type of, Work' DRIVEWAY Phone (860)568-9613 W Applicant agrees to furni� i tha aT� 6f 56uth Windsor the amount of bond required and to reimburse. the .Town of'£.ou���i ` lin°i or` for any expenses incurred by the Town fpr M -, nande �t'�°', repair :i k ,l n connection with this Permit and that applicant ,..'fami1z-ar w th and i 1 abide by the rules and regulations for permitse aa' o14i11, $ Town . youth Windsor's Street Cut Permit Manual ' * * PERMIT TO BE liEf�T fi?N ',J©B ,'SITE AT Al.L TIMES. Issued by Date Completed Inspected By i I I 3 APPLICATION FOR.STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH.WINDSORf CT FEE $25.00 Name of Firm 60�-pA1/gL PT A/(- BF g5A. phone No. Address of Firm a,/g I_0/Y►BA,eeo QR• E•!� C7'- 06//8 Location of proposed work �S GesoAli c(- R8, Describe fully nature of permit requested /11A1✓E �- EPCAC� �XI S i. .d A IdEwA- Starting date - - o Approx.time for completion i U)Epp Call Before You Dig No.._0 O/ G 0 0„L Traffic Services Control No. Show sketch of proposed work or furnish To be filled out by Town of South Windsor two copies of separate drawing Pavement Cut Indicate North Prop. size of cut —— No.cuts Amt.of Deposit$ by . F A6$I ()Cash()Check# n� I Cut size after Perm. Patch No. Cuts Final Billing$ 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 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: Cc/ Date: Title- SeCA-A—�y PERMIT SHALL BE KEPT ON 306SITE AT ALL TIMES Standard Forms\Permits\Street Excavation Permit.doc