HomeMy WebLinkAboutDriveway Street Cut Permits 110 Ident Ro TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No 4275
Location Contxa for QUALfT'Y PAVING CO.
Type Work` Address.... 194 'S;:. MAIN S:ZREET
$A&T 41NR60R CT.,,06088
PLzo?le Np -(,8,6A);S <3
Date Insp Needed I
---------------
Time Insp Needed
Inspected By
"'.mac^ . z y-T -1•
Work in Progress
------�- .T ... .
r
c Permit No. 4275 Town of South Windsor, CT
Date 08/29/2006 Street Excavation Permit
Expiration Date 08/29/2007
Descrip:
Applicant "<.
LoC�tiCrn
y .e
Name QUALITY PAVING CO. a.1�� IDENT READ
Addr. 194 S. MAIN STR$ET;,.
EAST WINDSOR CT p6'088 Pype of `?t�x1 DRTVEIVY
Phone (860)523-4182
Applicant agrees to"",furnish"the Town of t&uuE: Windsor tkie att�otrnt of bond
required and to reiM -u:r e.,.?''sF1e Tovrrr of South Wndsor for a2ir exgnses
incurred by the Towr1 fay mazy enance or, repair-:r. fC zn ottiinection with this
permit and that appljop.i't ` 'sr.: a� >1>asas':€s€°".>';a :> >'?r:.:
:;.
>;:<V3 ;h.;.:,amt:•v1i 'I"'al Cie by''`tk"e rules and
regulations for permits as., 6t t: :i Tgv1 t;;;:of"SQ.u;fi; k;xrid s'or's Street
Cut Permit Manual.
* * PERMIT TO':;BE E:tK177 T A.L7,;;TI MF S.
Issue
d b
Date Completed _---- Inspected By
Bernard Drabek-Locate,Request-20063402634 Page 1
From: <CaliCenter@CBYD.com>
To: <cbyd@southwindsor.org>
Date: Thu, Aug 24, 2006 10:06 AM
Subject: Locate Request-20063402634
(CALL BEFORE YOU DIG -CT) 08/24/2006 10:05:45
-5G -Cl -CW -GV
-J1 -OT 1-SW SWINDS -T5
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***** ROUTINE*****
TIME..10:05 DATE..08/24/2006
REQUEST NO...20063402634
LATITUDE..41.8423519 LONGITUDE..-72.6058387
TOWN......SOUTH WINDSOR
ADDRESS...110
STREET....IDENT RD
NEAREST
CROSS STREET..STRONG
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TYPE OF WORK.....EXC TO RMV/RPLC DRIVEWAY
AREA IS MARKED...YES
REMARKS:
WORKING FROM STREET TO GARAGE
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START DATE......08/29/2006 START TIME..08:00
CALLER..........DON DEVANZO
CALL BACK.......8-5
PHONE#.........860-523-4182
FAX#...........860-292-1103
ALT. PHONE#....
EMAIL ADDRESS...
CONTRACTOR......QUALITY PAVING CO
ADDRESS.........194 SOUTH MAIN ST
CITY............EAST WINDSOR
STATE...........CT
ZIP.............06088
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EXCAVATOR DOING WORK..SAME
ISSUED TO: DATE: TIME: BY:
` al
DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY:
CALL BACK: 1) DATE: TIME: BY: 2) DATE: TIME: BY:
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074
FEE $25.00
Name of Firm
phone No. Z
Address of Firm
Location of proposed work -
Describe fully nature of permit requested
Starting date oo Approx.time for completion J
Call Before You Di No. 2-006, 3 Z Cr 3 " �
S'C Traffic Services Control No.
Show sketch of proposed work or fumish
two copies of separate drawing Indicate North This section to be filled out by
Town of South Windsor
Pavement Cut
No.cuts
Est.Size of Perm.Patch(s)
(
Est.Pvt.Thickness in.
Est:Unit Price$
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
By
Applicant is responsible for contacting the Police Dept.and C.B.Y.D. Date
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:
Title: �i•a� .,. �,Q1, �—. �n �o�
Driver's License#:
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES