HomeMy WebLinkAboutDriveway Street Cut Permits 72 Natsisky TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. Contractor BLUE DIAMOND PAVING INC
Location Address 1064 EAST ST NORTH
Type Work P.O. BOX 273
SUFFIELD, CT 06078
eo. (800)728-4644
Date Insp Needed xs 1/0 Z
Time Insp Needed
Inspected By
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Pe rl rA�"4do. 3314 Town of South Windsor, CT
Date 06/07/2002 ` Street Excavation Permit
Expiration Date 06/07/2003
Descrip:
Applicant Location
Name BLUE DIAMOND PAVING 4T KY FARM RO
Addr. 1064 EAST ST NORTH
SUFFIELD, CT 06078 DRIVEWAY
Phone (800)728-4644
Applicant agrees h or the amount of bond
required and to reim u o ` th r any expenses
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incurred by the Town a an pai connection with this''
permit and that appli an ide by the rules and
regulations for perms i f'i�' th Windsor's Street
Cut Permit Manual .
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Issued .by
Date Completed Inspected By
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T AGREE TO.FURNI H TO THE TOWN OF Q 1NINDSpR THE AK Q1= BOND REQUIRED•AND TQ R MBUR E THE TCtWN bF
SbUTH wINDQR FfJR ANY'EXPt;NSES IiyCURRD BY THts„TQWIV'FOAIM AINTBNgNG OR REPAIR IN01C�N G ?NNEQN W�'f'W
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TOWN OF SOLY .WINDSOft'S�1`itEET.GUT P�RMTf MANUAL.
i Signed; Date.
Title:
PERMIt-SHALG BE K PT:ON]OBSITE AT ALL TIMIyS `
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***** ROUTINE *****
TIME. . 08: 11 DATE. . 06/06/2002
REQUEST NO. . . 20022302413
LAT I TUDE. . 41. 8548583 LONGITUDE. . -72. 5037803
TOWN. . . . . . SOUTH WINDSOR
ADDRESS. . . 72
STREET. . . . NATSISKY FARM RD
NEAREST
CROSS STREET. . DEBBIE DR
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TYPE OF WORK. . . . . EXC TO REMOVE R REPLACE EXS DRIVEWAY
AREA IS MARKED. . . YES LA
REMARKS: {
WORKING FROM ST TO GARAGE. . . . . . .
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START DATE. . . . . . 06/11/2002 START TIME. . 07:00
CALLER. . . . . . . . . . EDWARD CZELAZEWICZ
CALL BACK. . . . . . . 8-5
PHONE #. . . . . . . . . 800-726-4644
FAX #. . . . . . . . . . . N/A
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . . BLUE DIAMOND PAVING
ADDRESS. . . . . . . . . P 0 BOX 273
CITY. . . . . . . . . . . . SUFFIELD
STATE. . . . . . . . . . . CT
ZIP. . . . . . . . . . . . . 06078
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EXCAVATOR DOING WORK. . SAME
ISSUED TO: DATE: TIME: BY:
DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY:
CALL BACK: 1 ) DATE: TIME: BY: 2) DATE: TIME: BY:
PERSON CONTACTED: PERSON CONTACTED: