HomeMy WebLinkAboutMiscellaneous Street Cut Permits 98 Newb TOWN OF SOUTH WIND SOR INSPECTION REPORT
Permit No. 2943 Contractor NEW ENGLAND BORING CONTRACTORS
ORS
Location 0098 NEWBERRY ROAD Address 129 KREIGER LANE
Type Work MISCELLAN GLASTONBURY CT 06033
Phone' hJo. i 8ti0 ►ti�3 464 i
sY
Date Insp Needed Gate In,
_,----_._---
Time Insp Needed --___-- . �_. _ '. -. Time 'Insp.
Inspected By
Work i r Progress - - ----- - _.___
Input Dates
Permi t Pao. 294:3 ; own of S(;uth W-E nasor . '.; i
Date 04/1 1 /2000 :treet Excayati on Permit
Expiration Date 04/ 11 /2001
Descr ip: NEWBERRY tE H;0!-iTHGs FIROM�19:3 TO 157
App 1 1 !_,Dc-a , ±ton
tt
Nacre NEW ENGLAND BORING CONTRACTIOR$ 0098 NEWBi RR-( ROAD
Addr . 129 KREIGIER LANE
GLASTONEURY CT 06033 Type of, Work MISCELLA,N
Phone (860 )633-4649
0
Applicant, agrees to ',,fur-w sh the Town of South Windsor the amount of bond j
.required and to reimburse ttte Town of South Windsor for any e>g)ensses !
incurred by the Town for maintenance or repair work in connection with this
permit and that app r i cant s t ama l i ar with and w 1 1 abide by the rules and
regulations for permits as oul.0ned in' the, Town of SOLIth Windsor ' s Street
C'ut Permit Manual .
* * PERMIT TO BE KEPT ON JOB SITE= AT'` ALL TIMES.
G+
Issued by Title 1__ _y�--
Date Completed _—,---------._-.------_.-_.____ Inspected By
` APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT--
TOWN HALL
I540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $2500
Name of Firm Gi(7 h CtAk Roo, n Novi Ph ne No. 60 6 �— t� / G
Address of Firm_ (' i e K� l D 7
Location of proposed work /V
Describe fully nature of permit requested r
Starting date 14100 Approx.time for completion A
Call Before You Dig No. O f O Traffic Services Control NO.
Show sketch of proposed work or furnish To be filed nut by.Tom pf SOut11 Windsor
two copies of separate drawing
Paveme„nt Cut
Indicate North Prop.size of cut
No.cuts
Amt.of Deposit$ by
()Cash O Check
Cut size.after Perm.Patch
No. Cuts
Final Billing$
Amt Due ee
Amt.Due Town$
Applicant is responsible for contacting by date the Police Do t,and C. .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 DSORS STREET CUT PERMIT MANUAL.
Signed: c Date:—y— �
Title: V _PrCdE_ri � D.L.#:_—?_s
PERMIT SHALL BE KEPT ON 308SITE AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit.dbc