HomeMy WebLinkAboutDriveway Street Cut Permits 229 Oak Stre TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 4313
Contac>or M&S PAVING AND SEALING, INC
Location AtCdre 435 $UCLAND' ROAD
Tfpe Work DRIVE" " U �i WINPY9OR• 6074
Phony TTo E6, ?}64$ '191.5
Date Insp Needed Date Insp —
Time Insp Needed __-----_--Y T"'
Inspected By � ;�R
Work in Progress
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Permit No. 4313 Town of South Windsor, CT
Date 10/13/2006 Street Excavation Permit
Expiration Date 10/13/2007
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Descrip:
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Applicant i, LfiaC< on
Name M&S PAVING AND SEALJI3r ENE.. p2g';, QAK S;1KE�8T '.
Addr. 435 BUCKLAND ROAD
SOUTH WINDSOR Ct 66074 T .WoV D ••lF AY
Phone (860)648-1915
Applicant agreed Cc ftrrn� i the. PfSGan o dt 'h Windsor the` amoxnt of bond
required and to remburs � c Town cl�'`. $b�ztl7 W�nelsor fOr. any e,xpepses
incurred by the Town for Mna� ,.tenaz��e ?fir, x p � iaork �n,'Coane:c.t;ign with this
permit and that apply oant'`is fa.tniliar` w3.Ch "and w ''7 L abc3 b the rules and
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regulations for permits, as out3 ,n�C r;#.'. :> t�;v t5f 3€uth,`W.znd'sor's Street
Cut Permit Manual.
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PERMIT 'DQ. BFs KEPT ON,,3'O'� �T�"E FiT d•�LL ,T,�P'IES;`'
Issued by �itJe
Date Completed /�
APPLICATION FOR STREET EXCAUATIQN PERMIT
7"OWN QF SOUTH WINDSOR Permit N ,
PUBUC WORKS flEPARTMEN-T
TOW+t"HALL
1540`SULLIYAN AVENUE
80UT-!+W ND50R,CT 0so
FEE:$25.00
Naive of Firmer
Address of Fum t.VlttlS '.
Location of proposed workc2
describe"fully nature"of permit reques#ec! t??
I/U.S? tf ._ T7� , tL_ ,2�t'1lt� i ..
S#arfing date '� • !"' Ca Approx.,#ime for eompiefion
Cali Beftire You Dig Novdf t p{
---- �?� Traffic Serrrides fcmtrol;No."
Show sketCti of proposed w+crk or.furnish
finrn copies of separate drawing.. Irtcate North" ," This section#a'Ese failed out by
Town of'Soufh=Vlhndsor
Pavement but
No,coat§
Est_Stne of Perm.Patct{s)
Est PtirL T#aictcness
Est,Unit Price$
Arnt:of',
deposit$
Total Due$ by
Permanent Patch
No. Cuts
Size of Patch{s)
Finat Btmrg
$
Antt thae Payee
$
Amt.Due Town
By
Appiicatrt is restsonsibte"for cx>htaCtitV Dafe
the Police De t...arid C.B Y.D.
t AGREE TO FtRNISH Tfl,7HE TOWN flF SOUTH tVlNipSOR THE AMOUNT-OF BOND REQUIRED AND=TD REtMURSE THE
TOWN t3F SOUTH WINDSOR FOR ANY"EXPENSES 'INCURRED BY THE 70WN FflRMAiNrtENANCE OR REPAIR WORK-IN
CONNECTION WITH Tl tS PERMIT AND THAT!Ai4l t=AMILiAR WCl M AND W,ILC ABIDEBY THE RULES AND REGULATIONS POR
PERMITS AS OUTUNEt31 THE TOWN OF SOUTH iNINDSOR'S STREET CUT PERfit11T 141ANUAt
Title; /
- Dnver's License#:
PERMITS BE KEPT ON JOBSITE AT ALL TIMES
435 Buckiand Road 6 Springside Avenue
So:Windsor, CT 06074 Danbury, CT 06810
Ph: (860) 648-1915 Ph: (203) 790-9727
Fax: (860) 648-4602 Fax: (203) 794-9172
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Toll Free: 1-800-486-SEAL www.mspave.com Email: sates@mspave.com
435 Buckland Road 6 Springside Avenue
So:Windsor, CT 06074 Danbury, CT 06810
Ph: (86 ) Ph: (203)790-97270s48-4602
Fax: (203) 794-9172
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Toll_Free: 9-800-�486-SEAL www.mspave.com Email: sales@mspave.com