HomeMy WebLinkAboutStorm Street Cut Permits 960-970 Pleasan TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3805 Cont. ae4`or`C01Rf "I « XCAVATORS INC
Location 960/970 F+LFASA T VALLEY ROAD RrYc�ress' '<'s'47 S�I�T�Ih$ROOTERRACE
Type Work STORM '' (} ASTOI�B'U
3 3
`P`hone»'�fo'i:
Dat
e In
s
s Ne
eded eded .•�:
:
p
at
Time I �w:sts
nsp Needed
-
Ins
pected ted
�: :..
By ��✓✓
3
a
Wo
rk
rk in Pro
gress 5
re ss
AZL
Y.
"•feH':iU„
L—
C<M
Permit No. 3805 Town of South Windsor, CT
Date 07/23/2004 Street Excavation Permit
Expiration Date 07/23/2005 "'
Descrip: CONVERT CB TO MH IN:#`'$T3EE " q
.M s.;c
«,::
Applicant a,.,
Hy
y;
,
Name CORREIA EXCAVATORS TN PLEA3°ANT;' VAL`. Y GOAD
Addr. 47 SMITHBROOK TE;R$Al E z
y:.
GLASTONB URY CT '6 03
Phone _
pia"'.
ijI
b m
y
Ap
plicant PP t agrees*,:t'o".:fu:z '� h:%:;>the +Tom;.q .:M:S` 'tYf Windos`'#J a`
9 ^ski a punt of bond
required and to reii bur'se`, tkte ovtb� ` �s i'ti im x fc ahy, exP.etises
:.vk .o:.. :..
incurred by the Town:; fob:rrc�a% :�enarid Ea ',:2 p:a2Y �t} "; ;Yi ,z Anectio with this
permit and that appl ;ca:z '': as�rr ,.>>a '„w ':#"'.tgld <'b Vh& rules and
::,.... .. .:; .., zt.. y
regulations for as, cztPermiE.s
"Sbjj&4: Randsor=s Street
Cut Permit Manual. 'x s"
* * PERMIT TO'"'BE'` LCRT:
`CY'f1>z.,,y $. 'If$ A,!'`'AIJ.''.T$MSS''
7� �\ .<„ ..
j
n� 1
Issued b '��CT9I`\ !`rr � . >
Date Completed Ins ected B
hrrut.A I IUN t-UK STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT Permit No,
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074
FEE $25.00
Name of Firm . t � e
Address of Firm 7 phone No. 7 Z l S'
Location of proposed work rJ
14,
Describe fully nature of permit requested �' v
Starting date Approx. time for completion c
Call Before You Dig No. d �/ � �,, �
�r7 �/Q � Traffic Services Control No.
Show sketch of proposed work or furnish
two copies of separate drawing Indicate North This section to be filled out by
Town of South Windsor
Pavement Cut
No.cuts
Est..Size of Perm.Patch(s)
Est.Pvt.Thickness in.
Est.Unit Price$
Amt.of Deposit$
0
Total Due$ by
( )Cash( )Check#
Permanent Patch .
No. Cuts
Size of Patch(s)
------------ --- ___-_ Final Billing
Amt.Due Payee
Amt.Due Town
By
Applicant is responsible for contacting Date
the Police Dept.and C.B.Y.D.
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 OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed:
Date:.
Title: ; fi Driver's Li—License#:
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
C
f
sold
3
a