HomeMy WebLinkAboutDriveway Street Cut Permits 3 Poplar Dri TOWN OF SOUTH WINDSOR INSPECTION REPORT ` -,3
Permit No 3195 Contractor E.C. PAVING
Location Address 139 WETHERELL ST
Type Work DRIVEWAY MANCHESTER CT 06040
Phohe No. (860)647-9834
Date Insp Needed Date '.insp.
Time Insp Needed
T,.', aer
Inspected By
Work in Progress
IPput L� Date -3
Permit No. 3195 Town of South Windsor, CT
Date ' '` 09/04/2001 Street Excavation Permit
Expiration Date 09/04/2002
Descrip:
Applicant ` Location
Name E.C. PAVING 00A'3 POPLAR DRIVE
Addr. 139 WETHERELL ST
MANCHESTER CT 06040 Typo, of Work DRIVEWAY
Phone (860)647-9834
Applicant agrees to f rhlsh ;t 0 ToWn ,cf Ou.t� Windsor the amount of bond
required and to reimburse, the Town '= Sciuth WiridS.or, for any expenses
incurred by the Town fQ `. mA,U1,tenarxce ,or. i^ pai_r wolr-'k , connection with this
permit and that applicant; ii -fami1iar ,w1th and .WL11 abide by the rules and
regulations for permitssoulrirte+dir irhe Town of South Windsor ' s Street
Cut Permit Manual . .
* * PERMIT TO' BE KEP7 '0N J4$ SITE AT ALL TIMES.
Issued b y — � ,�-� .. 'Title
Date Completed Z Inspected By ��Z
.r PPq/-..1'r-
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1S40 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $2S.00
Name of Firm C pauikI4 Phone
Address of Firm III to a 77 A e f e
Location of proposed work '1. D r - e vr-
Describe fully nature of permit requested IQ �tLr Q hd rL/�IQr �xiz���.��,_nr ern
Starting date ~-O ApproDL time for awnpietron ! 4�eQ K
Call Before You Dig No. W-601 3901727Traffic Servim Control No.
Show sketch of proposed work or furnish To be filled out by Town of South Windsor
two copies of separate drawing
eavement
Indicate North Prop.size of cut
9 a�ale. No.cuts
..Amt of De $ by
OCash O Check
#
Y/ cut sae after Perris.Patch
No. Cuts_„
Final Billing$
Amt.Due Payee$
Amt.Due Town$
Applicant is responsible for contacting by date
the Police Dept,and C.B.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 WINDSORIS STREET CUT PERMIT MANUAL
Signed g �i/ ��-G ���y Date:
-
Title:— S4;h2A1&,— � '.f1A _ D.L#•
PERMIT SHALL BE KEPT ON 70BSITE AT ALL TIMES
-Standard Forms\Permits\Street Excavation Perrnitdoc