HomeMy WebLinkAboutDriveway Street Cut Permits 557 Rye Stre TOWN OF SOUTH WINDSOR INSPECTION REPORT
*6 �A lll.
Permit No. 3101 Contractor QUALITY PAVING CO.
Location :. Address 90 STRONG ROAD
Type Work DRIVEWAY SOUTH WINDSOR CT 06074
Phone No. (860)523-4182
Date Insp Needed aate IYisp 2
Time Insp Needed " Time ,Insp � ,
Inspected By � ,.
Work in Progress
�I.nput 1A, Date �-
Nerrnit No. 3101 Town of South Windsor, CT
Dat , 04/30/2001 Street Excavation Permit
. Expiration Date 04/30/2002
bescrip:
Applicant Location
Name QUALITY PAVING CO. `'
05�67 ;RYE STREET
Addr. 90 STRONG ROAD
SOUTH WINDSOR CT 0607 1`yp ;.of Work DRIVEWAY
Phone (860)523-4182
Applicant agrees to furh ai e the .T0Wn of S641 h., Windsor the amount of bond
required and to reimbur&e aw Uthlanor for any expenses
incurred by the Town for may r 4nande' o�`10e4p cls
Vr wIbrk °in connection with this
permit and that app 1 rcnir 4amja th antl 1 '"abide by the rules and
regulations for permits A$, o Lit 1 1 h : of,,South Windsor's Street
Cut Permit Manual .
* * PERMIT ,,TO. BE, KEPT p" .tQ8, SITE 'AT ALL TIMES.
Issued by
Date Completed inspected B
APPLICATION FOR STREET EXCAVATION PERMIT
3 o l
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Q r �Z3 el/e�
Name of Firm Phone No.
Address of Firm
Location of proposed work
Desclb fully nature of permit requested Lilele
2 -7
Starting date 2 Approx.time for completion 3
Call Before You Di6 No. D I j10 t� Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of South Windsor.
two copies of separate drawing
Pavement Cut
Indicate North Prop.size of cut
No.cuts
Amt.of Deposit$ by
I
()Cash()Check#
(5 Cut size after Perm. Patch
No. Cuts
Z l Final Billing$
srmn__ _—Amt:Due
z 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 BYTHE 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 WINDSOR'S STREET CUT PERMIT MANUAL.
ASigned: VMDate: 136
Title: r.
PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES
Standard Forms(Permits\Street Excavation Permitdoc