HomeMy WebLinkAboutDriveway Street Cut Permits 11 Sharon Dr s �
TOWN OF SOUTH WINJSOR INSPECTION REPORT
Permit No. 4248
Cont,r.a:�t"aY `QC71I T'TY::..;:PAVING CO.
Location 0011 SHARON.DMI-VE Address ; 194 S. MAIi '>S,;TREET
Type Work D121VEWAY EAST ATIN]IM OR CT. 06088
P" P17on, 523 41.82
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Date InsP
�Needed 1 `'
..r .:...:::
Time Insp Needed
( S
Inspected By
Work in Progress
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Permit No. 4248 Town of South Windsor, CT
Date 06/30/2006 Street Excavation Permit
Expiration Date 06/30/2007
Descrip:
Applicant s ;Coca qn
i
Name QUALITY PAVING CO Ot11 SHARON 2SRLk7E
Addr. 194 S. MAIN STREET
EAST WINDSOR C`.,T a50 Y`'
Phone (860)523-4182
Applicant agrees', to fern h `the Tpwk� v out}1 Wind 0r tie;, ar od nt of bond
required and to re .Wbdr,se, the ' ovn Snu fi i77 d pr £3�x arz� penses
incurred by the Town £o maatenance"'or rpaix werrk ixv; 7an ction with this
permit and that applicari'E xs atni32ar w th :an ,.;i T-1: . 6ide by the rules and
regulations for permits as. o. t in' 't '% ": h rinYZ ?'of' Sou' h Ft:irdsor's Street
Cut Permit Manual.
* * PERMIT TO BE'ICEPT ON=cT41$ .ITE YT..AIaL,,T'IMES.
v
Issued by � Titles
Date Completed _ Inspected By r ��
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR -------
PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074
FEE $25.00
'Name of Firm
Address of Firm Phone No.at
Location of proposed work
_Describe fully nature of permit requested
Starting date
Call Before You Dig No. Approx. time for completion
Traffic Services Control No.
Show sketch of proposed work or fumish
two copies of separate drawing This section to be filled out b
Indicate North-
Town of south'Windsor
Pavement Cut
No.cuts
Est.'Size of Perm.Patch(s)
Est.Pvt.Thickness in.
Est.Unit Price$
Amt.of Deposit$
Total Due$ by
( )Cash( )Check#
Permanent Patch
o. Cuts
Size of Patch(s)
Final Billing
Amt.Due Payee
Amt.Due Town
$
lsible for contacting By
+.C.B.Y.D.
N TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED A
ND To REIMBURSE IS
SOR FOR ANYY THE TOWN FOR MAINTENANCE OR REPAIR WORKfIN
PERMIT AND THAT I AM FAMILIAR WITH AND WILL ASIDE BY THE RULES AND REGULATIONS FOR
�N THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Date:
Driver's License#:
.JBSITE AT ALL TIMES