HomeMy WebLinkAboutDriveway Street Cut Permits 77 Sharon Dr TOWN OF SOUTH WINDSOR INSPECTION REPORT
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Permit No.
Location
fi Cont.radtor QUALI'ti SAVING CO.
Type Work IVEW -� A3dres 194 .:;5.;:, 1IAIN""S:TREET
F3S;T." WNB5OR C ;, 06088
phone iV� ($0'�3523 4182 ,:,
Date Insp Needed j
Time Insp Nee
Inspected By
i
Work in Progress
9 I
Bate �/
Permit No. 4262 Town of South Windsor, CT
Date 08/03/2006 Street Excavation Permit
Expiration Date 08/03/ 007
Descrip:
Applicant Loc�Caon
f•
Name QUALITY PAVING C i7'0�7 SFAR91T D12IV "'
Addr. 194 S. MAIN STR T
EAST WINDSOR Cf OfiO8$ s� rx€ Wort DRIVECbIAY
Phone (860)523-4182
Jii
Applicant agrees o�furna h the,. cxwn•::o du`th Windsor the 'atnovnt of bond
required and to ream urse tn,e town o€,Sp#z h f l,`- or for any .expenses
incurred by the Tows Ezs maixjtene cPr'repes wrsrk �n connection with this
permit and that appl ant ;familiar w2th And' �rs71 ':ab the rules and
regulations for perm t=s as oul,;n �3. ,. own off'„S;attth,Winctso'r s Street
Cut Permit Manual
* * PERMIT TO BFifCEPT,(?N AT` ALI TIMES,..
y
Issued by N '> Title -- ----
Date Completed .By
------------- I:nspe'ct'ea
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From: <CallCenter@CBYD.com>
To: <cbyd@southwindsor.org>
Date: Wed, Aug 2, 2006 3:15 PM
Subject: Locate Request-20063102082
(CALL BEFORE YOU DIG -CT) 08/02/2006 15:07:59
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9-SW SWINDS -T5 -W3
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*****ROUTINE*****
TIME..15:07 DATE..08/02/2006
REQUEST NO...20063102082
LATITUDE..41.8211326 LONGITUDE..-72.5952682
TOWN......SOUTH WINDSOR
ADDRESS...77
STREET....SHARON DR
NEAREST
CROSS STREET..HILTON DR
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TYPE OF WORK.....EXC TO RPLC DRIVEWAY
AREA IS MARKED...YES
REMARKS:
WORKING FROM STREET TO GARAGE
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START DATE......08/07/2006 START TIME..08:00
eALLER 68tVA-L�D1=V6N2Cr—--- ------- - Q
CALL BACK.......8-5
PHONE#.........860-523-4182
FAX#...........860-292-1103
ALT. PHONE#....
EMAIL ADDRESS...
CONTRACTOR......QUALITY PAVING CO
ADDRESS.........194 SOUTH MAIN ST
CITY............EAST WINDSOR
STATE...........CT
Z I P.............06088
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EXCAVATOR DOING WORK..SAME
ISSUED TO: DATE: TIME: BY:
DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY:
CALL BACK: 1) DATE: TIME: BY: 2) DATE: TIME: BY:
- - • •_.....r�vH11UN t'tKMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL
1640 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074
FEE $25.00
Name of Firm ,����
Address of Firm ` Phone No. �3
Location of proposed work
Describe ully nature of permit requested ,., ,
r
- -
Starting date
Call Before You ig No. 2ao�, 3/p 8 Approx.time for completion
Trafhc Services Control No.
Show sketch of proposed work or famish
two copies of separate drawing This section to be filled out b
Indicate North
Town of South W;ndsor
Pavement Cut
No.cuts
Est.Size of Pen
n.Patch(s)
Est.Pvt.Thickness in.
Est.Unit Price$
Amt.of Deposit$
/ Total Due$ by
/�Q „' �✓ ( )Cash( Check#
Permanent Patch .
No. Cuts
ize of Patch(s)
-- - Final Billing
1 $
Amt.Due Payee
Amt.Due Town
By
Applicant is responsible for contacting
the Police De t.and C.B.Y.D. Date
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
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. IN
Signed: A21L__
¢-- Date: �0_45;
Title: a� �rzr2E --
hf
Driver's License#:
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES