HomeMy WebLinkAboutDriveway Street Cut Permits 360 Slater S TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3265 Contractor COLONIAL PAVING
Location Address 244 LOMBARDO DR
Type Work DRIVEWAY E. HARTFORD CT 06118
Phone No. (860)568-9613
Date Insp Needed ,,Date Insp: .
Time Insp Needed T7�m isp
Inspected By
Work in Progress 4-25_c `Z=.-F r
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Input Al Date
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Permit-'No., 3265 Town of South Windsor, CT
Date 04/11/2002 Street Excavation Permit
Expiration Date 04/11/2003
Descrip:
Applicant Location
Name COLONIAL PAVING 0 `6O> SLgTER STREET
Addr. 244 LOMBARDO DR
E. HARTFORD CT 06118 type .,,of Work DRIVEWAY
Phone (860)568-9613
Applicant agrees t4 furnish"",-the 'Tawri af' South Wi,ndsor the amount of bond
required and to reimb6rse.�the: town �-of toluth Wieidsdr for any expenses
incurred' by the Town for'. fn. nance ot,."repaic orkin connection with this
permit and that app 1 i cant ' `;f am� �i;ar ,hri th. and W"i 11 abide by the rules and
regulations for permits as .dutlihed in the' ToWn� of South Windsor' s Street
Cut Permit Manual .
* * PERMIT TO, BE KEPT ,ON JOB `$ITE AT ''ALL TIMES.
Issued by ' Title �. .
Date Completed Inspected B
APPLICATION FOR STREET'EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSORf CT
FEE $25.00
Name of Firm 60LoNjfrC�, 16A✓1A16' C-0, Or 674 /ts1c .
Phone No. 15-68—q rio /3
Address of Firm -Z N L019,d Ayta 6
Location of proposed work 3 ce D SL&Twi? S-
Describe fully nature of permit requested
Starting date tf— 15-0 Approx.time for completion WEEK
Call Before You Dig No. oo 2 ii3 o 165 Traffic Services Control No.
Show sketch of proposed work or fumish To be filled out by Town of South Windsor
two copies of separate drawing
Indicate North Pavement Cut
-----" I�=�� �gy Prop.size of cut
No.cuts
1(41 .AmL of Deposit$ by
O Cash,O Check#
Cut size after Perm. Patch
D ,
No. Cuts
2 Final Billing$
AmL Due Payee$
0 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 WINDSOR's STREET CUT PERMIT MANUAL
Signed: R ov '
k Date: 6 Z
Title:— D.L#•
N
PERMIT SHALL BE KEPT ON 70BSITE AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit.doc