HomeMy WebLinkAboutDriveway Street Cut Permits 52 Tallwood TOWN OF SOUTH W INDSOR INSPECTION REPORT
Permit No.
Contractor BAHLER BROTHERS
Location 0
Address 240 BEELZEBUB •D
Needed
Type Work 6RfV'EWAY
Date Insp Needed -1 AS
Time Insp Nkow
Am
Inspected By
Work in Progress r
TA V1 AAA
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Perms No. 3282 Town of South Windsor, CT
Date 05/09/2002 Street Excavation Permit
Expiration Date 05/09/2003
Descrip: DRIVEWAY & SIDEWALK REPLACEMENT
Applicant Location
Name BAHLER BROTHERS INC. �, 1L OD DRIVE
Addr. 240 BEELZEBUB RD ° �
SO. WINDSOR, CT 06d7�4� °'"� DRIVEWAY
Phone (860)644-85 98 `` "
Applicant agrees m "GIs r he nd or the amount of bond
required and to reimlu o th r any expenses
incurred by the Town fog e a pal i connection with this
permit and that appli�ft
a-ide by the rules and
regulations for permi .4a 1 f uth Windsor's Street
Cut Permit Manual.
* PERMIT TiiKg LL TIMES.
Issued by '% �._.�.: 'S C t
Date Completed Inspected By ,..r .a
1
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm -z Lt-l- Phone No.
Address of Firm 2Y � '�'��-Ly t7/L. Ste. 1--o1KU 0Sor'L
Location of proposed work 5"2 50, Lo to 2-
Describe fully nature of permit requested 04-- Pu4-e' D1 f V,�- v4-4-/
Starting date 5- /y- f.2 Approx.time for completion 2-
Call Before You Dig No. .2oo2 i7 o Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of South Windsor
two copies of separate drawing
Pavement Cut
Indicate North 5.�-� �� Prop.size of cut
No.cuts
Amt.of Deposit$ by
Cash ( )Check#
Cut size after Perm. 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 WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: �s^--�1 �` Date:
Title: t��L D.L.#: 13 k/5
PERMIT SHALL BE KEPT ON 30BME AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit.doc