HomeMy WebLinkAboutStorm Street Cut Permits 30 Windshire Dr i
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 2963 Contractor JDC ENTERPRISES INC.
Location 0030 WINDSHIRE DRIVE Address 2640 BERLIN TNPKE
Type Work STORM NEWINGTON CT 06111
Phone No. (860) -
Date Insp Needed . Dnire Insp.
Time Insp Needed 1 Tyr - Insp
Inspected BY
Work in Progress ro&lT9L '�� �aicJ: D2aa � T� 1:ac� >>.3G, cgzog
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Input Date S���Zorry
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Permit No. 296'-1 : own of South W i nasor, CT
Gate 05ft8r200Ct Street Excavation Permit.
Expiration Date 05/06''2001
Desc rip: INSTALL F0,071NG DRAIN TC. C;,A_i-CH BASIN.
Applicant Location
Name JDC ENTERPRISES INC,. 0030 WINDSHIRE DRIVE
Addr. 2640 BERLIN TNPKE
NEWINGTON CT 06 ,111 Type of work STORM
Phone (860 ) -
App'+ icant agrees to farnjsh the Town of south Windsor the amount of bond
requ,sred and to reimburse the Town of South M� ndsor for any expenses
incurred by the Town for maintenance or repa; r wort< in connect ion with this
permit and that applicanr,' is fam-iliar� with and will abide by the rules ana
regulations for permits a$ outlined in the Town of South Windsor ' s Street
Cut Permit marnua T .
PERMIT TU BE KEPT ON jOS SITE AT ALL TIMES.
v
ISsuNd by . _ __ L1•.^Jf�-- _ - - TitIt'
Date Completed __ -_� 9 �C — _._- Inspected By l
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm S Phone No. S617^ 416,�
Address of Firm_ _ 246 qco (E5%__ZeLA I, -)
Location of proposed work !!�IQ
Describe fully nature of permit requested •v I
Starting date is Approx.time for completion
Call Before You Dig No. Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of South Windsor
two copies of separate drawing
Pavement Cut
Indicate North Prop. size of cut
No.cuts
Amt.of Deposit$ by
O Cash O 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. = � Date: X�7
Title: c. D.L.#• _cam 3
PERMIT SHALL BE KEPT ON 70BSITE AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit.doc