HomeMy WebLinkAboutWater Street Cut Permits Windsorville Ro TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3045 Contractor COVEN CONSTRUCTION CO.
Location WINDSORVILLE FROM JUNE TO GREENAddress P.O. BOX 427
Type Work WATER COVENTRY CT 06238
Phone No. (860)282-0526
Date Insp Needed bate , Insp.
Time Insp Needed Time Insp.'
Inspected By
Work in Progress
LL°- -L6TXJ us
I�`�st1�J ����.�� ��Y�,�'5 �}�--►�-c a_u�P�! NIA N�
Input Date
Peftit%, No. 3045 Town of South Windsor CT
Da' "' 11/06/2000 Street Excavation Permit
Expiration Date 11/06/2001
Descrip: WATER MAIN FOR EVERGREEN ESTATES SUBDIVISION
Applicant location
Name COVEN CONSTRUCTION CO, "�� NDSORVLE FROM JUKE TO GREEN
Addr. P.O. BOX 427 H
COVENTRY CT 06238 ` T.rpe of W&rk WATER
Phone (860)282-0526
Applicant agrees to : urn h ,thy To`.of Soui:.h ;Windsor the amount of bond
required and to reimbu `'s ` the `own o. ` ,,Sauth W�ri`tsor for any expenses
incurred by the Town ,fQ;r t'r*l then ie ., 'rep a r,", o�rk'� in connection with this
permit and that appl 1Mcan t is, fami 1 iar iWi ar4- "i i"" bide by the rules and
regulations for permi;t 'a qt �. � t 'trt 1 .,Tottt cif °S°oath Windsor's Street
Cut Permit Manual .
* 4PRMIT TO,:,' 1KEPT Oft J4B `:SITE AT, AEL TIMES.
Issued by Title
Date Comple d Inspected By
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm �V l�l.(. Phone No. 2 7
Address of Firm ll �-
Location of proposed work ✓J So 4 V h L c c
Describe fully nature of permit requested
Starting date Approx.time for completion iN r
Call Before You Dig o. Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of South Windsor
two copies of separate drawing
Pavement Cut
Indicate North Prop.size of cut
No.cuts
s (� Amt.of Deposit$ by
Cash{)Check#
SV�,- Cut size after Perm. Patch
f t k%C6A-) �S `4��5 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 IAM F1 MILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE
TOWN OF SOUTH P4DSO,l 'S STREET CUT PERMIT MANUAL.
Signed: ADate: oo
Title:
t
PERmrr SHALL BE KEPT ON]OBSITE AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit.doc