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Driveway Street Cut Permits 90 Wood Pond
f TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 3924 TOnt.r t. QuXti'J,-X;; PAVING CO. Location 0090 WOOD POND ROAD IQ A 'c ss �194 S.,«;MA1. IN STREET Work DRIVEWAY Type EWAY R l AS :,43 CT;:::I,06088 otYr;"" x t +Date Insp Needed ------ ° Will e Insp /.�[;y,;,Ry �.:q.:.e?�•Y,.''T3." © — V �:'+'•`:'� 'd' Time Insp Needed y Inspected Y �•: `�;�B %a k. y� wh Y°M y Work in Progress 4a s fi a•.<r �c�x. ring r �t 77, ��fJ�` �� f V :x R y!:• : �z �; Input Date _ s5 -- Permit No. 3924 Town of South Windsor, CT Date 04/08/2005 ""'" "' r^'"""• Street Excavation Permit Expiration Date 04/08/2006 e>.; Descrip wF$,•rt#.: :.. 't Ap plicant nt �k Name QUALITY PAVING 40. D.'. # RCA Addr.. 194 S. MAIN STIZE ? EAST WINDSOR CT 06(#88e e> 1okRTETgAi Phone (860)523-4182 ». ::• I Applicant agrees to:: fiz°r`#:i,' :.S the: 3r:1R*ti s" :: �owa'tih Win'>.s'of : h m:: :»,: :•.»::>:'>:..;'''N`"` >.;::a punt of bond required and to rem3'u1s' .::: 13':.:a.Taiit°:;> a .. � Penses incurred by the TOW, k '`Nlrt`t-.lance or`r`epair"'fSork'`Y: a»::=e;cirkat:3 on with this s permit and that a l::i'C'ant .: ;<<..»::.:....:.,. ,<„::.: •:,,>::>:.:..:>:;:„': PP i #<>'.> aria w ;1:'<akia3e;;.by`the rules and regulations for perm%ts a f $;ou'th'"tl>. ndsor's Street Cut Permit Manual. :r * PERMIT TO` �KEPT,•<..:Off"0(79': ,ES. Issued by a � # t t�'e Date Completed _ Inspected By � � � Bernal d Drabek Locate Request-20051503656 From: <CallCenter@CBYD.com> To: <cbyd@southwindsor.org> Date: 4/8/05 11:57AM Subject: Locate Request-20051503656 (CALL BEFORE YOU DIG -CT) 04/08/2005 11:53:31 -5G -Cl -CW -GV -OT 6-SW SWINDS -T5 -------------------------------------------------------------------------- ***** ROUTINE ***** TIME..11:53 DATE..04/08/2005 REQUEST NO...20051503656 LATITUDE..41.8562221 LONGITUDE..-72.5477752 TOWN......SOUTH WINDSOR ADDRESS...90 STREET....WOOD POND RD NEAREST CROSS STREET..MILLER RD -------------------------------------------------------------------------- TYPE OF WORK.....EXC TO REMOVE & REEPLACE DRIVEWAY AREA IS MARKED...YES REMARKS: WORKING FROM STREET TO GARAGE -------------------------------------------------------------------------- START DATE......04/13/2005 START TIME..08:00 CALLER..........DONALD BAVANZO 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 ZIP.............06088 -------------------------------------------------------------------------- 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: APPLICATION FOR STREET EXCAVATION PERMIT 3 9 z y TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT TOWN HALL 1640 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00 Name of Firm t Phone No. Address of Firm Location of proposed work Describe ully nature of permit requested t� ' Starting datetime for completion Call Before You Dig No. Z /�' 5�> Traffic Services Control No. Show sketch of proposed work or furnish two copies of separate drawing Indicate North This section to be filled out by Town of South Windsor Pavement Cut No.cuts Est.Size of Perm. Patch(s) Est.Pvt.Thickness in. Est.Unit Price$ Amt.of Deposit$ Total Due$ by l ( )Cash( )Check# Permanent Patch No. Cuts Size of Patch(s) Final Billing C Amt.Due Payee Amt.Due Town By Applicant is responsible for contacting 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 PERM T MANUAL. Signed: - // Qlr� Date: Title: Driver's License#: PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES