HomeMy WebLinkAboutDriveway Street Cut Permits 55 Woodside Permit No. 2935
Date 03/28/2000 Town of South Windsor, CT
Expiration Date 03/28/2001 Street Excavation Permit
Descrip:
Applicant Location
Name BLUE DIAMOND PAVING ,TNT
Addr. 1064 EAST ST NORTH ;" " ODSIDE DRIVE
SUFFIELD, CT 06078 " Typ,� p Work DRIVEWAY
Phone (800)728-4644
Applicant agrees to urh h the- of South--,,Windsor the amount of
required and to re i mb e►e .Tour 0 ` 0" Oth W��ia�aarfor any expenses bond
incurred by the Town 'fo axen W,1Aor pai" k i connection with this
permit and that app l i �t c� �f� "�"� ''w�
regulations for and}" w"�"7 1 "abide by the rules and
permits ;, sl it�ed T"r� r fry of" South Windsor's Street
Cut Permit Manual .
* * ERMTT TO` E KEI'T•N",47N J08. SI "A
TE T" "ALL TIMES.
Issued by �-
, 1" t r e
Date Comp et d
Inspected By
Permit No. 2935
Date 03/28/2000 -
gown of South Windsor,
Expiration Date �, Street Excavation PermitT
Descrip; 3/�8/2001
Applicant
Name BLUE DIAMOND PAVING INC Location
Addr, 1064 EAST ST NORTH
fl05'6 WOODSICE DRIVE
SUFFIELD, CT- 06078
Phone (800 )728-4644 Type of
,Work DRIVEWAY
Applicant agrees to f
required and to reimbursernish the Town of
the `Town" of Soutar Windsor the
incurred by the Town 'for SOUth Windsor for an amount of bond
Permit and that applicant ,
or re air Y expenses
pplicant p work in connection witt� this
regulations f'or is familiar with and will abide b
Cut Permit Manua�ermits as outlined in the Town ' f South W by the�sules
an;;
Street
r;
l ERMI T T E h;EF'"I fltV JOB'
Issued by r= =i `. SI3 E AT ALL TIMES.
Date Compiletied
Title
Inspected By ----
APPLICATION FOR STREET EXCAVATION PERNIT
TOWN OF SOUTH WINDSOR �
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, Cr
FEE $25.00
Name of Firm ++ nloytj ), phone No. �" -7�0 - V/
Address of Firm - ,
Location of proposed work
Describe fully nature��f pe� requested U U r in! 1 y� S poll,
Stardng date Approx.time for completion
Call Before You Dig No. Traffic Services Control No.
Show sketch of proposed work orfumish To be filled out bX Town of South Windsor
two copies of separate drawing
Paveemm ,.nt-Cut
Indicate North Prop.'size of cut
No.cuts
Amt.of Deposit$ by
O Cash Y)Check#
Cut size after Perm. Patch
3 No. CuLS
Final Billing$
Amt. Due Payee$
Amt. Due Town$
Applicant is responsible for contacting by date
the Police DeDt.and C.S.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:
Title: ✓� D.L.#:
PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit.doc