HomeMy WebLinkAboutStreet Cut Permit 70 Buckland Road TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 4075 Contr:adE'or rSPAZZ]Q;'T1N;. CONSTRUCTION
Location 0070 BUCKLAND ROAD An. r s, ��: 0 PQZ.TaO:FFI'OE,RD
Type Work MISCELLAN `
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Date Ins p Needed �3' ,� ;..:p DaC' n py<.,;�s � -'?`.� .5 X
Time Insp Needed
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Inspected By v'" ,. i::` � fx!':
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Permit No. 4075 Town of South Windsor, CT
Date 08/31/2005 Street Excavation Permit
Expiration Date 08/31/2006
Descrip: SIDEWALK & WATER SE,yRV;TCE
Applicant ry .f. ?,. `6. .k ` :.°, 'LGQ.atson
Name SPAZZARINI CONSTRiCIQ7 `+'rx< � b '1Y(TAD $
Addr. 50 POST OFFICE RV � ..
ENFIELD, CT 060@>2. WorI. LAN
Phone (860)745-5683 :...'wV .r ` s� 4`x 4-D.
s'
Applicant agreesA t: fur ` fi e::�tia: amornt of bond
, . own of :c o erequired and to ses
incurred by the TowM .cs `mm T n t -qp.'e a "; s�3rk i#3.: ;c 2z'� ect o.3i with this
permit and that applica"'nt\is# i � �aFl rules and
regulations for perm .t >" s i`.n' Vok's Street
Cut Permit Manual.
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* * PERMIT T°Q BE;'KEPI' Eaj]
Issued by — _ CC ,vA C`
:
Date Completed "�f
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE ✓!/' J&A
SOUTH WINDSOR, CT 06074
FEE $25.00
Name of Firm on�t�; P one No. 60 ' T'`,lS -SG83
Address of Firm
Location of proposed work
Describe fully nature of pe mitre uested
ssJt i !r/a
Starting date Approx. time fo completion
Call Before You Dig No. Traffic Services Control No.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
Pavement Cut
' �1 + No.cuts
tJ�' Est.Size of Perm.Patch(s)
Est.Pvt.Thickness�_in.
Est.Unit Price$ 1 b
Amt.of Deposit$ -30 1 D
Total Due$ S by
( )Cash(\/Check#
Permanent Patch
No. Cuts
Size of Patch(s)
Final Billing
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 T PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMITS A�0e:1 ;1;N�TE T N OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: /f Date: 36
Zm
Title: Driver's License#:
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
TOWN OF SOUTH WINDSOR
ENGINEERING DEPARTMENT X
ADDRESS PERMIT NO. SHEET
OF
UTILITIES INSPECTOR TEMP.PATCH DATE
INSPECTOR COMPLETION DATE
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COMPUTATION SHEET
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172.0
159.5 i Ill
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6" FIR
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6�53 I 1 .
177 4 HYDRANT W/ GATE VALVE
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I AINTAINED BY —_ — ,/1 t �
0 ATES, L 0�C) -'` _ "�— __ J 2" DOM. WATER \
3 R AS S 1 ;' _....,-�:. ``.`� 1 -- --- w-6'7
.,FIRE MAIN�,�
c7 PVC SE 1l�ATERAL
INV. 171.0 ,�