HomeMy WebLinkAboutStreet Cut Permit 79809999 Sand Hill Roa 1000059 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 04/13/10 — --s -
GIS ID: 79809999 %J � �� FEE: .00
MUNIS APPLICATION# 201000381 y� y " �PIRATION DATE: 04/13/11
APPLICANTS = �A , LOCATION
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NAME: SIMSCROFT ECHO FA
AMS I DRE� gA I LL ROAD
ADDRESS: P O BOX 581
T SOUTH WINDSOR
SIMSBURY,CT 06076 '! O7LIVAN AVE
SR,CT 060742734
PHONE 860-651-0231
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WORK DESCRIPTION: SAND IL _ - N TO ELLINGTON
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APPLICANT AGREES TO FURNISH THE I W UT�, s Yv O�(BQ-0 D REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN �EI S S ,INTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TH WAX,-AxT Is- b W jj-, ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OP--rt—W F MANUAL.
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3 ISSUED BY DALEME INSPECTED BY
4/13/20104:02PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: / 000,-S_ CONTRACTOR:
LOCATION: 6Ayld a::* )/ Coal
11
TYPE OF WORK: Pr�nS`�?�y rLlbyl D tG19QqC�
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: 13D
WORK IN
PROGRESS: 1 e 2e.F , .,Lo S�-e. ,�o��• g
SEPTIC TANK PUMPED, SMASHED, FILLED 1NITNESSED ❑ YES ❑ N0
AS-BUILT:
INPUT: DATE:
W/2007Town of South Windsor INPSEMON REPORT 07
3 8� APPLICATION FOR STRAVATIOI
'—Wppi.No. TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
' 1540 SULLIVAN AVENUE
SOUTH WINDSOR,CT 06074
FEE $25.00
Name of Fi �,,-S LK Phone
Address of Firm a cgs V'r tkaq- R0. f.0.�X ,fill Si w� C
Location of proposed work Sao Nit\ Rftg�
Describe fully nature of permit requested Full_ a :5&=.R0,N e-
Starting date � 'a1010 Approx.time for completion.
Call Before You Dig No.20101401177
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL I
PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY INCREASE!
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PER
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE
Show sketch of proposed work or furnish
two copies of separate drawing
Indicate North
Sev"� la��t
ruin!
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Applicant is responsible for contacting
the Police Dept.and C.B.Y.D.
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND R
TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR M
CONNECTION WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY 1
PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MAP
igned .Lcrt7 &dd 6 Date:_ L/- 8- 10
title: tv"
Driver's License#:__Q
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
itreet Excavation Permit--08--- -