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Home My WebLink AboutStreet Cut Permits 10 Kellog Circle (2) 1100026 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 04/18/11 - GIS ID: 49400010 - = FEE: 25.00 MUNIS APPLICATION# 201100306 - = EXPIRATION DATE: 04/17/12 APPLICANT= =- LOCATION NAME: M&S PAVING AND SlINLING,INC Ag}} 10.KELLOG CIRCLE ADDRESS: 435 BUCKLAND ROAD E7 FIC)RRUSSELL E&SUSAN S SOUTH WINDSOR,CT 06074 I0 IELLG CIR -' SDT-JTHWINDSOR,CT 06074 PHONE 860-648-1915 = - WORK DESCRIPTION: DRIVRWAY - - APPLICANT AGREES TO FURNI THE Tf1yVN OF I TTH WIl QUIdT OF BAND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSO FOR ANI' XPIyNS INC = $NTH AWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION TH THIS PERMI AND TH9 &ft T IS FOAM IAR WI IH AND WII L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS A UTLINED IN T E TOWN OF S€QUT ,WINDSR'S SfiREET CUI PERMIT MANUAL. a ISSUE Y DATE INSPECTED INSPECTED BY r 4/18/201111:24AM *** PER T TO B KEPT 0N\JQ.j SITE AT ALL TIMES*** JN ig TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: ©b®d( CONTRACTOR: LOCATION: O LF II D CJ2GIF TYPE OF WORK: Wa DATE INSP NEEDED: DAI'eI�SP: INSPECTED BY: WORK IN PROGRESS: SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: W/2007 Town of South Windsor INPSECTION REPORT 07 APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00 Q ,/�i Name of Firm ' It 6 ino Phone No. OW4O`t�0 1 Address of Firm-- Location of proposed work Describe fully nature of permit requested ,Q Starting date / Approx.time for completion L Call Before You Dig No. Traffic Services Control No. Show sketch of proposed work or furnish This section to be filled out by two copies of separate drawing Indicate North Town of South Windsor Pavement Cut No.cuts Est.Size of Perm.Patch(s) j Est.Put:Thickness in. Est.Unit Price$ ;i ., N Amt.of Deposit$ Total Due$ by r Cash( j Check# \ •��✓✓ Permanent Patch No. Cuts Size of Patch(s) . u Final Billing Amt.Due Payee - — Amt.Due Town 1 By Applicant is responsible for contacting " - Date the Police De t.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 PERMIT AS O INED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. i Signed: Date: Title: Driver's License#: PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES 435 Buckland Road 6 Springside Avenue So. Windsor, CT 06074 Danbury, CT 06810 Ph: (860) 648-1915 Ph: (203) 790-9727 Fax: (860) 648-4602 Fax: (203) 794-9172 ` ` A rsnn Ann_ c+r w l ....... ..�... C...wa. wwlwwrlrMwww..w www.