Loading...
HomeMy WebLinkAboutStreet Cut Permits 34 Charing Road (2) 1400029 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 02/27/2014 GIS ID: 18300034 MUNIS APPLICATION# 201400180 FEE: 0.00 EXPIRATION DATE: APPLICANT LOCATION NAME: CONNECTICUT WAFER CdMPANY ADDRIS .3CILARING ROAD ADDRESS: 25 NORTH ROAD OWNER EALZDER MICHAEL&MARIA EAST WINDSOR,(gI g8 34IRING ROAD " �UTII WINDSOR,CT 06074 PHONE 860-623-3355 WORK DESCRIPTION: REp.AIBROKE1 WATI R APPLICANT AGREES TO FURNISH THIyT01q QF SOUTH WINDSOR THE AMOIINT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ARTY-RXPENSES INCURRED BY THE TOWN FOR�MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND T1 APPLICANT I6 FAMILIAR ViTH,ALD;WALL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN F SOUTH WINDSR'S-STREET CUT PERMIT MANUAL. ISSUED BY DATE INSPECTED INSPECTED BY 2/27/2014 1:22 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WIND SOR INSPECTION REPORT PERMIT NO.: CONTRACTOR: G � � LOCATION:__ TYPE OF WORK: c DATE INSP NEEDED: DATE INSP: -2I97 INSPECTED BY: f3J 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 WINbSOR, CT 06074 FEE $25.60 'Name of Pin 'o tj 47ct?Z C i Phone No. Address of 2 9Z- 2d'l Location of omp Describe fully nature of permit regtte #pd Starting date 2 ? • _ • Approx.time for vrrrn ZG Call Before You Dig No, Oi o go t 3 0 Traffic Services Control No. Show s +s of prolapsed work orfs#i two copies of separate drawings seem to L Indicate North -- ---� - . � Town of''3a�u h 3`� N Pavemefit cut A NO. CIAO - I z Est:Size of Perm.Patch(s) Est.Pvt Thidmess in. �XG- `x$• Est.!Unit Price$ Amt.of Deposit$ Total Due by )Cash( )Check# Permanent Patch No. Cuts Size of Patch(s), Final Billing #. Arnt Due Payee Amt.Due Town $ App rc2nt Is ,responsthIA.for con tl'►e.. ce and C.B,Y as I AGREE TO FURNISH To THE TOWN OF SOUTH WINDSOR THE AMOUNT OF ICON©.REQUIRED AND TO RFJMSURSE THE TOWN C7 SOUTH WINDSOR COtJNECT FOR ANY EXPENSES INCURRED By THE TOWN FOR MAIN'fENAN OR'RI PAIR WORK IN ION THIS PERMIT AND THAT I AM FAMILIAR WMJ AND WILL ABIDE BY THE RULES AND Gt1LATlt3NS FOR PERMITS INED TOWN OF SOUTH WINDS- STREET CUT PERMIT MANUAL. Slgned: Dai#e: � Title" Driver's License r PERMIT SHALL BE KEPT ON dOBSITE AT ALL TIMES .__._. �,� .m.._,_�� 6 Y y� 1 f ._�....,. ....� ...... g >•� jj ��'�"'�A , ml � t... '� ,......_..._ 9 � A