HomeMy WebLinkAboutStreet Cut Permits 432 Buckland Road (2) 1600211 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 11/07/2016
GIS ID: 15300432 FEE: 25.00
MUNIS APPLICATION# 201601647 EXPIRATION DATE: 11/07/2017
APPLICANT LOCATION
NAME: M&S PAVING AND SEALING,INC ADDRESS: ` 432'-BUCKLAND ROAD
ADDRESS: I I I COMMERCE WAY- OWNER: FOUR HUNDRED THIRTY TWO BUCKLAND
SOUTH WINDSOR CT 06074- 201 JOKES RD FL 3
WALTAM,MA 02451
PHONE 860-648-1915
WORK DESCRIPTION: EDGE MILL ENTRANCE =
APPLICANT AGREES TO FURNISH THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY-EXPENSES INCURRED BY THE TO- I_I_IF OR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPLICANT IS FAMILIAR WITH AN WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN`OF SOUTH WINDSOR' STRE T CUT PERMIT MANUAL.
ISSUED BY DATE INSP CTED INSPECTED
S CTED BY
I1/7/20162:47PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
- ------------------------ - ------- - ------ ------- - - --- -- ---
TOWN OF SOUTH WINDSOR INSPECT30N REPORT
PERMIT NO:: I CONTRACTOR:
LOCATION:
TYPE OF WORK: 99111 ,
DATE INSP NEEDED; DATE INSP: z e 3 ry
INSPECTED BY:
WORK IN .
PROGRESS:
SEPTIC TANK PUMPED;SMASHED, FILLED WITNESSED ❑YES ❑ NO
INPD7': DATE:
Sftnalloy/tms 2014 Town of South Vindw INpS MON RIORT 14 -
APPLICATION FOR STRE�T E)CAVATION`=PERMIT _
TOWN O SOUTH VfNRSOR. Permit No.
PUBLIC INOtC _fPAR7MENT'
VOl�ht LL
SOUTf V�ff R; 06Q74
Name of Firm tr ` 1�)��: aril J?ALjn�� C. phone No. 0
Address of Firm
Location of propose d otk�
Describe funafure of per n i�—t requyst �
Starting date - - (1 Approx tiree<;torcompfetfgri
Call Before You Dig No. zaga- Traffic Senrict~ Coritroi No.-
Show sketch of proposed work.-or furtish jhts sect(on to be filled out by
two copies of separate drawing Indicate`North: ;Town=of.South Wlndsor
Pavdrrieri(Cut
No.cuts _
EsL.S_ize of Perm.Patch(s)
lh ll ~
Y ' I Sn.fe4fx� I Est.Pvt TO ick ness in.
i Est.Unit,P&e S
Amt O Deposit$
Total Due•$ by
Check#
Permanont Patch
No: Cuts
Slze of Patch(s)<
"FinaFBilling
i `tint.Duo Payee
--------------
:Amt.Due Town
$
Applicant is responsible for contacting ��{}, Date
the Police Dept.:and C', Y.D.
I AGREE TO FURNISH TO'THE TC}WN OF SOUTH VYt # 1NaT0l3BQN` QUIREA AND.TO REIMBURSE THE
TOWN OF•SOUTH`WINDSOR I;OFt ANY-i XPENS,ES�IN 1f5U N{ IytA�INTEWIL, E OR,REPAIR WORK IN
CONNECTION,WiTN'i 41S'PERMIT;'AND. - 1'Atf 1=` MI IA W IL 'ABI gY E RULES;AND REGULATIONS FOR
PFRMITS S 0 AL 1 ED IN`THE TOWN OF 5OUTH+WIND$ORWSTRE
Siyned:
1 C TfF?I RMIT MANUAL:
Title: l C-� Dnver svl.fense#,
PERMIT SHALL BE KEPT GN JOBSITE AT:ALL TIMES`
4