HomeMy WebLinkAboutDriveway Street Cut Permits 6 Clearview 700155 TOWN OF SOUTH WIND
PERMIT NUMBER S O R, C T
STREET CUT PERMIT
D
ATE: 10/02/07
GIS ID•
.20700006
MUNIS APPL a: . : ::;.:,. :::::>.;:..:...
ICATION# 200 FEE:
701588 3r;
'�'+ 25.00
T
ION DATE:
10/01/08
A PP
I :
l
.�.:..is '.LOC
ATION ONNAME: BOUTIN&SONS
AD S.
l,.
ss: � �`r'
12 AIZ�IE 1 WINDS W DRIVE
ORVILL�
BROAD BROOK, AIES E&CHRISTINE M
IEW DRIVE
PHONE 86 _ ;: <'<} 7T <:WINDS
:: ,,,,:. uti OR,CT 06074
0623-2526 y`+
WOR
K DE
SCRIPTION:RI PT I O N:
DRIB -`
it
APPLICANT AGREES TO FURNISH THE ' ' '''<4 .r. ' s:``i
TOE�FQUI'W �fONT q BAND REQUIRED AND TO REIMBURSE
E TOWN OF SOUTH WINDSOR FOR ANI''IwX1"ENuES II;TGi�& 3�',F$ ;TOWN FOR`1�IAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE pLI��"�I:TI�'1�AI�II �, "`(XrIT��� }y�I,
FOR PERMITS AS OUTLINED IN THE TOWN OF SbUT WI R'S S F :CTY2 PL12 L ABIDE BY THE RULES AND REGULATIONS
IT MANUAL.
ISSUED
BY DATE INSPECTED
INSPECTED BY
10/2/200710:12AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 7OGU/,S CONTRACTOR:__ ��L2 /k
LOCATION: F,)-11 _
TYPE OF WORK: ) v�P CA)
DATE INSP NEEDED: DATE INSP:-..Z 0 8
INSPECTED BY: at)
WORK IN
PROGRESS: `)
AS-BUILT:
INPUT:_ DATE: 02 ' �') D
W/2007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FORSTREET EXCAVATION PERMIT
N OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN. AVENUE
SOUTH WINDSOR, CT
FEE 25.00
Name of Firm Boutin & Sons Cons t. Co. Phone No. 623-2526
Address of Firm 121 Windsorville-Road Broad , brook, Conn 06016
Location of proposed work 6 Clear View Drive
Describe fully nature of permit requested Strip existing driveway, dress with process gravel, gra e,
roll and pave.
Starting date Approx.time for completion
Call before you dig no. 20073803541 Traffic Services Control No.
Show sketch of proposed work or furnish To be filled Out by Town of SO Windsor
two copies of separate drawing Pavement Cut
Indicate North / 6 Prop.size of cut
No.cuts
Amt.of Deposit$ by
Cash O Check#
Cut size after Perm. Patch
No.Cuts
Q v Final Billing $
KAmt. Due Payee S
Amt.Due Town S
Applicant is respons le for contacting
the Police Dept.a C.B.Y.D. by date
1 AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF
SOUTH WJNDSOR 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 PERMITS AS OUTLINED IN THE
TOWN OF SOUTH WINDSOR's STREET CUT PERMIT MANUAL.
Signed: G Date:
Title: Q5 D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES