HomeMy WebLinkAboutDriveway Street Cut Permit 150 Felt Road TOWN OF SOUTH WINDSOR, CT
7
PEPERMITRMIT NUMBER
STREET CUT PERMIT
DATE: 07/25/07
GIS ID:32400150 s
FEE
:APPLICATION# 200701161 25.0
0
EXPIRA
TION
RA TI O N DA
TE:TE
• 0 7/2 4/0 8
APPLICANT :LOCATION
NAME: BOUTIN&SONS
.:.;. 4 FELT ROAD
ADDRESS: 121 WINDSORVILL&.
OAD..
BR
IC:DANIEL&TRACY OAD BROOK, .. A
CT�U6 'tI3.
6
iix1;;:
50�.
FE T T, .ROAD
"'< ;;>:U�II W
P INDS H O PH
ONE C T- 06 074
86 R,0 62 3-2 52 6
WORK DESCRIPTION: DRIVEWAY
APPLICANT AGREES TO FURNISH THE TOWN OF�aI1T�I 1N13 THE AMOUN`1 OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN'�'>EXk�ENS.ES.:II�GTTI ED.By e TOW FO,-R MAINTENANCE O
CONNECTION WITH THIS PERMIT AND THI .APPLICAT4T IS FAMILIAR WIL IN
WITH AI�II3 L ABIDE BY THE RULES AIND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUH, UINT3SR:. . 1 R.E T CiI1°:PEI73vII T MANUAL.mll
4
J '
ISSUED BY DATE°, .S.I,,L�, ED INSPECTED BY
7/25/2007 11:07 AM *** PERMIT TO BE KEP ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: `�//j CONTRACTOR:_ci L%.
LOCATION:_1. ADDRESS:
TYPE OF WORK: VY C6)677�/
DATE INSP NEEDED; DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS:
.INPUT: DATE:
APPLICATION FORSTREET EXCAVATION PERMIT
TOWN 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 roa rook, Conn 067016
Location of proposed work 150 Felt Road
Describe fully nature of permit requested_ Strip. existing driveway, dig out lawn along side
o g
f driveway , add process gravel , rade,_ roll and ]lave.
Starting date Approx.time for completion
Call before you dig no. 20072902273 Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of So. Windsor
two copies of separate dra-^vf q; Pavement Cut
Indicate North ��
Prop.size of cut
No.cuts
Amt.of Deposit S by
/1 I 3 X�l () Cash()Check#
Cut size after Perm. Patch
No.Cuts
Final Billing S
l i / Amt. Due Payee S
Amt.Due Town S
Applicant is responsVe for contacting
the Police Dept. and C.B.Y.D. by date
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF
SOUTH W1NDSOR 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.
�7
Signed: Date
Title: D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES