HomeMy WebLinkAboutDriveway Street Cut Permit 135 Abbe Road Permit N.O. 3309
Date-•-
06/03/2002 Town of South Windsor, CT
Expiration Date 06/03/2003 Street Excavation Permit
Desq,rip;
Applicant
Name BOUTIN & SONS Location
Addr. 121 WINDSORVILLE RO B OAD
BROAD BROOK CT 060 6
Phone (860)623-2526 DRIVEWAY
Applicant agrees h
required and to reim u d or the amount of bond
incurred by the Town ° th r any expenses
Permit and that apple e a pai i connection withthis
regulations for permi s an ide by the rules and
Cut Permit Manual . f th Windsor's Street
* * PERMIT T ` 0
LL TIMES.
Issued by
Date Completed
Inspected By
y , TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No 3309 Contractor BOUTIN & SONS
Location Address 121 WINDSORVILLE ROAD
Type Work DRIVEWAY BROAD BROOK CT 06016
e No. ( 860 )623-2526
Date Insp Needed f S a�
Time Insp Needed ` 3
Inspected By
k �
Work in Progress
SO R 00 /y)4t�"Date
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
P
UBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm Boutin & Sons Const . Co. Phone No. 623-2526
Address of Firm_ 121 Windsorville Road Broad Brook, onn 0601
Location of proposed work 135 Abbe=Road
Describe fully nature of permit requested Grade e x i G t i n v rl r i v P wa y, r a 1Iq n_rl =n a V P
Starting date Approx.time for completion
Call before you dig no. 20022200726 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 -- Prop. size of cut
No.cuts
Amt. of Deposit S by
() Cash () Check#
Cut size after Perm. Patch
No.Cuts
Final Billing S
Amt. Due Payee $
Amt. Due Town 5
Applicant is responsible for contacting
the Police Dept. and C.S.Y.D. by Gate
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 PERMITS AS OUTLINED IN THE
TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: Date.
Title: t �� GV/ fi �J D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
n Description: LI
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) q
Quote Good for 60 Days. • • '
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
Contract IV f N Permit L5-1 �-
ONE YEAR GUARANTEE ON WORKMANSHIP &MATERIALS. Pres.
CBUD J�_Zoo 2 2-2o o -7Z G Date