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HomeMy WebLinkAboutDriveway Street Cut Permit 66 Alison Dri rd. . Permit -No. 3122 Town of South Windsor, CT Date , U6/01/2001 Street Excavation Permit Expirati-on Date 06/01/2002 Descrip: CK# 1354 FOR 4 PERMITS Applicant Location Name BOUTIN & SONS "0066 'ALISON DRIVE Addr. 121 WINDSORVILLE ROAD '. BROAD BROOK CT 06016 Fype 0f, Work­ DRIVEWAY Phone (860)623-2526 Applicant agrees to' furish h _- ► i cif South,-Windsor the amount of bond required and to reimburse4 tfhe -Tpwn Hof<SO�ttlt 'Win"dsor for any expenses incurred by the Town ,far 04`thten$n,�e ©r ,repair" Work i►' connection with -.this permit and that app l i Cant .7' fami 1iar W th and ; 11" abide by the rules and regulations for permits' ' in the , ToWn:"'©f �BoUth Windsor's 61:reet Cut Permit Manual.. � ;- t * * k PERMIT TO BE K �PT ON ,J�?� _�IT� AT .AI:L TIMES. Issued by Title ? ., Date Completed Inspected By TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 3122 Contractor BOUTIN & SONS Location IAddress 121 WINDSORVILLE ROAD Type Work BROAD BROOK CT 06016 Phone No. (860)623-2526 Date Insp Needed `Date Insp, Time Insp Needed Tame nsp., " Inspected By / . Work in Progress Input Date '� APPLICATIONN FOR STREET EXCAVATION PERMIT 3 f TOWN OF SOUTH WINDSOR PUBLIC, 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, Conn -06016 Location of proposed work 66 Alison Drive Describe fully nature of permit requested Strip driveway put in gravel grade, roll and pave Starting date Approx.time for completion Call before you dig no. 20012201953 Traffic Services Control No. Show sketch of proposed work or furT/ 7 To be filled out by Town of So Windsor two copies of separate drawing ► Pavement Cut Indicate North Prop.size of cut No.cuts GAmt. of Deposit S by O Cash O Check# Cut size after Perm. Patch 5`� Q No. Cuts Final Billing S � pU t Amt. Due Payee $ l S Applicant is responsible for contacting L Amt. Due Town�. 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 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: 1 Date: 5/31/01 Secretary Title: D.L.# - PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES