HomeMy WebLinkAboutDriveway Street Cut Permit 21 Apple Tree Permit No. 3115 Date - Town of South Windsor, CT
_ 05/21/2001 Street Excavation permit
Expiration Date 05/21/2002
Descrip: CK1346 FOR THREE PERMITS
Applicant Location
Name BOUTIN & -SONS 002 i `APPLE TREE LANE
Addr. 121 WINDSORVILLE ROAD`' .
BROAD BROOK CT 06016 Tp� .pf, Wott DRIVEWAY
Phone (860)623-2526 =
Applicant agrees to f-orgi hi h+� p f oot Windsor the amount of bond
required and to reimburse ;tt a 'F.own` of 6U h WinctsQr' for any expenses
incurred by the Town 'for- illei#'1;tenarn�8 ' r repa t t��;,Wprk` in connection with this
permit and that applirtt= #amil, er `.,w3, h and' w11 abide by the rules and
regulations for permits as outfit d in , Tow-n of South Windsor 's Street
Cut Permit Manual .
* * PERMIT KEPT,,- 44 apB ..SITE AT; ALL TIMES.
Issued by = _ Ti.tle --0! '�
Date Completed Inspected By .L
M�
r TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3115 Contractor BOUTIN & SONS
Location 0021,AtFPPLE TRLOE -t-iAN1= Address 121 WINDSORVILLE ROAD
Type Work DRIVEWAY BROAD BROOK CT 06016
Phone No. (860)623-2526
Date I nsp Needed Date I nsp.
Time Insp Needed Tim04Insp.
Inspected By ✓� _ , ;
Work in Progress tl'l, 1�
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Input, l Date Q
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC- WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm Boutin & Sons Cons t. co. 623-2526
Phone No.
Address of Firm 121 Win sorvi a Road —Broadrook, Conn
Location of proposed work 21 Apple Tree lane
Describe fully nature of permit requested Str1 upper portion of-driveway, resurface bottom
Portion right side dig out put in process gravel grade, roll and pave
Starting date Approx.time for completion
Call before you dig no. 2001206312 Traffic Services Control No.
Show sketch of proposed work or furnish TO be filled Out by Town Of SO Windsor
two copies of separate drawing Pavement Cut
Indicate North Prop.size of cut
No.cuts
Amt.of Deposit$ by
()Cash()Check#
Cut size after Perm. Patch
No.Cuts
Final Billing S
Amt.Due Payee 8
Amt.Due Town$
Applicant is responsible 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 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: 5/15/01
Title: Secretary D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
(f
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Quote Good for 60 Days. •
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
Contract l Permit
ONE YEAR GUARANTEE ON WORKMANSHIP &MATERIALS. Pres.
CRUD 2oa / Zo o o 3 / 2- Date /1'1u5/ %? �`,�