Loading...
HomeMy WebLinkAboutDriveway Street Cut Permits 236 Avery St a Permit No. 3920 Town of South Windsor, CT Date 03/31/2005 Street Excavation Permit Expiration Date 03/31/2006 Descrip: Applicant L'z� a'G.ion Name BOUTIN & SONS 0?3�i i��7E$if BTRE,ET Addr. 121 WINDSORVILI,E R07111 BROAD BROOK CT Op6 'li� o Work D'RIVWAY Phone (860)623-2526 Applicant agrees tourrs�sti the T©wk tp{tth Windsor -the a unt of bond required and to reimburse Che >Town .:erg o"th ¢¢it�dsor Apr az y expenses incurred by the Town fpr inazntenanc Yeax;toprkp .canr:eta;on with this permit and that applicant as .PmilYar wit`'Ix and +xi17. aiQy tkie rules and regulations for per mits`as esutlirted;32� C + peri o 5'ts'tith hTindsor's Street Cut Permit Manual. * * PERMIT TO 119 KEPT ON �EY}3.:Sg AT ALL .; ME$ j�,ry Issued by �UI Title — ------------ Date Completed ` p ---------------- : s:pected By --------------- TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 3920 Coat•Y"3ctor BOUT_II Location 0236 AVERY STREET iddre `:'"z 121:: TIbSORV'ILLE ROAD Type Work DRIVEWAYCT1:6016 phone NO.. Y. Date Insp Needed Time Insp Needed �n Iif Inspected By ------------- — r s # e£ Work in Progress 00 All -----------------------------ems—' _- --- Date+ ��-- APPLICATION FOR STREET EXCAVATION PERMIT , r TOWN OF SOUTH WINDSOR � - PUBLIC- WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE 25.00 Name of Firm " \ n I )-y-) S 1 Ph No. Address of Firm C )` Location of proposed work y Describe fully nature of permit requested L L`(' L Starting date ' Approx.time for completion Cali before you dig no. r�f 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 S Amt.Due Town S Applicant is responsible for con cting 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 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: An4i Date:_ j Title: O.L.# PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES