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HomeMy WebLinkAboutDriveway Street Cut Permits 970 Avery St Permit No. 3813 Town of South Windsor, CT r bate 08/04/2004 Street Excavation Permit Expiration Date 08/04/2005 Descrip: Applicant .oc`a_.tion Name BOUTIN & SONS ?b AVERY STREET Addr. 121 WINDSORVILLE ROAD. BROAD BROOK CT 06Q,16 Wark, DRIVEWAY Phone (860)623-2526 Applicant agrees t:0 furnish th ; Towu c�£ dth Wixidsor the amount of bond required and to reimburse the=Town of S�iuth Windsor -`fOr airy expenses incurred by the Town. for maistercatace c? ixsair<work :gin .connection with this permit and that applicant familiar w ;th and<wi11.'abrd6 :by the rules and regulations for permits as outlined A4 tha Traun cif S:©utli Windsor's Street Cut Permit Manual. * * PERMIT<;TO BE. KEPT.ON Z0—B;: TE .F1I ALL..TIME$:': cIssued by —__-------- Title_' C% Date Completed LnspecCed By _— � 5 TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 3813 Con:t:ra'ctor BOtT'T`IN;,:& SONS Location 0970 AVERY STREET Addresa 121 WI•NDSORVILLE ROAD Type Work DRIVEWAY `BROOK &T:;._06016 ,Phone..No (86,4J 82.3-:252b_._ Date Insp Needed _----------- Date z:nsp Time Insp Needed ------- Am Inspected By �`-1h1Sa Work in Progress ------------------------- Input _>'bate z APPLICATION'FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR P cT' UBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of Firm Boutin & Sons Const. Co. 623-252h Phone No. Address of Fir Rond Rrnad Brook, Conn 06016 Location of proposed work- 970 Avery Street Describe fully nature of permit requested Complete dig Out or existing driveway aW p gravel, grade, roll andp ave Starting date Approx.time for completion Call before you dig no.20043100404 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 O Check# Cut size after Perm. Patch No.Cuts Final Billing S Amt. Due Payee S Amt. Due Town S 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. 8/2/04 Signed: Date: Title:— G0� / D.L.# t -- PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES