HomeMy WebLinkAboutDriveway Street Cut Permits 365 Barber H =TOXIN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 2953 Contractor BOUTIN & SONS
Location 0365 BARBER HILL ROAD Address 121 WINDSORVILLE ROAD
Type Work DRIVEWAY BROAD BROOK CT 06016
Phone No, (860)623-2526
Date Insp Needed Dane Insp _
Time Insp Needed , {. ns'p
Inspected By 3:
Work in Progress ' �r a
input' Date
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Permit No. 2953 Town of South Windsor, CT
Date 04/20/2000 Street Excavation Permit
Expiration Date 04/20/2001
Descrip:
Applicant Location
Name BOUTIN & SONS ;''0365 ZARgER HILL ROAD
Addr. 121 WINDSORVILLE ROAM
BROAD BROOK CT 06016 `Tyecf. Wor* DRIVEWAY
Phone (860)623-2526
Applicant agrees to f�rrish .th+� =`Townfauth Windsor the amount of bond
required and to reimoUrte he .Town .ofi$Quth Windsor ..for any expenses
incurred by the Town for miniYenanc o repair'-wo,rk in connection with this
permit and that app i i',cani� e'famz 1 i r. w t'h and .wi 11 abide by the rules and
regulations for permit"s a ; gutl ne i'`in the Towh df Louth Windsor's Street
Cut Permit Manual .
* * PI�PMIT TO 'gE KEPT ,aN '►OB $ITE AT;ALL TIMES.
Issued b <._ -'
Y T i.t 1 e� � �
Date Comple4o-) '_� Inspected By
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm _ FP phone
Address of Firm �\ e
Location of proposed work
Describe fully nature of permit requested
Starting date Approx.time for completion
Call before you dig no. 2 Doo ///p/ .3�/3 Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of So Windsor
two copies of separate drawing Pavement Cut
I 'cate North Prop.size of cut
No.cuts
Amt.of Deposit$ by
O Cash(1 Check#
Cut size after Perm. Patch
No.Cuts
Final Billing $
Amt.Due Payee $
� Amt.Due Town 8
Applicant is responsible for contacting
the Police Dept. and C.B.Y.D.
by date
REE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO RQMBURSE THE TOWN OF
H WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS
T AND THAT 1 AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE
OF SOU H WINDSOR 'STREET CUT PERMIT MANUAL.
Date: v
D.L.#
BE KEPT ON JOBSITE AT ALL TIMES