HomeMy WebLinkAboutDriveway Street Cut Permits 60 Bayberry Permit No. 3476 Town of South Windsor, CT
Date 05/05/2003 Street Excavation Permit
Expiration Date 05/04/2004
Descrip:
Applicant Location
Name BOUTIN & SONS i3060 13AYBERF7i°.TRAiL'
Addr. 121 WINDS ORVILLE-ROAD
BROAD BROOK CT 064.Z6yjj p ;'WOYk }JRIVEW:AY
Phone (860)623-2526
a.
Applicant agree, to:.furni .h the_;.Town Q`f South Windsor the amount of bond
required and to rer,mbur:se the Tawn `of L�au. h FTds#�rbr any :expenses
incurred by the Tows for �nairi.tnance arj�aif"'wor1C in co'nnectton with this
permit and that applicant i = amx]i:ar with aad;:W 1:1 a, by. the rules and
regulations for permits: as outlined in CIz Town of South W'Yndsor's Street
Cut Permit Manual
* * PERMIT TO'B.N KEPT ON JOB <.yiTE "AT ALL TIMES.
Issued by Vl/NO Title
Date Completed Inspected By = _
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3476 Con;tr.actor. BOUT'I:N..&°SQ.NS
Location 0060 BAYBERRY TRAIL Address 1,21 .WINQSflRVILE ROAD
Type Work DRIVEWAY $: fiAD. BROOK CT O'5016
Fhone. Pl 26
Date Insp Needed Date
____________ Ixis L,!
s
Time Insp Needed _ _ ime lisps
Inspected By "
N
Work in Progress
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Date --- -----
APPLICATIONN FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
1540 SULLIVANTON HALL �� 7
SOUTH WINDSOR, CNT E
FEE $25.00
Name of Firm S Phone No.
Address of Firm
Location of proposed work _60 R a vh e r r y T r a i l
Describe fully nature of permit requested Strip drivewav gravel arade roll and pave
Starting date Approx.time for completion
Call before you dig no. 2,0031 70 99 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
O 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.S.Y.D. by date
I AGREE TQ 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 1 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: fzDater �®
Title• .
D.L.#
PERMIT SHALL BE KEPT ON JOSSITE AT ALL TIMES
oca ion:
DAscription:
Quote Good for 0 Qays. { '
Special Attention: 1/2 Payment Upon Stating, Balance Upon Compl ion.
Contract Permit
(gVal
ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. - `, �J t Pr
CBUD ,2 0 Date