HomeMy WebLinkAboutDriveway Street Cut Permits 90 Bayberry Permit No.. , 3446 Town of South Windsor, CT
Date _ 04/-01 /2003 Street Excavation Permit
Expiration Date 03/31/2004
Descrip: INSTALL DRIVEWAY -
Applicant -- Location
Name BOUTIN & SONS NY RRY TRAIL
Addr. 121 WINDSORVILLE ROA
BROAD BROOK CT 0601 DRIVEWAY
Phone (860)623-2526
Applicant agrees t ,� ' h Ind or the amount of bond
required and to reimb Ge wn r any expenses
incurred by the Town n pa 1�--J connection with this
permit and that appli ami an 1 ide by the rules and
regulations for permi y To th Windsor's Street
Cut Permit Manual .
N
* * PERMIT 1 TIMES.
r-
Issued by � �
Date Completed spected By ...,
1
.,, TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 6 Contractor BOUTIN & SONS
Location Address 121 WINDSORVILLE ROAD
Type Work DRIVEWAY BROAD BROOK CT 06016
Phone No. (860)623-2526
Date InsP Needed e4 s
Time Insp Needed
Inspected By
Work in Progress _
C Date
h. APPLICATION FOR STREET EXCAVATION
TOWN OF SOUTH WINDSORN PERMIT
PUBLIC- WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm S Phone No.
Address of Firm
Location of proposed work C"
Describe fully nature of permit requested
Starting date Approx.time for completion
Call before you dig no. Traffic Services Contrd No.
Show sketch of proposed work or furnish TO be filled Out by Town Of SO, Windsor
two copies of separate drawing Pavement Can
1
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 responsibl 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 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: 6Date:_
1
Title: D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
+*
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