Loading...
HomeMy WebLinkAboutDriveway Street Cut Permits 33 Beelzebub Permit No. 4164 Town of South Windsor, CT Date 03/27/2006 Street Excavation Permit Expiration Date 03/27/2007 Descrip: Applicant. Laeaton s Name BOUTIN & SONS 0033 BEELZEBjJB RCxArD` Addr. 121 WINDS ORVILLE ROAb BROAD BROOK C 0 a16 hype of 'Work ,bRTVEWAY Phone (860)623-2526,, Applicant agrees to furnj.8b. the:.Town ci S©uth Windsor -the amount of bond required and to reimburse thy' Town >vf 8a�ztlziz�dsor or any expenses incurred by the Town for main.teYzance br r_ep�ir"word in connection with this permit and that applicant istfatn�,],.ia:r Wi:t -�xx�j:.:wz71 abzde by ;the rules and regulations for permits"as au'tlined Zne fipwn qi SQutk Windsor's Street Cut Permit Manual. * * PERMIT TO AE `KEPT ON J :'$ICE AT ALL TIMES. Issued by ----�--- Title 17 Date Completed — Inspected By TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 4164 Location 0033 BEELZEBUB ROAD Contractor $pUTIN" S.ONS Address 1 � WI Type Work DRIVEWAY DSOPVZ.LLE ROAD BROAD 1jRO0K.-.QT"<:06016 Phone No (80)623 `2526 > Date Insp Needed 7. Time Insp Needed Time - ao Inspected By 7 /a Work in Progress----------------------------- ---------------------- ------------------------- Input Date n APPLICATION FOR STREET EXCAVATION PERMIT OWN OF SOUTH WINDSOR PUBLIC- WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN. AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of Firm Boutin & Sons Cons t. Co. Phone No. 623-2526 Address of Firm 121 Windsorville Road roa rook, Conn 06016 Location of proposed work_ t 4 Describe fully nature of permit requested Starting date Approx.time for completion Call before you dig no._a' �����7 Ll� 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 lG � Amt. of Deposit S by O Cash O Check# Cut size after Perm. Patch No.Cuts Final Billing S JAmt. 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 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 ASIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed: Date: (J'� i Title: D.L.# ~ PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES