HomeMy WebLinkAboutDriveway Street Cut Permits 220 Beelzebu Permit No. 3116
' Date -- v 05/21/2001 Town of South Windsor, CT
Street Excavation Permit
Expiration-.,Date 05/21/2002
Descrip: CK1346 FOR THREE PERMITS
Applicant
Location
Name BOUTIN & SONS
Addr. 121 WINDSORVILLE ROAD 4220 'BEELZEBUB ROAD
BROAD BROOK CT 06010 hype df. Work, DRIVEWAY
Phone (860)623-2526
Applicant agrees to i=uriiish ;thia 'TOwn 'Of South Windsor the amount of bond
required and to reimbre.,` 1sTown �crf ;South Windsor- '�1 Qr any expenses
incurred by the Town for Mal ntenance ter repair;�c rk in' connection with this
permit and that appl int�`ie=„familiar: ti1�h and, will abide by the rules and
regulations for permits outl-ij*, in ter Cut Permit Manual . Towh of -Sa th Windsor's Street
* * PERMIT TO J&E K,PT ON :JO-8 �SITE, ATE, ALL TIMES.
Issued by '� -- Title
Date Completed V/2- Z,g b j Inspected By
.� '•
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No..,, 3i16 Contractor BOUTIN & SONS
Location _ Address 121 WINDSORVILLE ROAD
Type Work DRIVEWAY BROAD BROOK CT 06016
Phone No. (860)623-2526
Date I nsp Needed Date ,I hsp._
Time Insp Needed Time Insp.
Inspected By 12 s
- -
Work in Progress
Date
Ippty� C �
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC- WORKS DEPARTMENT
LL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm Boutin & Sons Const . Co one 623-2526
Address of Firm 21 Winds orvi e Ro- Broa rook, Conn
Location of proposed work 220 Beelzebub . Road
Describe fully nature of permit requested S t r 1 drive--, dress with process, rade, roll
and aye
Starting date
Approx.time for completion
Call before you dig no. 20012000314
Traffic Services Control No.
Show sketch of proposed work or furnish To be Filled out b 7by
two copies of separate drawing
Pavement Cut
Indicate North
Prop.size of cut
No.cuts
Amt.of Deposit $
I) Cash i) Check#
Cut size after Perm. Patch
No. Cuts
Final Billing $
Amt. Due Payee $
Amt. Due Town $
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.
Sin �� s/ �
g ed. Date: 5/15/01
Title: Secretary
D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
p-
6( 0
L)
Quote Good for 60 Days.
Special Attenti n: 1/2-Payme Upon Starting, B lance Upon CoMpletion.
Contract PIrmit
ONE YEAR GUARANTEE ON WORKMANSHIP & MATERIAL Pres.
C)*/
CBUD
Dat