HomeMy WebLinkAboutDriveway Street Cut Permits 114 Benedict Permit No. 3737 Town of South Windsor, CT
Date 05/28/2004 Street Excavation Permit
Expiration Date 05/28/2005
Descrip: _
Applicant
Location
Name BOUTIN & SONS fl t$ BITEDZCT"yRIVE;
Addr. 121 WINDSORVILLE ROAD
BROAD BROOK CT 06016 Type Work }7RVEWAY
Phone (860)623-2526
Applicant agrees to:"furnish the :down dSio:rh Winsise3r t1.he.ama,ixnt of bond
required and to reimburse the Town of Soutar kUndsor for any expenses
incurred by the Town far ma�r;tenan :� qx: repaa,. .work is r C4zlTrecb-ion with this
permit and that applicant a :fmilr. wi 'i -an d :za311 'be 'by the rules and
regulations for pernlats as qutli ed. J.A the Town of S4.uth-Vl ndso'r s Street
Cut Permit Manual.
* * PERMIT "I0 BE:..KEPT ON �7OB :SITE" AT AIL TIMES ,.
Issued by ------- ►� �' Title
Date Completedtea By
-
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 373e, Contractor BOUTfN &:;,SONS
Location Address 121WINDSORVII,LE ROAD
Type Work DRIVEWAY BROAD BROOK CT"': 6016
Phone. No". (8g):6kx3 2_ 26 ',.
O
Date Insp Needed --------------- -- DaGe Insp
Time Tsts: 11 .il!h
Time Insp Needed __ w
Inspected By
Work in Progress -
-------°-- ----- - -- - - 7777
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Input L/r"� Date _ �-`r -
s APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC- WORDS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm Boutin & Sons Const . Co. 623-2526
Phone No.
Address of Firm 121 Windsorville Road Broad Brook, Conn 06016
Location of proposed work 114 Benedict Drive
Describe fully nature of permit requested Strip existing, driveway dress with process gravel
grade, roll and pave
Starting date AIpprox.time for completion
Call before you dig no. 20042202741 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 8
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 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:
J 5/27/04
Date:
Title: Gf'Pr�lc / D.L.#
at
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
OFF AVERY STREET
,� • . � Job Location:.-
i`
Description:
T
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2 ,
50
3
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Quote Good for 60 Days.
Special Attention: 1/2 Payment Upon Start! g, Balance Upon Comp tion.
Contract
Permit
ONE YEAR GUARANTEE)ON WORKMANSHIP& MATERIALS, n
L r /
CBUD
~ Date
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