Loading...
HomeMy WebLinkAboutDriveway Street Cut Permits 74 Birch Roa Permit No. 4052 Town of South Windsor, CT Date 07/28/2005 Street Excavation Permit Expiration Date 07/28/2006 Descrip: z ' Applicant Ersc.a"t.i on Name BOUTIN & SONS Q > BT RppD x ' Addr. 121 WINDSORVILL ROAD h ` BROAD BROOK CT 06 3 6 y � Warp L?RIVEWP,Y �: Phone (860)623-2526 ? r . : " # , . '. hAPplicant a9ree'S �o �u '4�s" � h Wi�d5e `te `amount of bond required and to reimburQ1e �9thidsor Qry expenses incurred b the Town1»f`gr::;m' Y �Sriae Yoark nepton with this permit and that ap�ilint mi3°a Wi '}Y aif - yfillsa } , the rules and regulations for =9 per[9itaa_cs t7 i to .:. t_; #: :.'ref,, pu't1� k,)"inlaebr's Street Cut Permit Manual. s * * PERMIT >>; 'K 7.' Oil Iss ued d by Date Completed I .;r:,s .:.. :.: -------------- :gpId't t ed By ------- TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 4052 Location Cont 0074 BIRCH ROAD .; :a' tpr BOCSIh�>., , SONS Type Work DRIVEWAY d'ddreq u 12Z'> }dpSOR4� LLE ROAD "R.QQK .C`P"<?..06016 Phone Jo.>f:#£?0.) 3::"4,a.S_2 F3? Dt :;. a e n I s Ne eded e P ed d _ 4: Y Time Insp Needed ------------ ;<�;:r -.: ��:�•_ � y Inspected B {�Y r l H. -- --------- Work r k in Progress J 3. 3wy'Lam. ... .. ........... .. .............. -------------------------- ------------------- ------------------------------- ----- : y APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC TOWN HAELPLRTMENTC�S 1540 SULLIVAN. AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of Firm Boutin & Sons Const. Co. Phone No. 623-2526 Address of Firm 121 Windsorvi e Roa roa rook, Conn 06016 Location of proposed work 74 Birch R o a c) Describe fully nature of permit requested Strip e x i s t i n cr dr i ye way gdd �� _ grade, roll and gave _ Starting date Approx.time for completion Call before you dig no. 20052901541 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 y 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 ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. -7Yi � � dS Signed: Date: Title: D.L.# PERMIT SHALL BE KEPT ON JOSSITE AT ALL TIMES scrap ion: r 0 2,Z� �� I )nSarting, © �3 t r t Quote Good for Days. F Special Attention: 1/2 Payment Up Balance Up Complet n. r Contract Permit ONE YEAR GUARANTEE ON WORKMA S IP & MATERIALS. Pres. CBUD Date