HomeMy WebLinkAboutDriveway Street Cut Permits 41 Bramblebr Permit No. 4339 Town of South Windsor, CT
Date 12/01/2006 n '"'"'"' Street Excavation Permit
Expiration Date 12/01/2007
Descrip:
Applicant
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Name BOUTIN & SONS
BRAMBLE�I2AE
Addr. 121 WINDSORVILLFi' Rt1ADi?," yxy.,::..,
BROAD BROOK CT
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Phone (860)623-2526 "^
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Applicant agrees t`o""f >rrra:h:;sthe To o °': .` ""`'
Nk�7.:.:,..:.. e�7 �Y} Winds>rr::: leamoint of bond
oW 14re required and to rei b' a,: e
s�:. ? xpe3ises
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incurred by the Towri;z fo, y }4anc rv'r < ''r" 7t >% :6
p 1. ....xin ction with this
permit and that applc4:riL fg:., &mz "%:::.( € H< ,> ' .
axd ?Y t-,46 rules and
regulations for permia ash•ot ;�rie'ds; i9T4: yd' Sau' '1 I�fdor's Street
Cut Permit Manual. :ti
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* * PERMIT TO 'B
T Issued by ------------------
Date Completed Inspected B
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 4339
ConX/,rctor.,BOUTZN &`"'SONS
Location 0041 8 I _ ::
es� g z <i121 jIIaO$V E ROAD
Type Work DRIVEWAY 3 RO 6*T (Y 016
Da
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to In s Ne
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Time Insp Needed
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Inspected y
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Work in Progress ''
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APPLICATION FORSTREET EXCAVATION PERMIT
N OF SOUTH WINDSOR V 33
r 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 Windsorvl e Roa roa rook, Conn 06016
Location of proposed work 41 Bramblebra Drive
Describe fully nature of permit requested Strip black top and lawn dig out, put in process gravel,
grade, roll and gave
Starting date Approx.time for completion
Call before you dig no. 064601431 Traffic Services Control No.
Show sketch of proposed work or furnish To be rMed 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 $
Amt. Due Town S
Applicant is responsible for contacting if
the Police De,:t. and C.B.Y.D. by. date
1 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: /'fG i��L/ l Date:
Title: D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
OFF
Job Location: �r—o:_4t?
Description:
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PLEASE NOTE: DUE TO CURRENT VOLATILITY OF LIQUID ASPHALT PRICES,
C(* ,f'?°0f*&%aa -1LL BE SUBJEC f-_TO ANY PLANT MATERIAL CHARGES. ' • - ' `�• -•
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
Contract Permit
ONE YEAR GUARANTEE ON WORKMANSHIP& MATERIALS. Pres.
CBUD
Date
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