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HomeMy WebLinkAboutParking lot Street Cut Permits 435 Buckl TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 3620 Contractor BOUTIN"'& SONS Location y3 s s3ric.I�kE1�c� 1ddress 121 WII?DSORVI: LE ROAD Type Work BROAD B'1ZOOK ET ©6016 0.eklY�(f c? Phone No (&6,0)623 2526', Date Insp Needed _------ � l ISate 1. — — Time Insp Needed zme Izs Inspected By ----_— a Work in Progress r �v< G ---- -- InptitDate /0 _7-o V Permit No. 3620 Town of South Windsor, CT Date 10/22/2003 Street Excavation Permit Expiration Date 10/21/2004 Descrip: SHIM & RESURFACE FIRKTNG LOT: Applicant Iocat':i'on Name BOUTIN & SONS Addr. 121 WINDSORVILLt 'ROAD BROAD BROOK CT 066,I`6 lye of ,;,3ok DRIV$WA ' Phone (860)623-2526 Applicant agrees to;.fnrnxS�Z the xoWn'xxo.f South Windsor zhe amount of bond required and to reinbur;se khe.:Towxx z?f Sbuh,kG;n $or f;or any, e,xpnses incurred by the Town Eon to tntOnance or repair Wor i.n' onxiection with this permit and that applicant is atila bath ss�dwi1] abide by "tIie rules and regulations for permits as, ourlined'` n the foatni'of South Wzndsor's Street Cut Permit Manual. * * PERMIT TO 'BE FCEPT ON, OIB. TT� }T...ALL:.TIMES. Issued by �G7) _ Title _— Date Completed ^---- — Inspected By APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC, WORKS DEPARTMENT 1540 SULLIVANOHALL AVENUE SOUTH WINDSOR, CT FEE 25.00 Name of Firm Boutin & Sons 'Cons t. Co . , Address of Firm Win sorvi e RoadBroa ro k,e Conn 623-2526 Location of proposed work 435 buck-Landoa Describe fully nature of permit requested i ml r e S ll r a C e a r I n 13 Starting date Approx.time for completion Call before you dig no. Traffic Services Control No..F , Show sketch of proposed work or furnish To be filled out by Town of So Windsor two copies of separate drawing Pavement Cut Indicate North Prop.size of cut No.cuts Amt.of Deposit$ by O Cash O Check# Cut size after Perm. Patch No.Cuts Final Billing$ f: Amt.Due Payee$ Applicant is responsible for contacting Amt.Due Town S the Police Dept.and C.B.Y.D. by date I AGREE TQ 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. Signed: � a t) Date: 1-3 Title: D.L.# PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES - •- n Description: J U S Quote Good for 60 Days. Special Attention: 1/2 Payme Upon Starting, Balance Upon Completion. Contract Permit ONE YEAR GUARANTEE ON WORKMANSHIP & MATERIALS. CBUD Date