HomeMy WebLinkAboutDriveway Street Cut Permits 17 Castlewoo TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3587
Location 0017 CASTLEWOOD DRIVE Cont,x.a>e'for BOUT'I'N =&;,,,SONS
Address
Type Work DRIVEWAY 121 dnT:ZNDSORVLLLE ROAD
$k���1D BROOTt CT 06016
Phone No .(8$4)623 25.26 '
Date Insp Needed 3'
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Time Insp Neededxs
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Inspected By y
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Work in Progress
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Input ._ Date ::>- lJ_j'�L—
Permit No. 3587 Town of South Windsor, CT
Date 09/11/2003 Street Excavation Permit
Expiration Date 09/10/2004
Descrip:
Applicant Zocati on
Name BOUTIN & SONS OQ!17 CASTLEWQD plIVE
Addr. 121 WINDSORVILLE RG)AD
BROAD BROOK CT D6Q]6 Type o t�orlc .S3tiV$77yXX
Phone (860)623-2526
Applicant agrees to furnas:h i�ithe ,T�Sw ', r`f SQut'h Wincia :the aznaunt of bond
required and to rei#nburse the, ToW#i gf St)u h y4 zd"' ' for arij,.:expenses
incurred by the Town for ma�ntenanc"e or repair "work :n triinectitin with this
permit and that applicant fs:famil�'hde by tkie rules and
regulations for permits as cut lined'. Qf S.puf n Wad or's Street
Cut Permit Manual.
* * PERMIT TO '$E :`KEPT ON 3OB SITS ITT ALI ;TIMES.
Issued by --- ���' I l�L Title
Date Completed —__ Inspected By � ...
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC, WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Boutin & Sons Const . Co. 623-2526
Name of Firm kPhon No.
Address of Firm uri sorvl e oa , PC011l. v
Location of proposed work 17 Castlewood Drive
Describe fully nature of permit requested Apron
Starting date Approx.time for completion
Call before you dig no. 20033602030 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
P
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
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: Date: 9/9/0 3
Title: �P Gr e-/a �� D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES