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Home My WebLink AboutDriveway Street Cut Permits 11 Carman Ro TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 3770 Cont,r.aet'or'`BOUT'T'N:,&..SONS Location 0011 CARMAN ROAD 121.Q: .IN'D:SORV:I,LLE ROAD Type Work DRIVEWAY BROAD BRO,fK CT °>0,6016 "Phone':No (80)623'-2526 Date Insp Needed Date �p ►► Time Insp Needed "TIme; � .143 � Inspected By MINI — ., Work in Progress � �►. -------------------- --- !X� Input„ Date _��t -- Permit No. 3770 Town of South Windsor, CT Date 06/17/2004 Street Excavation Permit Expiration Date 06/17/2005 Descrip: s. Applicant '10. Name BOUTIN & SONS ©ai CARMAN iROAD Addr. 121 WINDSORVILLE .R ADis BROAD BROOK CT 06016yae Of:'ThIOrqS:...... Li,RTE�ET7AY Phone (860)623-2526 Applicant agrees to ;f xrn s.h, the TOX4 of Sbut4 Windsor—;:the!,amount of bond required and to reimburse the" 'Pov�n: Cx$ ,buh �1izzAsor,f,4r any expenses incurred by the Townr maintenance br Tp3iY ' Ork. tinorinectin with this permit and that apply c.arit ks 3 =ar Wlhs ;tn+ill abide ,tiy t#e rules and regulations for permits as 5utlined, 1n tie To—Wn of South Windsor's Street Cut Permit Manual. * * PERMIT TO $E 'XI PT ON JC7B I E 'Ar ALL;,TiMPS. Issued by Date Completed _---- Inspected ArrLitUA1IUN PUR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC- WORDS DEPARTMENT TOWN HALL � 1540 AVENUESOSULLIVANT WINDSOR, CT FEE 25.00 m Boutin & Sons Const. Co. - Name of Firm Phone No. 623-2526 Address of Firm 121 lri sorvl e Road Broa-cT-Nr-6-okConti 06016 location of proposed work 11 Carman Road Describe fully nature of permit requested Stria axi cti no ririva.,a;, pUf in r,rnno�� grade, roll and pave �raval, Starting date Approx.time for completion Call before you dig no. 20042403048 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 $ $ Applicant is responsible for contacting > Amt.Due Town 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. 1/14/04 Signed: Date: Title: D.L.# cr . PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Description: Is on elf 3/ � 3 j r Quote Good for 60 Days. j Special attention: 1/2 Payment Upon Starting`, Balance UE,)on Completion. Contract �1 �t { 1 Permit. �. ONE YEAR GUARANTEE ON WORKMANSHIP &MATE,Rl�kl- Date CBUD �r