HomeMy WebLinkAboutDriveway Street Cut Permits 24 Crestwood . `. TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. Contractor BOUTIN & SONS
Location : VMMM Address 121 WINDSORVILLE ROAD
.Type Work BROAD BROOK CT 06016
ne No. (860)623-2526
Date Insp Needed <Ic
Time I nsp Needed
Inspected By
Work in Progress S
k
OR
�' Date D —
Permim No. 3359 Town of South Windsor, CT
Date 08/06/2002 Street Excavation Permit
Expiration Date 08/06/2003
Descrip:
Applicant N Location
Name BOUTIN & SONS WOOD DRIVE
AEddr. 121 WINDSORVILLE
BROAD BROOK CT 0 DRIVEWAY
Phone: (860)623-2.526
Applicant agrees t dsor the amount of bond
required and to rei T ut or any expenses
incurred by the Tow t n rep in connection with this
permit and that app
" ` i abide by the rules and
regulations for per i t outh Windsor's Street
Cut Permit Manual.
� r
0 o
* PERMIT , ALL TIMES.
Issued by _ In I
Date Completed Inspected. By
A�
r '
APPLICATION FOR
TO ET EXCAVATION PERMIT
PUBLIC- WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm Boutin & Sons Const. Co. Phone No. 623-2526
Address of Firm 121 Windsorville Road Broad Brook Conn 06016
Location of proposed work 24 Crestwood r i e
Describe fully nature of permit requested Complete dig out of driveway butting in 6"
of process gavel , grade roll and pave
Starting date Approx.time for completion
Call before you dig no. 20023101594 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 5 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.S.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 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• — —d
Title: z°Goo lr a G/ D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
AJob Location: / �`� <S%, p•G��ia- 441
pescription: r
2
o v�
601
i
Quote Good for 60 Da W&- INIM. - ,
13 7
Special Attention: 1/2 Payment Up n Starting, a ance Upon Co ple-tion.
)Contract Perv�—
ONE YEAR GUARANTEE ON WORKMANSH,14 MATERIALS.
CBUD QO o� /o� Sq Date /7l/q//S ?"
-
(CALL BEFORE YOU DIG - CT) 08/27/2002 11 : 18: 18
-5G -C4 -CW -GV '
� -OT 4-SW SWINDS -T5
i
***** ROUTINE *****
TIME. . 10:33 DATE. . 08/27/2002
REQUEST NO. . . 20023501063 PREVIOUS REQUEST NO. . 20023101594
LATITUDE. . 4l. 8225612 LONGITUDE. . -72. 5250549
TOWN. . . . . . SOUTH WINDSOR
ADDRESS. . . 24
STREET. . . . CRESTWOOD DR
NEAREST
CROSS STREET. . ORCHARD HILL DR
TYPE OF WORK. . . . . EXC TO REMOVE & REPLACE EXS DRIVEWAY
AREA IS MARKED. . . YES
REMARKS:
WORKING FROM ST �O GARAGE. . . . . . .
START DATE. . . . . . 08/30/2002 START TIME. . 07:00
CALLER. . . . . . . . . . COREEN BOUTIN
CALL BACK. . . . . . . 8-5
PHONE #. . . . . . .. . . 860-623-2526
FAX #. . . . . . . . . . . 860-623-2529
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . . BOUTIN & SONS CONSTRUCTION CO.
ADDRESS. . . . . . . . . 121 WlNDSORVILLE RD
CITY. . . . . . . . . . . . BROADBROOK
STATE. . . . . . . . . . . CT
ZIP. . . . . . . . . . . . . 06016
_____________________________________________________________
EXCAVATOR DOING WC-RK. . SAME
ISSUED TO: DATE: TIME: BY:
DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY:
CALL BACK: 1 ) DATE: TIME: BY: 2) DATE: TIME: BY:
PERSON CONTACTED: PERSON CONTACTED: