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HomeMy WebLinkAboutDriveway Street Cut Permits 282 Dart Hil t TOWN OF Permit No. SOUTH WINDSOR INSPECTION REPORT Location 3580 d282 ;JUG ContxaCtor BOUT3N" /y0, (.. Type Work DRIVEWAY Address SONS V? 121 bXII�DSpR'' :ILLE ROAD .�2QAD BROOK CT '0.,6016 Fhorae,'No fBS;�t)623 `2526 Date Insp Needed Date Irxsg Time Insp Needed Time Izs Inspected By Work in Progress C -Ain1-�-> Input Permit No. 3580 Date 09/04/2003 Town of South Windsor, CT Street Excavation Permit Expiration Date 09/03/2004 Descrip: Applicant ` LocaC'�,q:n Name BOUTIN & SONS 02.82 DART HILT; Addr. 121 WINDSORVILLt ,R(JAD BROAD BROOK CT 04016 Tae ocrrk I3.RIVEr7AY Phone (860)623-2526 Applicant agrees to f r the Terwn of Soitk� Windsor tie amount of bond required and to reimburse tb� Iow11, fX 5©uth �lanelsor fox aiiy eypenses incurred by the Town far ma14itenanc' or repair iaork in st7l7n ctipn with this permit and that app1: c:8T1't 15 fatgil � }� ., y ailce , y tie rules and regulations for permits as., out�ined'' #� the To •of South W�pd,Sor Cut Permit Manual. s Street * * PERMIT TO $E KEPT ON' iTOB TE.'AT AT,T,; PiMS Issued by _ _� _��_ _.Tatle ' < Date Completed Inspected B `'I- APPLICATION FOR STREET EXCAVATION PERMIT 3 s 0 TOWN OF SOUTH WINDSOR PUBLIC- WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of Firm Boutin & Sons Const. Co. 623-2526 Phone No. Address of Firm 121 windsorvi- Ile Road Broa Brook, Conn 06016 Location of proposed work 262 Dart Hill Road Describe fully nature of permit requested dig out Iawn acid grave , grade roil and pave Starting date Approx.time for completion Call before you dig no. 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 ()Cash() Check# Cut size after Perm. Patch No. Cuts Final Billing $ 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 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: �w?ibvr — Date: Title: 5e e re'TC nj D.L.# PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Description: !v7 /j qI t o � , T V 0 n v r Vi e G dVor 60 Days. S eciaAntion: 1/2 P m nt Upon St ding, Balance U n Completion. p P 9� p P , Contract Permit ONE YEAR G(U\AtR\A4NTE SHIP&MATER Al-d CBUD vV� Date r CJ �