HomeMy WebLinkAboutDriveway Street Cut Permits 544 Deming S TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3575 Contractor BOUTIN &. SONS
Location 0544 DEMING STREET Address 121 >WINDSORVILLE ROAD
Type Work DRIVEWAY BROAD B'ROOk CT"06016
Phone Nd ($6O),623 `25.26
Date Insp Needed _--------_T Date Insp. i
Time Insp NeededOr
Time Tn$)p 41, `
Inspected By
Work in Progress
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Input., Date — i—t— _ ---
Permit No. 3575 Town of South Windsor, CT
Date 08/25/2003 Street Excavation Permit
Expiration Date 08/24/2004
Descrip:
Applicant I oca .ion
Name BOUTIN & SONS US4 D3MINO STREET
Addr. 121 WINDSORVILLE"ROAD
BROAD BROOK CT .06016 Type a Work DRIVEWAY
Phone (860)623-2526
Applicant agrees to furnish the 'town of Sch Windsbr' the 'amaunt of bond
required and to reimburse ;the town of.-Sou 11 th Nlindsor £o 'any :expeinses
incurred by the Town.f rar maintend� ar rpa' r work in .. .onnection with this
permit and that applic all t is £amiliar:'wi.th and wiI'1 abe by the rules and
regulations for permits as:;outli'ned aa ; the Tawn o South:. WincPsar's Street
Cut Permit Manual.
* * PERMIT
t,TO/'BE KEPT ON SpB SITS AT ALL TIMES ,
Issued byTitle
Date Completed --------- Izlspected By f.�4%-�Yr ✓ � '�
+ APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC- TOWN DEPARTMENT 3 �- 73
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 Roadroa rook, Conn
Location of proposed work 544 Deming tree t
Describe fully nature of permit requested strip riveway a grave , g ,
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 O Check#
Cut size after Perm. Patch
No.Cuts
Final Billing $
Amt. Due Payee$
Applicant is responsible for contacting Amt.Due Town $
the Police Dept.and C.B.Y.D. by date
I AGREE TP 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:_ v 1/ `��!��t����
Date:
Title: �
D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Job Location:
Description:
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7L
Jartingg.
Quote Good for 60 Days.
Special Attention: 1/2 Payment U onBalance Upon Completion. 7 ,�
Contract Permit �—�—
ONE YEAR GUARANTEE ON WORKMANSHIP& MATERIALS.
CBUD W Date 94 )A