HomeMy WebLinkAboutDriveway Street Cut Permits 2233 Ellingt TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3183 Contractor BOUTIN & SONS
Location Type Work DRIVE- Address 121 WINDSORVILLE ROAD
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BROAD BROOK CT 06016
Phone No. (860)623-2526
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Permit No. 3183 Town of South Windsor, CT
Dater 08/22/2001 '.; Street Excavation Permit
Expirdtion Date 08/22/2002
Descrip:
Applicant Location
Name BOUTIN & SONS 33 ELLINGTON ROAD
Addr. -121 -WINDSORVILLE ROAD
BROAD BROOK CT 06018 Type ,of Wo;^k, DRIVEWAY
Phone (860)623-2526
Applicant agrees to 'furni,s ivheG ' +wr + South Windsor the amount of bond
required and to reimbUrse the l`own Souirh Windsor for any expenses
incurred by the Town fc � m4 ten � ' r r+apair irk ' rt connection with this
permit and that applicant �r ,; fami 1 far vw t and it 1 abide by the rules and
regulations for permit, `aaitlled
'h t ,;TotnhKl South Windsor's Street
Cut Permit Manual .
* * PERMIT Tp $E. kEP ' ON ;JC3 SITE, AT- ALL T-IMES.
Issued by �i�.�,-4.. T7tTe
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Date Completed � � Inspected By 3-IB-tnrna
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC- WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm Boutin & Sons Cons t . co. 623-2526
Phone No.
Address of Firm 121 Win soruille Road Broa Broo , Conn 06016
Location of proposed work 2233 Ellington Road
Describe fully nature of permit requested Strip eXis irig driveway, put in - or process
gravel, grade, roll an pave
Starting date Approx.time for completion
Call before you dig no. 20013301847 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 5
Amt. Due Payee S
Amt. Due Town $
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: _ Date: 8/17/01
Title: �� GY�7Z-f!�:4z D.L.#
-- PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
p
' Descri tion:
a
Quote Good for 60 D,
Special Attention: 1/2 Payment Upon Starting, Balance Up Completion.
�- Contract Permit
ONE YEAR GUARANTEE ON WORKMANSHIP &MATERIA
CBUD 2-0 o ' v y / Date