HomeMy WebLinkAboutDriveway Street Cut Permits 100 Farmstea TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3757 Contract6r BOUtI'N &, SONS
Location 0100 FARMSTEAD DRIVE Address 121 WINDSORVILLE ROAD
Type Work DRIVEWAY BROAD BROOK CV:.06 0 16
Phone No. (864)623-2526
Date Insp Needed ---------_ Date Time
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Time Insp Needed ------------—_—_— Time Insp
Inspected Byy�tin yam `
Work in Progress
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Input � _ — .Date f
Permit No. 3757 Town of South Windsor, CT
Date 06/14/2004 Street Excavation Permit
Expiration Date 06/14/2005
Descrip: CK# 1813 - 2 PERMITS
Applicant Location
Name BOUTIN & SONS 0I0O FARMSTEAD DRIVE
Addr. 121 WINDSORVILLE :ROAD
BROAD BROOK CT 06Q16 Type of Work bRTV :WAY
Phone (860)623-2526
Applicant agrees to furnish;,:the Town. of Saat'h Win 80r, the.,..amount of bond
required and to reimburse the Town of South W:i:A< sor for any,expenses
incurred by the Town £ar maintenance or'repair work; in Ccnr�Qcti;z�n with this
permit and that applicant is faTdjj: ar w t. wii1 abide ..by the rules and
regulations for permits as. autlined xn :the Town 6 ' South Windsor s Street
Cut Permit Manual.
* * PERMIT TO BE.:KEPT ON 30.8 SITE AT ADZ TIMES.
Issued by --
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Date Completed Inspected By — , �
3yi�
�. L. APPLICATION FOR STREET EXCAVATION PERMIT
OWN 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.
AddressofFirm 121 Windsorviiie Koact broa roo , Conn
Location of proposed work 100 Farmstea o a
Describe fully nature of permit requested 6 tr l p e X 1 S L i n g a r l V 2 W a y,
. gracle, roit ana pave
Starting date Approx.time for completion
Call before you dig no. Traffic Services Control No.
7Showh of proposed work or furnishTO be f111C(� OUt by TOWri Of.SO wlri(�SOC
of separate drawing Pavement Cut
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 S
S
Applicant is responsible for contacting Amt. Due Town
the Police Dept. and C.B.Y.D. by date
I AGREE TQ 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 1 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: 6/3/04
Date:
Title: D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Description: '
/ d
t /
ql
Quote Good for 60 Days.
t Upor Starting, Balance Upon Completion.
Special Attention: 1/2 Paym
V Permit
Contract
N�gjERIALS. C� J
ONE YEAR GUARANTEE ON WORKMANSx#t� 1
,\`J� Date
CBUD