HomeMy WebLinkAboutDriveway Street Cut Permits 82 Felt Road q
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 4333
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Permit No. 4333 Town of South Windsor, CT
Date 11/15/2006 Street Excavation Permit
Expiration Date 11/15/2007
Descrip:
Applicant Lc3at on
rfi
Name BOUTIN & SONS
dr. 121 WINDSORVILLE12OAb%
BROAD B `1 ROOK CT 060:•1,6. "!t3 >„Wor ``it'''.t. :ESBAY
Phone 860 2 - 2 6 3 2 5 6
a:.:.. ...; :. .,: aet Applicant agrees e ' oh of bond
required and to reii�b'u'rse,-.t:he' wn of. k1i'``t ri lsor fix-.'AnZ' exp`e*ses
incurred m •>,H . .
by the Town ` h n r�4 Y:r .k iz,` hz'ecelori with this
permit
p t and that appl' cay ? S;>, aniT`za „�i .. ni '�. ''as�;��:j�ytFi� rules and
regulations P
for erm ;,ts,Yt <s ith # so.so.r s Street
Cut Permit Manual.
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PERMIT Tb1 'BE,>XEP£'
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Date Completed -------- ;:.;:>:.>:«<:.•::�::.:I:ns:ps�t'�d B
APPLICATION FOR STREET EXCAVATION PERMIT 2
T
PUBLIC WORKS DEPARTMENT �33✓
TOWN HALL
1540 SULLIVAN. AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm Boutin & Sons Cons t . Co. Phone No. 623-2526
Address of Firm 121 Windsorvi e Road roa rook, Conri 06016
Location of proposed work 82 Felt Road
Describe fully nature of permit requested- =nt i n gravel to driveway and appon, grade, roll and pave
Starting date Approx.time for completion
Call before you dig no. 20064502599 Traffic Services Control No.
Show sketch of proposed work or furnish TO be filled out by Town Of So. Windsor
two copies of separate drawing Pavement Cut
Indicate North Prop.size of cut
No.cuts
Z Amt.of Deposit$ by
L OCash OCheck#
J Cut size after Perm. Patch
No.Cuts
Final Billing S ^�
Amt. Due Payee $
Amt. Due Town S
Applicant is responsible for contacting
Ithe Police Dept.and C.S.Y.D. by date I
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF
SOUTH WJNDSOR 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:
Title: D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES