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HomeMy WebLinkAboutDriveway Street Cut Permits 436 Felt Roa TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 4084 Location 04.36 FELT ROAD Contxaet''or BOUTIIf"'°fie>:;S,oNS Type Work DRIVEWAY Ad'ares >, >;::7 21 .NT"INDSORVTi,LE ROAD CT b'b.,016 Phon e �a f:8 f�1162'3-�"5 2.6 :. •:;. Date Insp Needed -------------- DatTnsp . Time Insp Needed --------- Tm2 ?InS Inspected By Work in Progress —`'J —C--- — ----------- LL ^;- put.. Permit No. 4084 Town of South Windsor, CT Date 09/14/2005 Street Excavation Permit Expiration Date 09/14/2006 Descrip: MONEY REPORTED ON I AiU:::: ,,::R l?ORT},>12`•:' :>,:.3 3 7 ...(6-1'4-0 5'j':;C K 933 Applicant Iocatx ola Name BOUTIN & SONS f , 04 F FELT R0At) Addr. 121 WINDS ORVILLE KbSiJ�, BROAD BROOK CT 06p;3 WOr .:Ak'I�iEA�I Y Phone (860)623-2526 Applicant agrees to' furnish the Tcawa p $.ju H Windsz3r' Ghe am©ant of bond required and to reimburseIas :Iowxx> rs Southx: sor ,for, and exp:eiises incurred by the Town'f.or max.rtt �aanc or°'repair worlc;:zn oinnectian with this Permit and that a li' ah.... :.. <;.....:. ...:::::::>, PP c t 3ar;€; tzes.xt%' 1;'.`":' 'by:Ch rules and regulations for permit's as otlne' the ,�SWi Af South' Wni! dstir's Street Cut Permit Manual. * * PERMIT TO B KPT ..ON i70B; SE';Fi ALA, DIME: . Issued ue d by ----- Y Date Completed ----------_ -- Inspected By APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC- WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN. AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of Firm Boutin & Sons Cons t . Co. Phone No. 623-2526 Address of Firm 121 Windsorvi 1 e Road Broad rook, Conn Olson Location of proposed work Strip existing driveway, complete lawn dig out add process gravel, grade, roll and pave Describe fully nature of permit requested LL'�A FA 1 t R n a d Starting date Approx.time for completion Call before you dig no. 20053502238 Traffic Services Control No. Show sketch of proposed work or furnish To be filled out by Town of So Windsor two copies of separate drawing Pavement Cut Indicate North Prop.size of cut No.cuts Amt. of Deposit$ by O Cash O Check# Cut size after Perm. Patch No.Cuts Final Billing$ Amt. Due Payee $ 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 WJNDSOR 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: !� /� "'G�� Date• Title: D.L.# PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES - Job Location: Description: . 17 � i ^ , u ' Quote Gobi for 60 Days. !`�- `-C T^ Special Attention: 1/2 Payment Upon Sta ing, Balance Upon Completion. Contract Permit OS ONE YEAR GUARANTEE ON WORK N�HIP 8 JI TVhALS. Pre: CBUD \ Date — o -