HomeMy WebLinkAboutDriveway Street Cut Permits 360 Felt Roa ` TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3278 Contractor BOUTIN & SONS
Location Address 121 WINDSORVILLE ROAD
Type BROAD BROOK CT 06016
one No. (860)623-2526
Date
Insp Needed °" Lisp Qp-
Time Insp Needed i . , 3•19
Inspected By
Work in Progress
L Date
Permtt'_I ' 3278 Town of South Windsor, CT
Date" 04/29/2002 Street Excavation Permit
Exp i Corr Date 04/29/2003
Die s cr i p
Applicant
Location
Name BOUTIN & SONS LT OAD
Addr. 121 WINDSORVILLE RO
BROAD BROOK CT 060 r `
DRIVEWAY
Phone (860)623-2526 "
Applicant agrees h or the amount of bond
required and to reim u o th r r any expenses
incurred by the Town 1. e pa I�ii connection with this
permit and that appli an ide by the rules and
regulations for permi , s " L
th Windsor's Street
Cut Permit Manual .
� * PERMIT
L TIMES. * *
Issued by t -
Date Completed nspected 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 Const . Co. Phone No. 623-2526
Address of Fir le Road Broad Brook, Conn 06016
Location of proposed work_ 360 Felt Road .
Describe fully nature of permit requested Resurface Existing Driveway
Starting date Approx. time for completion
Call before you dig no. Not Digging 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
() Cash() Check#
Cut size after Perm. Patch
No. Cuts
Final Billing $
Amt. Due Payee S
Amt. Due Town $
Applicant is responsible for contacting
the Police Dept. and C.S.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: 4/2 6/02
Title: �� G/� 7-4e--/G. D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Job Location:
Description: 1-4 ,,�
C�
2 �
I
l C7`
Quote Good for 60 Days.
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion. /J
Contract Perm 7 - — O 2
ONE YEAR GUARANTEE ON WORKMANS IP&MATERIALS. Pres.
CBUD /(/ /9 Date_ �� /�