HomeMy WebLinkAboutDriveway Street Cut Permits 179 Foster S 700063 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 05/25/07 ''"'
GIS ID: X
33600179
.... FEE:
MUNIS APPLICATION# 200700748
25.00
`,.��,., XI'I TION DATE: 05/24/08
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NAME: €` °€
BOUTIN&SONS w:<x:->
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E STREET
ADDRESS: 121 WINDSORVILLE � ^< >
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BROAD BROOK CT. 6016
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� . . . .......:....::�.� ?OLI�7'I'"C1F�3flNb REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN�<<E '.E'NS`i%�INS 7 . I�1� H�TOWN"V01i MAINTENANCE OR REPAI
R WORK IN
CONNECTION WITH THIS PERMIT AND THE'°1 PP TCANT.;35,`F ] %TA�`.''4VI T�I AND IdI�''SBIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF``S;J ? > ':"'..g fi'CU ::IrEIT MANUAL.
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ISSUED BY DAB"msPEC"rFD INSPECTED BY
5/25/2007 11:39 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 700063 CONTRACTOR: 6d q1 &)
LOCATION:_) 71? S ADDRESS:
TYPE OF WORK: v'-
DATE INSP NEEDED: DATE INSP: ZI L�2
-INSPECTED BY:
WORK IN
PROGRESS:
INPUT: Cr`- DATE:_ 0-7
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 Windsorville Road roa rook, Conn 06016
Location of proposed work_ 1 7 9 Fo S _a r S t r e e t
Describe fully nature of permit requested Strip .existing driveway,iyeway, d r e with D r o c e s s
ggavPl ' grndp, roll and•�yp,_�
Starting date 6/3 0/0 7 Approx.time for completion 7/3 0/0 7
Call before you dig no. 20072003145 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
�►�w 6
�l 2k/ No.cuts
Amt.of Deposit S by
g , O Cash O Check#
Cut size after Perm. Patch
No.Cuts
Final Billing S "
Amt. Due Payee $
I
�U Amt.Due Town $
Applicant is responsible for conta ting
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 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: ����-1 Ca'<�-e�zC�G�--� Date:
�7 � (0 7
Title: �� / D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES