HomeMy WebLinkAboutDriveway Street Cut Permits 241 Foster S 700091 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER A STREET CUT PERMIT
DATE: 06/19/07
GIS ID: 33600241 `
MUNIS APPLICATION# 200700926 FEE: 25.00
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R.�I'IRATIO,k.. N DATE: 06/18/08
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NAME: BOUTIN& vk}`
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121 WINDSORVILLE XOAJN`::`
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APPLICANT AGREES TO FURNISH T " ":HET�WN.OF'2�01J'TIC.:' � � .2�1k10 � ,:":; ;':'
.:....::.:..:...:....,:::::.;. BOI REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN1::E NSrE9,N"-, ,Tp tJ'F } fiJTENANCE OR REPAIR WO r.., RK IN
CONNECTION WITH THIS PERMIT AND THR;?AI P G;A]�TT,IS.F E ' V1 N} LIw ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF S t T1f'WILT}'R:UZ: E `CiJ P 3?IyI I,i MANUAL.
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ISSUED BY DASFEDf INSPECTED BY
6/19/20073:54PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: ®00 I CONTRACTOR:_ 66
LOCATION:`d C// /-sue ADDRESS:
TYPE OF WORK: -Df oi-e za-
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DATE INSP NEEDED: DATF INSP: ®?
INSPECTED BY:
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INPUT: DATE:
xib APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC• WORKS DEPARTMENT 7 00o 9l
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, Conn 013016
Location of proposed work 241 Foster Street
Describe fully nature of permit requested_ Strip existing driveway, add process gravel, grade,
roll and ave.
Starting date 6/30/0 7 Approx.time for completion 7 30 O 7
Call before you dig no. 2007 2403425 Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Ta'Rm of So. Windsor
two copies of separate drawing Pavement Cut
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Indicate North Prop.size of cut
No.cuts
Il f"r � ✓ Amt.of Deposit S by
O Cash O Check#
1 Cut size after Perm. Patch
I0 No.Cuts
Final Billing S
Amt. Due Payee S
�d Amt.Due Town S
Applicant is responsible for contacting
the Police Dept.and C.S.Y.D. 1C j 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 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: h� Date: �" s
Title: L D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES