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HomeMy WebLinkAboutDriveway Street Cut Permits 969 Foster S TOWN OF SOUTH WINDSOR INSPECTION REPORT :.::.>:........ Permit No. 3785 Cont; a>t"C'o'r" BCiYfI°T3�,>::. SONS Location 0969 100STHR STREET A`c�dr�a4 y' t 123 $AI-NDSO VILLE ROAD Type Work DRIVEWAY .BROAD SRO .CI'k,.06016 ;Vhoxe .# .. ., : Date Ins P Needed Time Insp Needed _---_-- •<Ti�� �'s;;:;; tr ;# Inspected Y s P B I� W.. e fi% Work in Pro gress re ss z — ^: :> :'INv.4 <'S,y yf M. � F• 'xyr.4 Permit No. 3785 Town of South Windsor, CT Date 07/07/2004 Street Excavation Permit Expiration Date 07/07/2005 Descrip: Applicant cant li 0 L, 4'ur.,4 bye Name BOUTIN & SONS t3 OSTER::;SIREN Addr. 121 WINDSORVIL'E' L RQA s„ y�y BRO AD BR OOK CT::: Q o�;k•i��2I�I.SI.�'ATA'Y Phone (860) 623-2526 F f f ' ' hAPPlicant a rees to Lrj t ' unt of bond required and to r " ' > 4 ezm3'u s'` ',•:tt% ...TOyEj" >:.50. ki':: . .:© .: ,.. •;s..x.: ar'<aY<::: cpenses incurred b th x '£y e Towil': z5x`::t4irrriC �ancel or"repair "worf}>'. Y` n .ct3on with this permit and that aiant V1, e,,.bY PP S`' am the rules and regulations for erm .. €"p as a's '-Ou:tlliri `d' i Street :s> ::s ': XCf.:4f•.trbu-th'' : hc`sor s Cut Permit Manual. : n•Fx, * * PERMIT TO""::$E $?.T ON'`;: 5';%S f ''''PT4;:P3: T'IFf' S. C ;::.... :::.y .. Issued by .:_ .:4 ,•>,. ---- --- 'TitS'e Date Completed ------------- Inspected By — �© APPLICATION FOR STR T EXCAVATION PERMIT TOWN OF STH WINDSOR PUBLIC- WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WIDSOR, CT FEE V25.00 Name of Firm Boutin & Sons Const. Co. 623-2526 Phone No. Address of Firm 121 win sorvi e oa roa , 06016 Location of proposed work - 969 Foster St Ext Describe full nature of permit requested trip existing driveway, dress wi grave , grade, ro, and pave Starting date A pprox.time for completion Call before you dig no. Traffic Services Control No. Show sketch of proposed work or furnish To be filled out by To Of SO Windsor f : two copies of separate drawing Pavement Cut r: F Indicate North Prop.size of cut z = No.cuts Amt.of Deposit$ by O Cash O Check# Cut size aft er Pe rm. etch P . No.Cuts h. Final Billing S Amt.Due Payee$ r ; Arnt.Due Town$ Applicant is responsible for contacting the Police Dept.and C.B.Y.D. by. date I AGREE TQ 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: �Z Q Date:_ g/ _- Title• e G l2�� i D.L.# ar - PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Description: bh2 3 �d I o T .� 13, T I d ' Quote Good for 6,f Days. Z f Special Attention: 1/2 Paym t Upon Starting, Balance Upon Completion _J Contract l(/I Permit J ONE YEAR GUARANTEE ON WORKMANSHIP & MATERIALS. C, '9 CBUD tfyoltOV� 6 ( Date ;r