HomeMy WebLinkAboutDriveway Street Cut Permits 985 Foster S TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3385 Contractor BOUTIN & SONS
Location 0985 FOSTER STREET Address 121 WINDSORVILLE ROAD
Type Work DRIVEWAY BROAD BROOK CT 06016
Phone No. (860 )623-2526
Date Insp Needed 'Date::, Insp . / k 0a
Time I nsp Needed T'me,"Jrsp. 313 9 P41
Inspected By
Work in Progress ,,,?fl , Sd �e-QJC�
Input C% Date
hermit No. 3385 Town of South Windsor ,
Date 09/06/2002 Street Excavation Perm
Expiation Date 09/06/2003
Descrip:
Applicant Location
Name BOUTIN & SONS 0%s , FOSTER STREET
r
Addr. 121 WINDSORVILL�',RC?P�
BROAD BROOK ,"CT.."0$ of Work DRIVEWAY
Phone (860 )623-2526
Applicant agrees to furnish h; Toi fir of South Windsor the amount of bond
required and to, rei:rrtburse the Tom:' of u�out # Frid sor for any expenses
incurred by the 'Town: fir matrttxen a ors r`eTair work in connection with this
permit and that "-app"1, i n" s;'fam r, w`Jtea apt! 'wi 11 abide by the rules and
regulations for �p�r"mr ." as outl i'ne " 3 th0 fowl of South Windsor ' s Street
Cut Permit Manual .
* * PERMIT Td BE' K1`f�T, i JOM SI fE AT ALL TIMES .
Issued by Title
Date Completed _ Inspected ByoA
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 Broad Brook, Conn
Location of proposed work 985 Foster Street Ex t
Describe fully nature of permit requested Fine Grade Driveway roll and pave
Starting date Approx.time for completion
Call before you dig no. 20023 5027 2 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 S by
() Cash () Check#
Cut size after Perm. Patch
No.Cuts
Final Billing $
Amt. Due Payee $
Amt. Due Town S
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 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: 2G G� ���
� � � y7Z Date:
Title: See, e tz D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Job Location: 9�1
Description:
l �
I
Quote Good for 60 Days. ,.
Special Attention: 1/2 Paym ntnUpon Starting, Balance Upo Completion.
Contract �h ermit
ONE YEAR GUARANTEE ON WORKMANSHIP & MATERIALS. Pres.
CBUD 2a e 2 Date s e T -