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HomeMy WebLinkAboutDriveway Street Cut Permits 487 Foster S TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 4298 Contractor,`, Location 487 FOSTER STREET Ad"dsesI$;< 21„T7:,INs35ORVILLE ROAD Type Work DRIVEWAY k712OAD 8ROR1 GT "Q6016 Phone"hTo (86:p1 623 12526 : Date Insp Needed " T)ate T.nap Time Insp Needed Inspected By - - a`� '� Work in Progress ., 44 -------------- ----—----—---------- ------- Input r ------�_:,. Permit No. 4298 Town of South Windsor, CT Date 09/27/2006 Street Excavation Permit Expiration Date 09/27/2007 Descrip: si Applicant �ocat�.og IX a a Name BOUTIN & SONS 4&3 FOSTER STREET Addr. 121 WINDSORVILLZ :gQAD BROAD BROOK CT Of 016 Tylae of,,i ork }?RI h"WAY Phone (860) 623-2526 Applicant agrees to ;f4srn Khiiithe Town pf a Wind or tkie amount of bond required and to r fi Grp aouh W�r�ds�r fs any expnses incurred by the Town £c Ma3* enanc� or r'epai'r'"ca6rk 'in o<snn;�cti6n with this permit and that a P 1'. '> PP .S .�;aAtT'�'T' rzSSti3s�:�'3ii's'z,;;:::;:>;?:`>ssW::'t::." .;.., ��rT.: �11,.abide ,by e rules and regulations for permits as of tlirie'i3'`.1 't'O T-bft:bf Soidth kTandsor's Street Cut Permit Manual. * * PERMIT TO'"'!,E<'K PI::ON`^'J T: ::;.;:<: >' � 8....�.�.T ATA'�3,�:<:;.T'IM&'S. s Issued by F ------ Tat 1" :,: Date Completed Inspected By APPLICATION FOR STREET EX CAVATION 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 Firm 121 Windsorville Road Broadrook, Conn Location of proposed work 487 Foster Street Describe fully nature of permit requested Grade, roll. and pave driveway Starting date Approx.time for completion Call before you dig no. 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 O Cash(?Check# Cut size after Perm. Patch No.Cuts Final Billing $ Amt. Due Payee $ Amt. Due Town $ 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 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: �" �- Date: Title: D.L.# PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Job Location: OFF BEELZEBUB ROAD Description: ;or) ,✓ �.:-' `�?' / ��d� Ora PLEASE NOTE: DUE TO CURRENT VOLAT Y OF LIQUID A PHALT PRICES, C 4t� Q°1��R�It© R ILL BE SUBJECT TO AN LANT MATE IAL CHARGES. ' and 'Accepted Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.` Contract Permit ONE YEAR GUARANTEE ON WORKMANSHIP & MATIALS. I Pres. CBUD Date