HomeMy WebLinkAboutCATV Conduit Street Cut Permits 28 Good Permit No. 2784 Town of South Windsor, CT
Date 07/27/1999 Street Excavation Permit
ril 7
Expiration Date 07/26/2000
Descrip:
Applicant Location
Name BOIVIN CONSTRUCTION Its 023 OD HILL ROAD
Addr. P.O. BOX 337
COLUMBIA CT 06237
` f`:Wolt` DRIVEWAY
Phone (860)870-8983
Applicant agrees to fu ��sh th e �' n d ut y dsor the amount of bond
required and to reimt u�`s�;e: e'; ovrt" off wth )nobr...fQr any expenses
incurred by the Town "f®r renal }�pair ' i M connection with this
permit and that app 1 i cant
and,`- abide by the rules and
regulations for permit', .a _of' South Windsor's Street
Cut Permit Manual .
* PE�F211MIT TO; Ki=PT ' 0B S `TE ,AT ALL TIMES.
Issued by Ti tle �6�i��Y
Date Comp1et�d Inspected� By
APPLICATION FOR STREET EXXCAVATION PE RMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORDS DEPARTMENT
TOWN HALL
15_4_0 SULLIVAN AVENUE
--------------- SOUTH WINDSOR, CT
FEE $25.00
Name of Firmax'—phnna No. o`—'"ooe
7 6
Address of Firm
Location of proposed or '
Describe fully nature of permit requested
Starting date aL Approx.time for completion
Call Before You Dig No. Traffic Services Control No.
Show sketch of proposed work or furnish two c To be fill out b own of South Windsor
opies of separate drawing
Pavement
Indicate North Prop.size of cut
No.cuts
Amt.of Deposit$ by
{)Cash O Check#
Cut size after Perm. Patch
No. Cuts
Final Billing$
per.. $
payw
Amt. Due Town$
Applicant is responsible for contacting by date
the Police Dept.and C.B.Y.D.
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 NDSOR'S STREET CUT PERMIT MANUAL.
Signed: Date: ! ��
Title•
D.L.#:
PERMIT SHALL BE KEFr ON]OBSITE AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit.doc
109:Route 6•Columbia,CT 06237
STRIP JOB ESTIMATE
'r-800-PAVE-145•228-4030
Date of Estimate: �— ?
boivin construction Prepared by:
Job Address:
Job Phone: — Work Phone:
Proposal Number: Type of Job: Sq.Ft.:
ESTIMATE
FOR: �F�/ L Fi
a $ Ga04
S -
Specifications:
Strip driveway of asphalt,regrade using existing base t
adding processed stone as follows:
)<011 -2" ❑ 2"-4" ❑ 4"-6" ^ r
❑ other �(
Pave using hot bituminous sp halt s ollo�vs;� R,
.41 C,O/l'I � ,-arse
❑ 1/2" binder,kclass 2
as
&pJ/.--
Z Iowa'
7—
Special Notes:
Estimated Completion Date:
State PermitRequired: ❑ yes X no
Town Permit Required: yes ❑ no , y
Taxable: yes ❑ no
Estimate roved b ,
MP Y� Total Bid
Signature for Quotation Release:
This proposal may be withdrawn by Bolvin Construction if not accepted within ten days.Workmanship ar
' - STRIP JOB ESTIMATE
t�'9.Route 6•Columbia,CT 06237
'r-800-PAVE-145•228-4030
Date of Estimate:
Prepared by: �;i`�✓
boivin construction
Job Address:
Job Phone: Work Phone:
Proposal Number: Type of Job: Sq.Ft.:
ESTIMATE
FOR:
Specifications:
Strip driveway of asphalt,regrade using existing base LA L-j
adding processed stone as follows:
X011_2" ❑ 2„_4" ❑ 4"_6"
aa,
❑ other
Pave using hot bituminous s halt s ollomms;
7 77)e �C//ate �/ 43
' in rse
❑ 1/2"binder,kclass 2
aa�
2 'O.ovl
z G2 n 1y
Special Notes:
Estimated Completion Date:
State Permit Required: ❑ yes no
Town Permit Required: yes ❑ no
Taxable: yes ❑ no
Estimate Approved by:
Total Bid:
Signature for Quotation Release:
This proposal may be withdrawn by Boivin Construction if not accepted within ten days.Workmanship ar