HomeMy WebLinkAboutDriveway Street Cut Permits 48 Goose Nes TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 4265 Contz:afft'or BOUTTIV & SONS
Location 6048 •900SE NEST �r Address,". 421 ND:SO LE ROAD
Type Work DRIVEWAY
AI2.02D 9'90 SsR' C:T ``�:;b 016
phone ,70. 4860;)6 ,3 '5.26
Date Insp Needed
Time Insp Needed
Inspected By — —
Work in Progress
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Permit No. 4265 Town of South Windsor, CT
Date 08/08/2006 Street Excavation Permit
Expiration Date 08/08/2007
Descrip: 1.0
Applicant
Loca'eiap
Name BOUTIN & SONS 0Qo GOOSE NEST
Addr. 121 WINDSORVILLA, ROAD'
BROAD BROOK CT :06QZ6 Sype cafcar�c C7RIXE71
Phone (860)623-2526
Applicant agrees, t"b :f .znis,h the TQUXia o St3uti Windgx the atdo(int of bond
required and to reimburse :tag. oc ouch i 4 -Or fps,ariy e p uses
incurred by the Town; fc ii a:74># :0'nanC`e dr
p irk ino�ingction with this
permit and that applicant :S fate ''1' bi, mill abide
by tt1'e rules and
regulations for permits as. outtin 'el.'' b.es'' Sau'th W::'r�ds'or s Street
Cut Permit
Manual.
* * PERMI�T^TO "$E KEP ON O4:$ 'ST AT A- TIMES.
Issued by
Date Completed _— ------ Inspected By
APPLICATION FOR STREET EXCAVATION PERMIT y
�► TOWN OF SOUTH WINDSOR
w 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 Roact Broadbrook, Conn
Location of proposed work_ GR C�nn�o NP�t
Describe fully nature of permit requested_ Strip existing driveway, Trade, and roll and pave
Starting date Approx.time for completion
Call before you dig no. 20063100540 Traffic Services Control No.
Show sketch of proposed work or furnish TO be filled Out by To 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 O Check#
Cut size after Perm. Patch
No.Cuts
Final Billing S '
Amt. Due Payee $
Amt.Due Town S
Applicant is responsible for contacting J' -
2!:e Pc!lce Dept.and C.S.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: Tyr D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Job Location: /��r1 /en le
Description:
°
e
Quote Good for$ISays. • • ' • '•
rs� n ,
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
Contract Permit
ONE YEAR GUARANTEE ON WORKMANSHIP & MATERIALS. Pres.
Do
CBUD �� Date