HomeMy WebLinkAboutDriveway Street Cut Permits 720 Governor F�rmitNo. 2447 Town of South Windsor, CT
Date 06/10/1998 Street Excavation Permit
Expiration Date 06/10/1999 l
Descrip;
Applicant Location
Name BOUTIN & SONS "07'0. GOVERNORS HIGHWA
Addr. 121 WINDSORVILLE ROAD
BROAD BROOK CT 06010 Type .of Work DRIVEWAY
Phone (860)623-2526
Applicant agrees to fern-.ish ,the Town of South .Windsor the amount of bond
required and to reimburses the: Town, of"'South Wind or .,for any expenses
incurred by the Town for maira-tena'n6e work, ins connection with this
permi t and that app 1 i cant 1" _ ami, iar� w�thl and- w i ,`a'.bI de by the rules and
rVgulations for permits ` a' s outlined in . the Town of Zouth Windsor's Street
C t Permit Manual .
* * PERMIT TO BE KEPT ON J'OB :SITE At -ALL TIMES.
Issued by
T t i e z."
Date Completed Inspected By
P, rmif. 'No. 2447 Town of South Windsor, CT
Date 06/10/1998 Receipt Street Excavation Permit
Type of Work DRIVEWAY
Applicant Location
Name BOUTIN & SONS
0720 GOVERNORS HIGHWA
Addr. 121 WINDSORVILLE ROAD ; ''
BROAD BROOK CT 06016
Permit Fee Paid 25b.00 .. olictecf By wallez
No. Cuts 0 Tinder d -CK' 382
Size Cuts 0 �
Patch Fee Pd 0i,00 _
Total Paid 26.,00 . - `
� a
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 -,'_1 11Y\ _ -Y-n Phone No. 8 ' i 3
Address of Firm :AM C
Location of proposed work Y7 e G
Describe fully nature of permit requested 'I-P l I)C1 4-1
Starting date Approx.time for completion
Call before you dig no. 5Z 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 $ by
O Cash O Check#
Cut size after Perm. Patch
Ftwi-ve
No. Cuts
Final Billing S
Amt. Due Payee $
Amt. Due Town 6
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 R;IMBURSE 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 INDSOR'S STREET CUT PERMIT MANUAL.
Signed: Date:
Title: D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES