HomeMy WebLinkAboutDriveway Street Cut Permits 529 Graham R (2) T ,
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. Contzaot6:r BOUTiN & SONS
Location Adores "•. 121 'WfiNDSORViLLE ROAD
Type Work DRIVEWAY
BROAD BROO,if CT 06016
Phone No (860�6 ,3'=2526
Date Insp Needed
Time Insp Needed
Inspected By
Work in Progress
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Input,
Permit No. 4246 Town of South Windsor, CT
Date 06/27/2006 Street Excavation Permit
Expiration Date 06/27/2007 "<,. •"'
Descrip:
Applicant .; Lo�atsn
Name BOUTIN & SONS 0529 G2AHAM
Addr. 121 WINDSORVILL REAL?
BROAD BROOK CT 06:016 ya fl'. DRIVEWAi
Phone (860)623-2526
Ap
plicant
scan t agrees:
ees=
g i1� h the �aw�i'�i� ,��jUt� WindSohe ,a;ltiaunt of bond
required and to reimburse t- Towxi w5f fia su h W 0, s4 for rzy.expcnses
incurred by the Towri f:o ftdt az etance 'or repair work an ' al�xyeoti:on with this
r'
permit and that applicant as �tnish attd w�Yl:.abitte by the rules and
regulations for permits as outlined theQti� of Squt1l,Tandsor's Street
Cut Permit Manual. a
* * PERMIT TO $E KEPT-,6N (3B TE"AT AID' TIMES.
Is
sued
by
_Date Completed _� � Q — Inspected ByZo
APPLICATIONN FOR FTRE T�EXCAVATION PERMIT
N O SOU WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN.AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm Boutin & Sons Const. Co. Phone No. 623-2526
Address of Firm 121 Windsorville Road roa rook, Conn 06016
Location of proposed work 529 Graham Road
Describe fully nature of permit requested Put in .nrnnpcc gravel to 2r� a(jP, rnl l and rave
Starting date Approx.time for completion
Call before you dig no. 20062402384 Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of So Windsor
two copies of separate drawing Pavement Cut
Indicate North Prop.size of cut
No.cuts
Amt.of Deposit$ by
O Cash O Check#
Cut size after Perm. Patch
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 l 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
Description: n
�- S7, --r
tt
l
.r
Lti
PLEASE NOTE: DUE TO CURRENT VOLATILITY OF LIQUID ASPHALT PRICES,
CONTRACT PRICES WILL BE SUBJECT TO ANY PLANT MATERIAL CHARGES.
Q
Quote Good for Days. '
Special Attention: 1/2 Payment Upo, SZatKi g, Balance Upon Completion. 1
Contract Permit
ONE YEAR GUARANTEE ON WORKMANSHIP & MATERIALS. Pres.
CBUD �Iy—v
Date �.
Bernard Drabek-Locate Request-20062402384 Page 1
From: <Cal ICenter@CBYD.corn>
To: <cbyd@southwindsor.org>
Date: Wed, Jun 14, 2006 2:32 PM
Subject: Locate Request-20062402384
(CALL BEFORE YOU DIG -CT) 06/14/2006 14:25:32
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-J1 -OT 7-SW SWINDS -T5
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*** REMOTE BATCH ENTRY***
***** ROUTINE *****
TIME..14:25 DATE..06/14/2006
REQUEST NO...20062402384
LATITUDE..41.8604316 LONGITUDE..-72.5517616
TOWN......SOUTH WINDSOR
ADDRESS...529
STREET....GRAHAM RD
NEAREST
CROSS STREET..NEVERS ROAD
-----------------=--------------------------------------------------------
TYPE OF WORK.....DRIVEWAY
AREA IS MARKED...YES
REMARKS:
ROAD TO GARAGE
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START DATE......06/19/2006 START TIME..07:00
CALLER..........KAREN
CALL BACK.......8-5
PHONE#.........860-623-2526
FAX#...........860-623-2529
ALT. PHONE#....
EMAIL ADDRESS...
CONTRACTOR......BOUTIN &SONS CONSTRUCTION CO.
ADDRESS.........121 WINDSORVILLE RD
CITY............BROADBROOK
STATE...........CT
ZIP.............06016
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EXCAVATOR DOING WORK..BOUTIN AND SONS
ISSUED TO: DATE: TIME: BY:
DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY:
CALL BACK: 1) DATE: TIME: BY: 2) DATE: TIME: BY: