HomeMy WebLinkAboutDriveway Street Cut Permits 675 Graham R -� TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3425 Contractor BOUTIN & SONS
Location Address 121 WINDSORVILLE ROAD
Type Work DRIVEWA BROAD BROOK CT 06016
e No. (860)623-2526
Date Insp Needed n o
Time Insp Needed
Inspected By
r
Work in Progress SU-0—
k
ar
N l
O I Date c�q-
Perm> 3425 Town of South Windsor, CT
Dater.. -, 10/30/2002 Street Excavation Permit
Expiration Date 10/30/20,02
Descrip:
Applicant Location
Name BOUTIN & SONS �R M ROAD
Addr. 121 WINDSORVILLE
BROAD BROOK CT 06 DRIVEWAY
Phone (860)623-2526
Applicant agrees th in sor the amount of bond
required and to rei T uth or any expenses
incurred by the Tow ten epa Pk, n connection with this
permit and that appli n a old bide by the rules and
regulations for perm t Q outh Windsor's Street
Cut Permit Manual .
►d"it' SI ( y
* * PERMIT 'f ALL TIMES.
Issued by . P�V_0A i ea-s LNG,
Date Completed Inspected By
3ga5—
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 Boutin & Sons Const. Co. 623-2526
Phone No.
Address of Firm 121 Windsorvi a Roa roa rook, Conn
Location of proposed work 675 Graham Road
Describe fully nature of permit requested Dress with process ;gravel, grade,
Starting date Approx.time for completion
Call before you dig no. 2002440348 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
i)Cash O Check It
Cut size after Perm. Patch
No.Cuts
- ....,.-..Final-Billing-S-• ..____. __. __.. __,. ._--- -.______.__ .__._... ..___ .._.
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 WINDSOR 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: 10/2 8/0 2
Title: Secretary
D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
1 C_
Job Location: /Y)
•
iDescription:
LIT
1
� / lie •—�r�` %� �
c-
� L27. `
,
f
a 3
f
Quote Good for 60 DF - • • -• •
Special Attention: 1/2 Payment Upo Starting, Balance Upo Completion.
Contract ermit
ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. � � 0-es.
C B U D 20 3 Date