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Driveway Street Cut Permits 813 Graham R
TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 3687 Location 0813 GRAHAM ROAD Contr�. .t:p p3pUL:y &,,,,SONS Type Work DRIVEWAY A:d'dYes .> '<,,,121 �7:LNpSOR'F&ZLLE ROAD BROAD BROOZCf CT""<p6016 Phone Nc3623' 2.5.26 Date Insp Needed --------------- bate �zs Time Insp Needed A--------- T q Inspected Byjj { r Work in Progress �, f - - � -------------------------- .77 T. InkZt;t — Date ✓' <.f/ Permit No. 3687 Town of South Windsor, CT Date 04/27/2004 Street Excavation Permit Expiration Date 04/27/2005 Descrip: ApplicantX.iLocat.. Name BOUTIN & SONS ($f� } GR$FIAM �tbAD' Addr. 121 WINDSORVILLE ROAD " .,'.,..::zz<.:::::.. BROAD BROOK CT 06016 T �e of P©Yk DRTzTEW7aY.>: Phone (860)623-2526 Applicant agrees; to furash the Tots orath Windsor the 'amount of bond required and to reitabur-a d `.the ow rj 2Y sor fez.;:. and expenses incurred by the Town for, MgA!'2 nan e ;,dr P?as at 3t in.:,(-�rinectidn with this permit and that applic.akst is fa ti�9ax<;rr th "a"X. .W11, ab by"tb:�e rules and regulations for permi''ks as. autl rted :k3 the. Town of South Windsor's Street Cut Permit Manual. : * * PERMIT TO<,BE KEPT O+N' JOB ��ITE AT AIfL TZN1E$ f Issued ----- by r 0. Title _ L Date Completed Inspected Byr�,iz��,:.. �C � �--'—'� APPLICATION FOR STREET EXCAVATION PERMIT -' TOWN OF SOUTH WINDSOR �O PUBLIC TOWN DEPARTMENT I D 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of Firm Boutin & Sons Const . CO . PhqneNQ� 623-2526 Address of Firm 121 in Sorvl e Oa r0 00 , l Location of proposed work fine grade whole driveway, grade, roll and pave Describe fully nature of permit requested 813 Graham__Road Starting date Approx.time for completion Call before you dig no. 20041701428 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 S by O Cash()Check# Cut size after Perm. Patch No.Cuts Final Billing $ Amt. Due Payee S 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 I 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: C/E' �a '� D.L.# PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Job Location: EW Line Description: 2 Z G (2 Z t �j � t Quote Go d or 60 Days. Special ention: 1/2 Payment Upon Stating, Balance Upon Completion. Contract Permit " 2 Z V 6 7 ONE YEAR GUARANTEE ON WORKMANSHIP& MATERIALS. CBUD ICI �� Date `� N DSOR x k Town of South Windsor General Map (v Connecticut ,r-�J ROAD NAMES �_ u CONDOS Date Printed: June 3,2004 0 60 Feet 0 PARCELS Property boundaries are derived from the Town of South Windsor Tax Assessor maps,digitized at a scale of 1 inch=100 feet,and include the same data limitations and disclaimer as the Assessors maps. All other data portrayed is representation only and,due to inherent mapping limitations,should be used as a guide only. The intent of this map is to present a graphical representation of property boundarie and selected data,and the map is subject to change as more accurate surveys may disclose. Property boundaries mapped as of June 4,2001.