HomeMy WebLinkAboutDriveway Street Cut Permits 9 Gray Road TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 4033
Location ;� itxa.•ptm:e. BOU
N & SPNS
AdD+1 GRlAfE ROAD x' 8
Type Work DRIVEWAY Adders a2lyytgpSRVI`TyE ROAD
C
:g13O0 T ;
fl 6:.016
Phl: "'" 1`52i3%'''2 2
>s
Date
ns R;
f
I
Nee
------- ----y Df e Insp.,
Time •",?:} ;�: r.:,��.
Ins Needed �`.:;"s ��' M.
Ins
p e c t e d B
A"^
Wo
rk r k
inProgress •x'`�
�
C
h
- Kfv 4.
v.
iwi.
0-1
' ....__
InpuE" --
Permit No. 4033 ,,w,i •,.,, Town of South Windsor, CT
Date 07/11/2005 i'
Street Excavation Permit
Expiration Date 07/11/20 f`
Descrip:
o
A lican
PP t r ., .
On
Name BOUTIN & SONS
Addr. 121 WINDSORVILEE 12Q:AD r 3
BROAD BROOK CT 060-16
Phone (860)623-2526 4g World DRIWAX.
Applic
ant agrees'
e'si
o
Win r^r•9r;<%<3'' ..; < ;.:: he"'amount of bond
required and to re'>mbur: "' 'f
5�.:>t�i44%;Touz
e'X enses
»:..:. p
incurred by the Towi `'f `ht: 3kc, ::<k :r,
Yzg h .cbnn��t.jon with this
permit and that a T` cant "
PP ' ; ,a" '?; "ss <� t<:' '.W111 ' <kaitle:b3' the rules and
regulations for permits !'s. du'tj in:eC. O tiitlf' Wind
'
;.: sor s Street
Cut Permit Manual. s•.. ix
«a
* * 'N
PERMIT TO.., .10ETb; QiyOBSII . AI'ztAL T.I1�lES.
Issued by
——— — t y .,. -<..
..:.h, .lna'aYt4N%oT .�ii'...
Date Completed _ -------- Inspected By
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
- PUBLIC TOWN DEPARTMENT D 3r5
1540 SULLIVAN AVENUE
SOUTH INDSOOOR, CT
FEE .Boutin & Sons Const . Co.' 623-2526
Name of Firm Phone No.
Address of Firm 1-21 Windsorville Road Broa rook, Conn 06016
Location of proposed work 9 Gray Road
Describe fully nature of permit requested complete Zlig out or ilrtveway, add process gravei
grade, roll and pave
Starting date Approx.time for completion
Call before you dig no. 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
()Cash()Check#
Cut size after Perm. Patch
No.Cuts
Final Billing S
Amt.Due Payee S
Amt.Due Town S
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 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:
w
Title: D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Description: f^ p
_ -L -1
Quote Good for 60 Days. d �{
Special Attention: 1/2 Payment Upon Startm Balance Upon Completion.
Permit
Contract
PrF
ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS.
Date
CBUD