HomeMy WebLinkAboutDriveway Street Cut Permits 115 Greenwoo f TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No.
Location Con.t:ractor B0 T'TN•&,,SONS
Type Work DRIVEWAY Addre 127 ',WINDS6RV;ILLE ROAD
�3RQAD '$ROOK:CT 06016
Phone; No 2526„
Date Insp Needed
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Permit No, 3675 Town of South Windsor, CT
Date 04/19/2004 Street Excavation Permit
Expiration Date 04/19/2005
Descrip:
Applicant Location
Name BOUTIN & SONS t515 GREENW(OD DR.TVE
Addr. 121 WINDSORVILL,E:RQAT7
BROAD BROOK CT 06416 Tape off? orJC..D1I"VEiiAT
Phone (860) 623-2526
Applicant agrees t'o' furn' h the TOWxt cif 9dUt.h Windsor ,the amount of bond
required and to reimbus the Townq£ outk Wazdsor £or any epnses
incurred by the Town for is ntenance br repair> work ?in cbnn.ect�on with this
permit and that applie.aslt is;;£amil:aa zr�; h axd' vsi�X ::obi-4 by tie rules and
regulations for permit s as 011C 1net. zap. the TQW*n'of South W.indsor's Street
Cut Permit Manual
* * PERMIT TO BE, KEPT `dN 7OB'SI�E '2�I ALL, TIMES S.
Issued by _-- --� TT
P Y
Date Completed Inspected B ` "
al 1 L.1VL7PUB rvrc tKf;LT ,EXCAVATION PERMIT
• TOWN OF SOUTH WINDSOR
LIC WORKS DEPARTMENT
TOWN HALL �0
1540 SULLIVAN AVENUE
SOUTH WI D
FEE25 00 R' CT
Name of Firm Boutin & Sons Const . Co. 623-2526
In sorvl PhoneM
Address of Firm k llo
Location of proposed work 115 Greenwood Drive
Describe fully nature of permit requested_ Strip existing driveway, Put in gravel, grade,roll and Dave
Starting date Approx.time for completion
Call before you dig no. 20041602 704 Traffic Services Control No:
Show sketch of proposed work or furnish rDeposit
ut by Town Of So Windsor
two copies of separate drawing
Indicate North
t
t S by
()Cash()Check#
Cut size after Perm. Patch
No.Cuts
Final Billing S
Amt. Due Payee S
Applicant is responsible for contacting Amt. Due Town S
the Police Dept. and C.B.Y.D.
by date
1 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: G , Z 4 15 0
Date: / 4
Title:
D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
i
Description:
i 1 333
P 1 y 0 -T�
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Quote Good for 60 Days. ' • •
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
1 Contract Permit "� � lJl ✓ �
ONE YEAR GUARANTEEN WO KMANSHIP&MATERIALS. P���t
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CBUD DateKA