HomeMy WebLinkAboutDriveway Street Cut Permits 166 Greenwoo TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No 3272 Contractor BOUTIN & SONS
Location G
Type Work DRIVEWAY —* Address 121 WINDSORVILLE ROAD
BROAD BROOK CT 06016
Phone No. (860 )623-2526
Date Insp Needed _ D6te Insp.� ��
Time I nsp Needed
Inspected By ,, j ,
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Permit No. 3272 Town of South Windsor, CT
Date 04/22/2002 Street Excavation Permit
Expiration Date 04/22/2003
Descrip:
Applicant Location
Name BOUTIN & SONS 0166, GREENWOOD DRIVE
Addr . 121 WINDSORVILLE ROAD
BROAD BROOK CT 06016 Type of Work DRIVEWAY
Phone (860 )623-2526
Applicant agrees to furnish the Town of South Windsor the amount of bond
required and to reimburse the Town of South W hdsor for any expenses
incurred by the Town for maintenance or repair work in connection with this
permit and that applicant is fami'liar with and will abide by the rules and
regulations for permits as outlined in the Town of South Windsor 's Street
Cut Permit Manual .
* * PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES . * =�
Issued by J�� �✓/a ---- --- TitIe LNG
Date Completed _ — _ Inspected By _
r, S
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
1540 SULLIVANOAV
ENUE
SOUTH WINDSOR, CT
FEE 25.00
Name of Firm Boutin & Sons Const . Co . Phon623-2526
Address of Firm 121 Wiridsorvi e Roa roa ro k,e Conn
Location of proposed work____, Dr i v e
Describe fully nature of permit requested Strip Driveway, di OUt ba area In ront o
addin 6'" of process gravel grade, rollan pave
Starting date Approx.time for completion
Call before you dig no. 20021 503046 Traffic Services Control No.
FShow sketch of proposed work or furnish To be filled�outy Town of So Windsor
opies of separate drawing Pavement Cui
dicate North -- Prop. size of cut
No. cuts
Amt. of Deposit $ by
() Cash () Check#
Cut size after Perm. Patch
No. Cuts
Final Billing $
Amt. Due Payee $
.
Applicant:•s .,. spc. s!bte for contacting Amt. Due Town $
the Police Dept. and C.S.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 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: i! Date 4/16/0 2
Title: G
D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Description:
. 2
U
131 1z.'
Quote Good for 60 Days. . . . . :.
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
�l Contract A-Z/ Permit
ONE YEAR GUARANTEE lON WORKMANSHIP&//MATERIALS. /n Pres.
CBUD 00 2 / 5 d ca Date-
G /