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HomeMy WebLinkAboutDriveway Street Cut Permits 42 Hillside ' TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 3702 Contra "'BOYFT'3>AE.,& SONS Location 0039 HILLSIDE DRIVE A.OdYess;;< 121 :WINDSOTRMTLLE ROAD Type Work DRIVEWAY ¢" 6:Y? Date I np Needed s ' 4¢ Time Insp Needed " In spected L e cted By s: Work in Progress } � =1.- - �- � o w r _(� r P a y v o f t Permit No. 3702 Town of South Windsor, CT Date 05/10/2004 Street Excavation Permit Expiration Date 05/10/2005 y Descrip Applicant Lpcation Name BOUTIN & SONS � 'A'� fll�raTsSIDF i,}R,IVE Addr. 121 WINDSORVILLE>'RO �, ;• s BROAD BROOK CT (}6Q16 .,. :. .,"°': . Wor Phone (860)623-2526 Applicant agrees Eo fur Sn the bt z3k �fi S'iFs h Windsor:the amazxnt of bond required and to re mbursb';::::t:h own of`'S'o ' ` : ut`ia;> akx3sortrx.::;tnr exphses incurred by the To it far i a�n enan � wgrk i i c©n ect>ion with this permit and that applicant s mtkt3tyal cde by C9i rules and regulations for ermiC's.., 'f P as..'ot2 ;u;e.d...?, > : te �Q.4�.Fbp:fS'o .t'h <NT •sdsaz's Street a s Cut Permit Manual. K. � * y 9 ff * * PERMIT''TO.::S't>K8 f:::::3Y .• emu.' .i I3'T.SM Issued by "Title ----- Date Completed APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSORI�� PUBLIC, WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of Firm Boutin & Sons Const. Co. 623-2526 N nr ,, ,. Address of Firm121 Winds o r ,Ph roea non—. 0 6 01 6 Location of proposed work 39 Hillside Drive Describe fully nature of permit requested Strip extsttng drtveway , add gLUVU!, 8raClej and pave Starting date Approx.time for completion Call before you dig no. 20041902004 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 jo Indicate North Prop.size of cut No.cuts Amt.of Deposit S by ()Cash O 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.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 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: D.L.# ~ PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Description: t: 4 1r , 3�, FA Z./ Quote Good for 60 Days. VPiii�iYiY` I Special Attention: ill Pay ment Upon Starting, Balance Upon Completion. Contract Permit CA WORKMANSHIP &MATERIALS. r I' ONE YEAR GUARANTEE ON l/ 9 Mr �v � q�_�c�t�y Date CBUD s