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HomeMy WebLinkAboutDriveway Street Cut Permits 57 Hillside (2) TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 3779 Con, ,r'fct)or BOUTIN "61QNS Location 0057 HILLSIDE DRIVE Acid�e-4j&` l)121 4,- No;3ORvi- E ROAD Type Work DRIVEWAY ' fi :r''' az` "'•)`^ .. :+s.;u+):& ,L;? A)..:BRbop* Ci3' ,o16 H Date Insp Needed •�;;�. Y,,)+ `s `•): Time Insp Needed Inspected By y ----------- ` ram s 3 x sx Work in Progress Aft _ ---------------- -- � u� P InPu`�'�y.,M,,...,_S✓,'.<.+-;:.-s�:L*':r�f`atye ---/---C Permit No. 3779 Town of South Windsor, CT Date 0 7/01/2 0 0 4 «":;>::4>" ,:;,.:.:":.. „yam �>• Street Excavation Permit Expiration Date 07/01/2005 Descri CK 1824 p $75.00 FOB"3 PAMZ;TS'.`'; y ' 3'n Applicant : o `z n Name BOUTIN & SONSu Addr. 121 WINDSORVILL k7ADa > y 4 BROAD BROOK CT ,OErA16 / X. Crfr f9YF7Ek�A ' Phone (860)623-2526 ' A. , Applicant agreesx to 'ft{x�il t the Tp ti � WindSo the ,;aato:nt of bond required and to rei�iburse theft: oiaouhs foS:"any e3epnses incurred by the Towr: $ Y„ ak:' fiance or repair worl;:i``Yt'% 'oYne3;cti.in with this ..,w,Gy.x .::yti •:� permit and that a 1'>:.c" pP writ k;V."sae r.. ». ,„ z Y• tpe rules and regulations for permiCs a .o' t7# ne.qt= ,;. c,;';" p.f AS u,`h:.k :y�cl % � ; ks ors Street Cut Permit Manual. * * PERMIT TO K `P ©B:4> . :3E`" . ,,.s• t ,,:..:<.>:;. S' :. Issued b . _ram Date Completed _ �_ Inspected APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC, WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of Firm Boutin & Sons Const. Co. 623-2526 Phone No. Address of Firm 121 Win sorvi e oa roa 06016 Location of proposed work ' 57 Hillside Drive Describe fully nature of permit requested Complete dig out of existing driveway, add grave I, gra e roll and pave Starting date Approx.time for completion Call before you dig no. 20042601372 Traffic Services Control No. Show sketch of proposed work or furnish TO bC filled Out by Town Of SO Windsor two copies of separate drawing Pavement Cut Indicate North Prop.size of cut No.cuts Amt.of Deposit 8 by O Cash O Check# Cut size after Perm. Patch s No.Cuts Final Billing S Amt.Due Payee$_ z Amt.Due Town S Applicant is responsible for contacting the Police Dept.and C.B.Y.D. by date I AGREE TQ 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 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• V yyk 41'( � � Date: Q 7 Title: S e G la D.L.# PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Description: i � pL� v 7 1 � Quote Good for30 Days. i Special Attention: 1/2 Payment Upon Start! , Balance Upon Comple n.. Contract Permit ONE YEAR GUARANTEE ON WORKMANSHIP "&' MATERIALS. • CBUD V t U l Date to m v � 4j