HomeMy WebLinkAboutDriveway Street Cut Permits 10 Horizon C i
+ TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3797 Contr...a.er`z3'rbUTTT3«&.: SONS
Location 0010 HORIZON CIRCLE AeYf3re�.�; '':-121 ,9w-!NDSO9**VlL,LE ROAD
Type Work DRIVEWAY BROADg'RflQ t" C;TV"`0.6016
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Permit No. 3797 Town of South Windsor, CT
Date 07/14/2004 Street Excavation Permit
Expiration Date 07/14/2005 x'
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Descrip:
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Applicant cant
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Name BOUTIN & SONS
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Addr. 121 WINDSORVILLE'
BROAD B fl ROOK T C E�6 ff"15
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Phone 860 623 2526
Applicant agreest to••'fu,xia3>sh:>.: he Tokrxi;":Q ':?3`c t Wind ok 'tIie""'amount of bond
required and to reiitb:u;use?:.; FFe.' ov1 >'::„><-': `' ;n1 cxr f x'e`s c .,, 4 ..a. e. p r3 es
incurred b the Tow1k fox, iRa �ae> :;n:::'
Y ;:..,:,.,.n p Er - .., he'ct qh with this
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permit and that ap l c'an s`'.t: t :d;a:c`^::.: s ::>s¢' a "'.a6 d:e''b'V "the rules and
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regulations for permits as. Qut'l;in'c `. " ' '`` Osf3 ':; "5ou: ' V7': n4is;tir's Street
Cut Permit Manual.
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* * PERMIT T0`"BE' FT., t)id`-,>
Issued f
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Date Completed --- Inspected Inspected By
APPLICATION FOR STREET EXCAVATION PERMIT 3
` TOWN OF SOUTH WINDSOR
PUBLIC- WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Boutin & Sons Const. Co. 623-2526
Name of Firm Ph
Address of Firm 121winasorville road ,
eann
Location of proposed work 10 Horizon Circ e
Describe fully nature of permit requested Stripexisting driveway acid process, gra e,
roll and pave
Starting date Approx.time for completion
Call before you dig no. 20042700384 Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of So Windsor
two copies of separate drawing Pavement Cut
Indicate North Prop.size of cut
No. cuts
Amt.of Deposit$ by
O Cash O Check#
Cut size after Perm. Patch
No.Cuts
Final Billing $
Amt. Due Payee $
Amt. Due Town $
Applicant is responsible for contacting
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 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: 7/9/04
Title: �� �� D.L.#
4s
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Description: (�
79"
Quote Good for Days. 2,0,
1 Balance Upon Co pletion.,
Special Attention: 1/2 Payment Upon Starting,
Permit
l ) Contract V F
ONE YEAR GUARANTEE ON WORKMANSHIP &MATERIALS.
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Date
CBUD .
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