HomeMy WebLinkAboutDriveway Street Cut Permits 55 Horizon C ,- TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3263 Contractor BOUTIN & SONS
Location Address 121 WINDSORVILLE ROAD
Type Work D VEWAY BROAD BROOK CT 06016
Pone No. BROAD
Date Insp NeededD°ate IKp,
Time I nsp Needed T gym , Zip
Inspected By
Work in Progress O
F4
Input �j�.� Date S ,,p
Pefc4i-b too.. 3263 Town of South Windsor, CT
Dae 04/11/2002
Street Excavation Permit
Expiration Date 04/11/2003
Descrip:
Applicant Location
Name BOUTIN & SONS 0055 HORIZON CIRCLE
Addr. ' 121 WINDSORVILLE ROAD
BROAD BROOK CT 06016 Tyre of Work DRIVEWAY
Phone i860_)623-2526
Applicant agrees to .furnieh the fiawn ;of South Windsor the amount of bond
required and to reimburse t�h+� ;:down Qf' i5roUth l�Yndsor fior any expenses
'incurred by the Town for tgr 'ttno fir: rpa i r Mork in connection with this
permit and that applicant is familiar v th and , ll abide by the rules and
regulations for permits "as,,,Qutlingd y # Town of , "oath Windsor's Street
Cut Permit Manual .
* PERMIT TO 8E KEPT ON ,JO8 SITE 'AT A,LL TIMES.
Issued by 5 9��A
T i t l e E --
Date Completed _, __ Inspected By
s .
APPLICATION FOR STREET EXCAVATION PERMITTOWN OF SOUTH WINDSOR
PUBLIC• TOWN DEPARTMENT
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm_ Boutin & Sons Const CO Phone No. 623-2526
Address of Firm_ 121 Windsorville Road Broad Brook, Conn 06016
Location of proposed work 55 Ho r i z o ri Circle
Describe fully nature of permit requested Strip Driveway Dress with process then pave
Starting date Approx.time for completion
Call before you dig no. 2002140617 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
() Cash() 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
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.
ASigned: Date: 4/4/02
Title: Secretary
D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Job Location:
t
JescriPtion:
VOW-
,
l�
Quote Good for 60 Da . . Mastercard -.
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
Contract !���' Permit
ONE YEAR GUARANTEE ON WORKMANSHIP &MATERIALS. �i P-es,
CBUD ��)(')� ' r Date