HomeMy WebLinkAboutDriveway Street Cut Permits 70 Horizon C TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3262 Contractor BOUTIN & SONS
Location Address 121 WINDSORVILLE ROAD
Type Work DRIVEWAY BROAD BROOK CT 06016
Phone No. (860)623-2526
Date Insp Needed Data Insp.
Time I.nsp Needed T.im , ,Insp.
Inspected By
Work in Progress OLD
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Input �/�/L Date
Perms ,No 3262
Date + � 04/11/2002 Town of South Windsor, CT
Street Excavation Permit
Expiration Date 04/11/2003
Descrip:
Applicant Location
Name BOUTIN & SONS 0a7O HORIZON CIRCLE
Addr. 121 WINDSORVILLE ROAD r
BROAD BROOK CT 06016 Type of .Wo'', DRIVEWAY
Phone (860)623-2526
Applicant agrees to ;furriish "the Twwn",of South' Windsor the amount of bond
required and to reimburses. hie 'Town of ;South Wir,oisor, for any expenses
incurred by the Town for m i r�i en,an , or* repair at rk in connection with this
permit and that applicant ��is .farm 1 rt: r w�t h and ior.II11' abide by the rules and
regulations for permits "in` ti ,Town ,of South Windsor' s Street
Cut Permit Manual x
* PERMIT TO 8E? KEPT (N+t J4S 'S"ITS' At ALL TIMES.
Issued by -- -� ��^�A Title �c; �.,G,�r �,
Date Completed _ Inspected By
r 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 Cons t . Co . Phone No. 623-2526
Address of Firm 121 Windsorville Road Broa Brook, Conn 06016
Location of proposed work 70 Ho r i .o n Circle
Describe fully nature of permit requested strip Driveway, put in gravel then pave
Starting date Approx.time for completion
Call before you dig no. 20021402556 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 S 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.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: Date: 4/4/0 2
Title: Secretary
D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
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Quote Good for 60 DF • • •-• •
,Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
Contract V Permit �-
ONE YEAR GUARANTEE 01 WORKMANSHIP&MATERIALS. Pres.
CRUD 2 a o 2 `� J 5�' Date