HomeMy WebLinkAboutDriveway Street Cut Permits 95 Horizon C TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3260 Contractor BOUTIN & SONS
Location Address 121 WINDSORVILLE ROAD
Type Work DRIVEWAY BROAD BROOK CT 06016
Phone No. (860)623-2526
Date Insp Needed Dai;e Irisp.
Time Insp Needed T,irraensp,
Inspected By
Work in Progress 1 4LZIA �C' Ab -1 -o`ZG
Iput � �� Date s
P-e-rmii fi .No. 3260
'Town of South Windsor, CT
Date` 04/02/2002 Street Excavation Permit
Expiration Date 04/02/2003
Descr,ip:
Applicant Location
Name BOUTIN & SONS 0(G95. HORIZON CIRCLE
Addr. 121 WINDSORVILLE ROAD =
BROAD BROOK CT 06016 Type .of Work DRIVEWAY
Phone (860 )623-2526
Applicant agrees to Turn sh the Tcwn of a6Ut Windsor the amount of bond
required and to reimbur s the Town .of.� -Soutk W7nd'scr for any expenses
incurred by the Town for, m411n,t,6nanee .or,�repair t cark ,in connection with this
permit and that app i i cant ^i s." 1•ami l L r With and' w!I 1 abide by the rules and
regulations for permits as qutlin ed, itt tt Town of South Windsor' s Street
Cut Permit Manual .
* PERMIT TO BE KEPT` ON J48 SITE AT ALL TIMES.
Issued by
e
Date Completed "� -0�•� °ciL o
__ Inspected yCj— M=
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. Phone No. 623-2526
Address of Firm 121 Windsorville Road Broad Brook Conn 06016
Location of proposed work_9 5 Hn r] z o n C i r c l e
Describe fully nature of permit requested trip Driveway dress with process then pave
Starting date Approx.time for completion
Call before you dig no. 20021400052 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
(1 Cash () Check#
Cut size after Perm. Patch
No.Cuts
Final Billing $
Amt. Due Payee $
Amt. Due Town S
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.
Signed: &a'n-e � Date: 4/1/02
Title: Secretary
D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Jab Location: EaT �R 3
Description:
J
I
Quote Good for 60 Days. • Acceptedl,
Special Attention: 1/2 Payment Upon Starting, Balance Upon Com letion.
� Contract �1 C� Permit
ONE YEAR GUARANTEE ON WORK ANSHIP &MATERIALS. Pres.
yUs
CBUD , t i
� 1�.�� Date �-