HomeMy WebLinkAboutDriveway Street Cut Permits 30 Jonathan I, TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3998 ;,=o....,.:.:>:,:>u.;,
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Location 0030 Jonathan Lanecl r d. 127k' IIJEJSOI7V. ,LZ,E ROAD
Type Work DRIVEWAY ? RpAD BRCYEK ,CT"zQ6016
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Permit No. 3998
Town of South Windsor, CT
Date 05/27/2005
Street Excavation Permit
Expiration Date 05/27/2006
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Applicant 'pp t <;✓:%
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Name BOUTIN & SONS ' O J J.o
J 3onath`50 Lane
Addr. 121 WINDSORVIL 'p ""
BROAD BROOK CT 0(::Q 1(3`;'
Phone (860)623-2526
Applicant agrees t4 tFiY1�s the f �h Wintis'o h amount of bond
required and to re :foro any expenses
incurred by the Tokn r el�C naYYCL o d'Sa 3 �r ' ..... ct3on with this
permit and that a �,i' nt''::;3" mE' ` T<4bder.„'by`'' ,the rules and
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regulations for permits "
P aS vu -lined<' n>>the°` of o th
Cut Permit Manual. ;;^§`, W1ncsor's Street
* * PER T T6,.,B
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Issued by
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Date Completed --- — Inspected By —
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TOWN OF SOUTH WINDSOR p
PUBLIC WORKS DEPARTMENT
1540 SULLIVANONALL
A AVENUE
SOUTH WINDSOR, CT
FEE 25.00
Name of Firm
Boutin & Sons Const. Co. 623-2526
Phone No.
Address of Firm 121 Windsorville Road Broa rook, Conn
Location of proposed work 3 0 J O n a t h n T.a n a
Describe fully nature of permit requested_ Strip x; t i n Q rl r i vas
rade, roll and Aave `'— -gravel
Starting date Approx.time for completion
Call before you dig no. 20052100777 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
l
Indicate North Prop.size of cut
No.cuts
Amt. of Deposit$ by
()Cash()Check#
Cut size after Perm. Patch
No.Cuts
Final Billing S
Amt. Due Payee $
S
Applicant is responsible for contacting Amt.Due Town
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 WJNDSOR 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: 5/2 5/0 5 .
Date:
Secretary ,y
D.L.#
PERMIT SHALL BE KEPT ON JOSSITE AT ALL TIMES
Job Location:
OFF FOSTER ST,BEEZLEBUB ROAD
Description:
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Quote Good forADays. • • • -•
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Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
(� Contract Permit
ONE YEAR GUARANTEE ON WORKMANSHIP
\WORKM V AN`S`HIIP & MATERIALS. Pt
CBUD yV S�)l / / Date