HomeMy WebLinkAboutDriveway Street Cut Permits 31 Juniper L TOWN OF SOUTH WINDSOR INSPECTION REPORT
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Permit No. 3993
Location 0031 JUNIPER LANE Conr�aCor BOUI 'N::g� SONS
Type Work DRIVEWAY :A�ddre. §"° 12]? r71#pSOkVILLE ROAD
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Permit No. 3993 Town of South Windsor, CT
Date O5/27/2005 Street Excavation Permit
Expiration Date 05/27/2006 F.: sN •h
Descrip:
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Applicant
BOUT
Name IN & SONS
Addr. 121 WINDSORVIL R:".
BROAD BROOK CT% Q6�1� f� ;vs per;SJ�2VYIA'>
Phone (860) 623-2526la
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Applicant agreed .t•,. £iar'..•, the, �;,: :: ;•t.:::;<.,
. b5:,. h WinT .a ..• hg,, unt of bond
required and to re�ti€ `tiis ;tYa 'X TcCaa4W` q. ,t ! 'Visor ;
5 ..'... r ,; <:•;:r., �;:' �� ,.. xA,' .�.,�� T qx.,, 'h}�r>z „x1jenses
incurred by the Toyz': cr''etii ` ri:':ena'nt'e' or'' z ai or :.;;i €aco.. ._ "' 1)npct;:xon with this
permit and that app i 'ant >a:" "�'o`.' }; '".,.pw .. y
`? 1' e:.`b the rule
regulations for perm is -S ' y s and
P i 311C,l n t3 3 die><tk ee: �„ of $6U: 'aal�T� iacl`sor's Street
Cut Permit Manual, x� z`
* * PERMIT T6:;,BSkEET >7(gT!SE"1T T'IJES.
Issued b i a d':..:..,�
Date Completed ---- Inspected By ------
r�rrt.11.,t�1WN t'UK STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
� PUBLIC TOWN DEPARTMENT
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE 25.00
Name of Firm
Boutin & Sons Const. Co. 623-2526
Phone No.
Address of Firm 121 Windsorville Road Broa rook, Conn
Location of proposed work 31 Juniper Lane
Describe fully nature of permit requested Dress existing driveway yyl h
process gravel ,
rade roll and ave
Starting date Approx.time for completion
Call before you dig no. 20052201099 Traffic Services Control No.
Show sketch of proposed work or furnish rDeposit
ed out by Town of So Windsor
two copies of separate drawing t Cut
jo
Indicate North of cut
eposit$ by
)Check#er 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 5/05 .
Date:
Title: Secretary
D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Description:
L
o
Quote Good for 60 Days.
Special Attention: 1/2 Payment Upon fiTtin ce pon o letion.
Contract Perm
ONE YEAR GUARANTEE ON WORKMANSHIP &MATERIALS.
CBUD Date S)