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HomeMy WebLinkAboutDriveway Street Cut Permits 149 Kent Lan TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 3952 Location 0149 KENT LANE Con 6tOrY BOUT >>&,, SONS T cldr g .`>. 121'A1?17i)SORVULLE ROAD ype Work DRIVEWAY $RGk K ::CT'a:0 6 016 :<;�hox��:-No•,:`C�•��::n.)6:2 3''`2;:5 2 i;3nY �t Date Insp Needed Time Insp Needed "., <! •;'s`` s:: p,.. ----------- im Inspected By — --_------- ".)';•;: �<:',Nay.iSy Y .o Wor k in Pr ogress 09 rss e ::.. '...: .; :,. ;. +In k ..,,/,.-. `I<•;".a Y;>.. ...' '<.:,e Permit No. ' Date 3952 04/28/2005 Town of South Windsor, CT Street Expiration Date 04 Excavation Permit Descrip: /28/2006 Applicant x ; <<i.•`; Na -at i Name Bo on U T IN & SONS Addr. 121 WINDS ORVILL ROAD< BROAD BROOK CT.'06(?16;: Phone (860)623- ;?;. : „<>.2526 Walk 63iIItEWAY A PPlicant agre eiN s.. 4 fu; required and to ralmbur wish the 'QW.A. incurred by the To: se the Town Qftth Wiy�dg the mount of bond Permit and for..)?.2 .ri; e t # `'.'aa .. dsor Qx;::>a tiy:`:ei3p:ense that a � xaxr .,work in'cohn s regulations for ppFa oanamix4 csh and fiction with this Cut Permit Manual. ',lt� a of1h� . Cs#�rra ae by tie rules and z. a .ter. +Q �xS't?F.Lt};Y Wlnd `or s Street * * PERMIT p B AKEgT O s> �/► N> 3 $ i AT AL1,Issued by ------ _! ::•.; Date Completeds ----------- ,;: ns2'ed't edY By hrrLjLA1'1UN FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC WOO KSS DEPARTMENT HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE 25.00 Name of Firm Boutin & Sons Const . Co. 623-2526 Phone No. Address of Firm 1.21 Windsorvi e Roa Broad rook, Conn Location of proposed work 149 Kent Lane Describe full y n ature of permit requested O mp e e i g O u O r 1 V 2 W a roll and pave v- a grave , gra e, Starting date Approx,time for completion Call before you dig no. Traffic Services Control No. Show sketch of proposed work or furnish To be filled out b Town of So. Windsor two copies of separate drawing Pavement Cut Indicate North Prop.size of cut No.cuts Amt.of Deposit S by ()Cash()Check# Cut size after Perm. Patch No.Cuts Final Billing S Amt. Due Payee 8 Applicant is responsible for contacting Amt.Due Town 8 the Police Dept.and C.B.Y.D. r by L 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 1 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: -ZL 46;;W�� 4/26/05 Date: Title: Secretary D.L.iP PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Job Location: {{ OFF ELLINGTON ROAD II 1• Description: R Z © -30 AN r� pry o �� , %, ' 10 y ote Good for 60 Days. Special Attention: 1/2 t Up n Starting, Balance Upon Completion. Payment Contract Permit ONE YEAR GUARANTEE ON WORKMANSHIP &MATERIALS. CBUD 1� 00 Date