HomeMy WebLinkAboutDriveway Street Cut Permits 192 Krawski TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. sr ,� Contractor BOUTIN & SONS
Location Address 121 WINDSORVILLE ROAD
Type Work DRIVEWAY BROAD BROOK CT 06016
No. (860)623-2526
Date Insp Needed n iallito�
Time Insp Needed 0
Inspected By
Work in Progress `� w
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Date 12: ILI,
Perm `�o. 3419 Town of South Windsor, CT
Date. 10/21/2002 Street, Excavation Permit
Expiration Date 10/21/2003
Descrip: STRIP DRIVEWAY DIG OUT LAWN,GRAVEL, PAVE
Applicant . Location
Name BOUTIN & SONS R KI DRIVE
Addr � .121 WINDSORVILLE
BROAD BROOK CT 06 DRIVEWAY
Phone (860)623-2526
Applicant agrees t sor the amount of bond
required and to rei bLLr T uth or any expenses
incurred by the Tow t n " epa n connection with this
permit and that appli► i a bide by the rules and
regulations for perm ' t q "w uth Windsor's Street
Cut Permit Manual .
* * PERMIT 'f ALL TIMES.
Y
Issued by
Date Completed Inspected By
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC, WORKS DEPARTMENT
TOWN HALL � y�
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE 25.00
Name of Firm Boutin & Sons Const. Co. 623-2526
AddrePhon No.
ss of Firm 121 Windsorville Roa Broa Brooke Conn
Location of proposed work 192 Kra.wski Drive
Describe fully nature of permit requested Strip driveway dig out lawn
put in gravel then pave
Starting date
Call before you dig no. 2 0 524102479 Approx.time for completion
Traffic Services Control No.
Show sketch of proposed work or furnish rAmt.
jjCtj O11It bV 1'OWII Of.SO wlll](jSO1C
two copies of separate drawing
nt ut
Indicate North
ze of cut
s
Deposit S by
O Cash O Check#
Cut size after Perm. Patch
No.Cuts
Final Billing S
Amt. Due Payee $
Applicant is responsible for contacting Amt. Due Town S
the Police Dept.and C.S.Y.D.
VA_date
i AGREE TQ 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 ��n! � �4 ��/,e
Date:
Title: Secretary
D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
� v _
r k �
Quote Good for 60 Days.
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
Permit
Contract
ONE YEAR GUARANTEE ON WORKMANSHIP &MATERIALS. 01
Pres.
Date
CBUD