HomeMy WebLinkAboutDriveway Street Cut Permits 124 Natsisky TOWN OF SOUTH WINDSOR INSPECTION REPORT
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Permit No. 42?,Q Contractor Location BOUTTY7 &. SONS
RAWs'
`' Address: 1 t@;IN3).SORFI, LE ROAD
Type Work DRIVEWAY
k .AD B'ii*O.OK CT Q6016
Phones70 18yq),6'23 '2��:26
Date Insp Needed
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Time Insp Needed ,:.. :.. •:.:...::..::::.><:... ;::::.r,.::;.:::
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Work in Progress
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Permit No. 4220 Town of South Windsor, CT
Date 05/10/2006 Street Excavation Permit
Expiration Date 05/10/2007
Descrip:
Applicant
Lo:caCion
Name BOUTIN & SONSi�i „fl124TATS:SKY FAkM R�7
Addr. 121 WINDSORVILL$' ROAD
BROAD BROOK CT 06;035l�e fs .Wo1€ DRit�FAjAY
Phone (860)623-2526
Applicant agrees to furnish the Icsrvn".�g :South W1n-dsO the amount of bond
required and to reimburse 'the To caf;SvWtki U7xtelsor fry ,crazy exposes
incurred by the TowsA1c13ii�en$7 pad r� Wk. z 'daneion with this
permit and that applicant i.5 f�milir caith an3 ur3i7 ab by the rules and
regulations for permits as nulzn #u, yy � .., auth '`yyyndsbr s Street
Cut Permit Manual.
is
* * PERMIT PI:..ON_ (33TTT A3 AIL TIE'S
Issued by ----
_�
Date Completed
------------- I:'tT5 p'E'c te d By �j°'---
APPLICATION FO STREET
REET EXCAVATION PERMIT y �
PUTOWNBLIC- WORKS DEP INDSOR
ARTMENT
TOWN HALL
1540 SULLIVAN. AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm Boutin & Sons Cons t . Co. Phone No. 623-2526
Address of Firm 121 Windsorvi e Road Br—naclrook, Conn
Location of proposed work_ 124 Natsisky Farm Road
Describe fully nature of permit requested Complete dig out of driveway, add process gravel, gra e
roll and pave
Starting date Approx.time for completion
Call before you dig no. 20061802957 Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of So Windsor
two copies of separate drawing Pavement Cut
Indicate North Prop,size of cut
No.cuts
Amt. of Deposit$ by
()Cash () Check#
Cut size after Perm. Patch
No. Cuts
Final Billing $
Amt. Due Payee S
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 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: ���.-�Z�
Date:
Title: ���% D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Job Location:
�-. Don:
b �
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PLEASE NOTE: DUE TO CURRENT OLATILITY OF LIQUID ASPHALT PRICES,
CONTRACT PRICES WILL BE SUBJECT TO ANY PLANT MATERIAL CHARGES.
Quote Good for 60 Days. \ • e rg
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
Contract Permit �5
ONE YEAR GUARANTEE ON WORKMANSHIP & MATERIALS. Pres.
CBUD o (1) (r,
1 - )t6 � Date ��