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HomeMy WebLinkAboutDriveway Street Cut Permits 43 Newmarker TOWN OF SOUTH WINDSOR INSPECTION REPORT t Permit No. 3804 Con trap.t.owrf ffoiuln:a &, SONS Location 0043 NEWMARKER ROAD Ad-d'ress:g iii,.>121 ;WINDSOR-V;ZLLE ROAD C... Type Work DRIVEWAY "$;ROA'i' .. CT":.p6016 5 < f;^ Date Insp Needed -----_ _� Datns� � Time Insp Needed al.775 is Y:. >:. r: Inspected ec ted B ji Work in Progress ��--- ` C9�C is Permit No. 3804 Town of South Windsor, CT Date 07/20/2004 Street Excavation Permit Expiration Date 07/20/2005 Descri Applicant Locati'pn �. Name BOUTIN & :.. .>.: SONS <.:..:;.::.:••` ' Addr. 121 WINDSORVILL" ROAD:?".. BROAD BROOK CT <D �,(, �•v"' Phone (860)623-2526 ?:''%:•, Ap plicant PPlic a gre j ��a� �."-`ff'�� Win ' '>x� . co the amoCxnt of bond required and to reimburse ;- Toazm rs Y:Y °qti 3 Yi�3z sor fir r ,eXpenses t na J >,sSY.>z .';: €, '`!v`...,:.., : pan chi "n incurred by the Towtt fo, 'pt ; ':` 1 'a: ?.. o.: e p with this permit and that appi`,�bgp `.. .^f ifL ._ .: :x,::w h.: •....:,wr rules and regulations for perm ;ts as ``pjit �t: ,d,':,, Y4Jfe> uxs,;p: : 5ozx: 1' yj'inds.,or's Street Cut Permit Manual. k ,r. * * PERMIT TO.::. BE EPTN OB:;` .;T' 'Y, LL. T'YNiES' Is sued d b Date Completed ------------- Inspected By ,r APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR " PUBLIC, WORKS DEPARTMENT NT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, C FEE $ 5.00 y Name of Firm Boutin & Sons Const. Co. 623-2526 Address of Firm 121 Windsorville Roadbroadr50 , nn h�G�� Location of proposed work 43 New Marker Road Describe fully nature of permit requested compieUe dig out of nriveway , grade, roll and pave Starting date Approx.time for completion Call before you dig no. 20042901740 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 S by ()Cash() Check# Cut size after Perm. Patch No.Cuts Final Billing S Amt. Due Payee S Amt. Due Town $ 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: Date: / Title c �� Vie- ��� D.L.# 9 PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES d' � /,1(l4 PI © U r 6 ' Quote Good for Days. &-- • -. Special Attention: 1/2 Payment Upon tarting, Balance Upon Completi n. Contract Permit ONE YEAR GUARANTEE ON WORKMANSHIP& MATERIALS. n Pres. CRUD Date tf