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HomeMy WebLinkAboutDriveway Street Cut Permits 143 Northvie TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 3956 Cox)&T`axctor ,B0:.6 SONS Location 0143 NORTHVIEW DRIVE "Add ':-<.;; 12< >W 7DSOF V.I.LLE ROAD Type Work DRIVEWAY ^F ,•L3 Q_1D BROOK•CT'::::Q6016 y .;.. aF4< Date Ins Needed Time InsP Needed Need ------- --� Time " Inspected By rK � Work in Progress :K� M� —^ ,•„may---'� y ,M.�'�d In Permit No. 3956 Town of South Windsor, CT Date 05/03/2005 "''''""`Y` '' Street Excavation Permit Expiration Date 05/03/2006 Descrip Applicant PP z ::..:.. Iocat%: : Name BOUTIN & SONS :3'?1,3 ,NOR TH V' gRW:',j3'R.I V E Addr. 121 WINDS ORVI Lf E'`: :k• .rv: BR OAD BROO K T C «. ... 12'TVES^1peY;;: ,n Phone (860)623-2526 .. N. .. s'y A licant a ` ''` PP gree<s' to �'it'r;41;s��i the;:.. aj :>:a. u'th Wiritls :.,tli` ...ara unt of required ed and to r ,. bond 4 a ur :e>:::.�Ae 'I`�?X °� 'sai�t�>F:''�t ?'tT .. 3, sor.< Q :"anya:::e3cpenses T ' >;• " �> 'incurred by the � Qna�cecr^' " . 3on with this a PP . : ; 'heermit and that ti ]1a :.b rules and regulations for perm is � n.dor's Street Cut P ermit Manual. * * PERMIT Tti<::,.8 KEPT Oaf°:>.: 9L§! 5 !' 'A.T,`A'I,:F 'TI.A7ES. Issued by s. Date Completed ___--------- Inspected By APPLICATI FOR STREET EXCAVATION PERMIT -h TOWN OF SOUTH WINDSOR PUBLIC TOWN DEPARTMENT 1540 SULLIV AN AVENUE SOUTH WINDSOR, CT FEE $25.00 49 Name of Firm Boutin & Sons Const . Co . Phone No. 623-2526 Address of Firm 121 Windsorville Road Broad-- Brook, Conn Location of proposed work 143 Northview Drive Describe fully nature of permit requested strip existing r 1 V , grade, roll and pave Starting date Approx.time for completion Call before you dig no. 20051800921Traffic 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 O Cash O Check# Cut size after Perm. Patch No.Cuts Final Billing S 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: Date:- y 5 Title: D.L.# PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Before Mill on the River 3� Job Location: �pescription: 3�� T OL VD y \ `© r Quote Good for 60 DF Special Attention: 1/2 Payment Upon Sta ing, alance on Completion. Contract Permit ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. N.es CBUD Date