HomeMy WebLinkAboutDriveway Street Cut Permits 65 Oak Stree A '
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3610 Co}7tra'btor BO(7TTN.:;:& SONS
Location 0065 OAK STREET `
Address 12� WNDSORVILLE ROAD Type Work DRIVEWAY
$,RQAD''BROOK CT:.06016
Phone„No ($6.0)623-2526:, C ,/1J11711}
Date Insp Needed
---- — Date Vi
Time Insp Needed
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Inspected By h: Co
Work in Progress
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Permit No. 3610 Town of South Windsor, CT
Date 10/10/2003 Street Excavation Permit
Expiration Date 10/09/2004 ,.
Descrip:
Applicant Location
Name BOUTIN & SONS
Addr. 121 WINDSORVILhE ROAD
BROAD BROOK CT 06016 Tie'of P7brk1RIVEWAY
Phone (860)623-2526
Applicant agrees to furnish the Windsor the.::,am6unt of bond
required and to reimburse the 'Tovm*-*�a ith zzdsar for any: e genses
incurred by the Tow12 fit Ma,'Irt nance or repair work 1n .cgnne; t 'on with this
permit and that appl'a Cant 'xs fainifia,r Wr bdwill abide by the rules and
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regulations for permits at 6ut`lined � tkis,ToWxi ..of South Wind`sor's Street
Cut Permit Manual.
iy
* * PERMIT TO BE KEPT:. ON '` f3B SITE TIWES.
Issued by -11-� ,.c�y� e
Date Completed — Inspected B -�?��L���Cl-�►�A .
w APPLICATION FOR STREET EXCAVATION PERMIT L �'
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540-SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Boutin & Sons Const. Co. 623-2526
Name of Firm Phqne N n 6 n1-6
Address of Firm121 In sory OK, air�tr—'��
Location of proposed work 65 Oak Street
Describe fully nature of permit requested diQ out driveway add gravel, grAde, roll and pave
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 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
(1 Cash O Check#
Cut size after Perm. Patch
.
No.Cuts
Final Billing S
Amt. Due Payee $
Amt.Due Town$
Applicant is responsible for contacting
the Police Dept. and C.B.Y.D. by 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 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.
10/2/03
Signed:_ Date:
Title: ��� L�i' � D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Jop Location: (/�O e�� ,
Description:
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Quote Good for 60 Days. and Mastercard ' '• '•
Special Attention: 1/2 Payment Upon Starting, B a orylCj mpletion.
4 L/M�,
Contract Permit
ONE YEAR GUARANTEE ON WORKMANSHIP
MATERIALS. Pres.
CBUD Date \A
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