HomeMy WebLinkAboutDriveway Street Cut Permits 232 Oak Stre TOWN OF SOUTH WINDSOR INSPECTION REPORT
a
Permit No. 3507 Cont::ra'c'tor BOUTIN"°&:..;;SONS
Location 0232 OAK STREET ,Ac�drera 121 k3IN;DSORVL[LE ROAD
Type Work DRIVEWAY BR -AD BROOK CT Q,6016
Phone No (g&t7*)623 "2526'>..
Date Insp Needed --------- Date Iazsp �3
Time Insp NeededIsis
Inspected By
Work in Progress
.77
In ut 1 GI
P � —;T9ate�—�_ � —
Permit No. 3507 Town of South Windsor, CT
' Date 05/23/2003 Street Excavation Permit
Expiration Date 05/22/2004
Descrip:
Applicant Locati'ian
Name BOUTIN & SONS 032 OAK STREET
Addr. 121 WINDSORVILV RGAI
BROAD BROOK CT. 05..Q16 Pipe 61 T^To�k pRIVEWA'Y
Phone (860)623-2526
Applicant agrees to Furnish: the xe24az ,cf .youth Wind,s:pr the ampunt of bond
required and to refmbuxs . i :ekft y:: xp uses
incurred by the Town ffor mantenaii or °r`�'i'ai worm ? onpectzon with this
permit and that applxcarit asamxlia , a/�tti.anrlv''t1i a'kixde.,by'the rules and
regulations, for perm as outlined n Eh� Town""of So W nd'sor's Street
Cut Permit Manual.
* * PERMIT TO BE. EPT ON*,70 S,�TE AT„ ALIS TIMES.
Issued by -- y to I1t Title
--- — —
Date Completed Inspected Big
APPLICATIONN FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT 3
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WI1NDSOR, CT
FEE 25.00
Name of Firm S Phone No.
Address of Firm
Location of proposed work 232 o a k Street
Describe fully nature of permit requested Strip existing driveway, grave , grade, r0 an pave
Starting date Approx.time for completion
Call before you dig no.2003 2D=0 2 Traffic Services Control No.
Show sketch of proposed work or furnish TO be filled out bV TOwn Of So �Iqndsor
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 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: 5/19/0 3
G'2 Date:
Title: J �G/� T�� D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Description:
� r
V
Quote Good for YDays.
t
Special Attention: 1/2 Payment Upon Starting, Balance Up
on Com etion.
� =
Contract Permit
ONE YEAR GUARANTEE ON-WORKMANSHIP & MATERIALS.C v 1) �' Si ii - 03 P
CBUD V Date