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HomeMy WebLinkAboutDriveway Street Cut Permits 240 Orchard TOWN OF SOUTH WINDSOR INSPECTION REPORT L 7 Permit No. 3140 Contractor BOUTIN & SONS Location Type Work DRIVVEEWA Address 121 WINDSORVILLE ROAD Y "� "� BROAD BROOK CT 06016 Phone No. (860)623-2526 Date Insp Needed Dti� Insp, , .2 Time Insp Needed e,:IrS p. Inspected By Work in Progress 0 d� Input " Date Permit No. 3141 Town of South Windsor, CT 07/03/2001 Street Excavation Permit Expiration Date 07/03/2002 Descrip: CK#1397 FOR 2 PERMITS Applicant Location Name BOUTIN & SONS 01,33OAK STREET Addr. 121 WINDSORVILLE ROAD BROAD BROOK CT 06016 Type of, Work DRIVEWAY Phone (860)623-2526 Applicant agrees to furnish,;.1;h Tb n .pf Sriuth Windsor the amount of bond required and to reimburse he- own of ',Soi& Wihd,§or for any expenses incurred by the Town for Ma`�iltenan�oo ,or. -.r.epairr, W©rk"�in connection with this permit and that applicant 3s; familiar r1�f,th and Will abide by the rules and regulations for permits :.as outlined in thO To Cut Permit Manual . wn of South Windsor's Street * * PERMIT TO BE KEPT 'ON JO§ , S.ITE AT ALL TIMES, Issued by _ Title ` _ Date Completed Z2A 6 d� !Inspected Bye '- APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC, WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of Firm Boutin & Sons Const . co. Phone No. 623-2526 Address of Firm 121 Windsorville Road Broad rook, Cofi—n--06016 Location of proposed work 240 Orchard Hill Drive Describe fully nature of permit requested Strip Driveway, dress—with process, grade, roTr— 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 $ by O Cash O Check# Cut size after Perm. Patch No. Cuts Final Billing S Amt. Due Payee $ Amt. Due Town S Applicant is responsible for contacting the Police Dept. and C.B.Y.D. by date AGREE TO 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: c._ Date: 6 2 01 Title:— �� Gi �r r D.L.N - PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Description: 73 tr Z� �i Quote Good for 60 Days. Special Attention: 1/2 Payme pon ing, Balance U on Completion. Contract to Permit z 7- o C T ONE YEAR GUARANTEE ON WOR MANSHIP & MATEgaLS. Pres. 2 CRUD Zoo / 2Z o / l 3� Date (/