Loading...
HomeMy WebLinkAboutDriveway Street Cut Permits 200 Pierce R TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. Contractor BOIVIN CONSTRUCTION INC Location m, Address P.O. BOX 337 Type Work COLUMBIA CT 06237 " Phone No. (860)870-8983 Date Insp Needed ate nsp.; ��1 �02 Time Insp Needed Inspected By Work in Progress r Input Cditn Date Permit No. 3352 Town of South Windsor , CT Date 07/25/20C2 Street Excavation Permit Expiration Date 07/25/2003 Descrip : Applicant Location Name BOIVIN CONSTRUCTION , INC PIERCE ROAD Addr. P.O. BOX 337 COLUMBIA CT 06237 T' �.",bf Irk",." DRIVEWAY Phone (86C )870-8983 Applicant agrees to furnish' the Tczwn the amount of bond , otf ,-.,Wi'nd.sor required and to reimburse "tihe Tc+wn o SUth 'l �nd �ar =for any expenses incurred by the Town , for ma; ntenan�e, cat~ ,repaf-, w4'rk - i`'n connection with this permit and that app 1 1 cant,". i i=am1 I tar W; ` ar tl 'w `l 1 abide by the rules and regulations for permits asou:t1,tbed" t4i,4 ToWt "-O€ 'youth Windsor ' s Street Cut Permit Manual . * PERMIT TO " E !tE"P,T ; N'' J'J8,? S"I"TE AT;'ALL TIMES. Issued by --r __ - T 't1e —_ee- Date Completed ___ Inspected Bye,:_ = APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL IS40 SULLIVAN AVENUE SOUTH WINDSOR, CT 901VIN CONSTRUCTION CO., INC.FEE $2S.00 PO SOX 337 Name of Firm_ i !A� C-r 06—! 7 Phone No. Address of Firm Location of proposed work Describe fully nature of permit requested Starting date Approx.time for completion Call Before You Dig No. Traffic Services Control No. Show sketch of proposed work or furnish To be filled out by Town of South Windsor two copies of separate drawing Pavement Cut Indicate North Prop. size of cut No. cuts Amt.of Deposit$ by ( )Cash ()Check# C Cut size after Perm. Patch No. Cuts Final Billing $ Amt. Due Payee$ Amt. Due Town$ Applicant is responsible for contacting by date the Police Dept.and C.B.Y.D. I 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 STRE PERMIT MANUAL. r Signed, a� Date: 1 1 Title: D.L.#: PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES Standard Forms\Permits\Street Excavation Permit.doc r oos woofs s•'Columbia,CT 06237 STRIP JOB ESTIMATE I-800-PAVE-145.228-4030 _ Date of Estimated.!' —'Zocoz Prepared by: boivin construction Job Address: Job Phone: Work Phone: 66-- ;0 y '68 Proposal Number: Type of Job: Sq.R.: 3TIMATE )R: 2©® P-rE7s:�cE 'RA- Specifications: Strip driveway of asphalt,regrade using existing base adding processed stone aX4- s follows: 0"-2" El 2"-4„ -6„ other Pave usi hot bitumi us asphalt as follows: /i if coarse ❑ 1/2"binder Xclass 2 i9iz!e,-0 o c, .2�c f�-Y� obi Ad 3 4 �' P�, o A /t- � 4� Special Notes: Iz�' Estimated Completion Date: L State Permit Required: ❑ yes no Town Permit Required: )it yes ❑ no „� 2 z`