HomeMy WebLinkAboutDriveway Street Cut Permits 240 Pleasant `- i TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3277 Contractor BOUTIN & SONS
Location Type Work Address 121 WINDSORVILLE ROAD
BROAD BROOK CT 06016
ne No. (860)623-2526
Date Insp Needed `
Lisp,
Time Insp Needed
4C
Inspected By
Work in Progress - -.
Date
3277
PDeao. 04/29/2002 Town of South Windsor, CT
Street Excavation Permit
Expiration Date 04/29/2003
Descrip:
Applicant location
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Name BOUTIN & SONS � ,p. (
PEA NT VALLEY
Addr. 121 WINDSORVILLE RO � � y
BROAD BROOK CT 060 6
DRIVEWAY
Phone '(860)623-2526 �" ..
r� l
Applicant agrees M h or the amount of bond
required and to reim u ,' o th r any expenses
incurred by the Town a pai kH connection with this
permit and that applijc an x ide by the rules and
regulations for perms s " � ' th Windsor's Street
Cut Permit Manual .
tl s
* * PERMIT L TIMES. * *
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Issued by ��-
Date Completed Inspected By
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 Cons t . co. 623-2526
Phone No.
Address of Firm 121 W.iri sorvi e Road Broad Brook, Conn 1111
Location of proposed work 240 Pleasant Valley Road
Describe fully nature of permit requested Strip Driveway dig out lawn put in 6" Of
process gravel, grade, roll and pave
Starting date Approx.time for completion
Call before you dig no. 20021703086 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
() Cash () 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.S.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 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.
4/26/02
Signed: Date:
Title:— �c 2 D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
J6b,Location: ~ Es ,)
. Description: f99
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60' Al ,gl �-r�Ah-
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Quote Good for 60 D ,
Special Attention: 1/2 Paym nt Upon to g, Balance Upon Completion.
3 � L Contract Permit
ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. Pres.
CBUD y `� 0 3 0 Date /S T