HomeMy WebLinkAboutDriveway Street Cut Permits 379 Quarry B Pe No. 2929 Town of South Windsor, CT
Date 03/22/2000 Street Excavation Permit
Expiration Date 03/22/2001
Descrip:
Applicant Location
Name BOUTIN & SONS
0 ,z s,,,�UAt�R:Y. BROOK DR I
Addr. 121 WINDSORVILLE R040 ''
BROAD BROOK CT 060:16ype ,;ofork DRIVEWAY
Phone (860)623-2526
Applicant agrees S4�tY yeti ndsor the amount of bond
required and to re i mbu a re ,"Tows °of Seth W7 Mbar :f ter any expenses
incurred by the Town for item or�epai rn connection with this
permit and that app l i c ht f r .an.d w'i'l I,:�i de by the rules and
regulations for permits","",as 1 ine'd in 'the ToWn--6f South Windsor's Street
Cut Permit Manual .
�* PERMIT TO BE KEPT , 'TE A,T ALL TIMES.
r
Issued by .�' '.d� T i t l e
Date Complet _ Inspected By
Pew, o. 2929 f0wr's Of South Windsor , CT
Da.t.e !r?/`2/2C!u0 Str-ee Excavation ovation Permit
Expiration Date 03i22/2001
Descrio ;
Applicant Location
Name BOUTIN & SONS 0379 QUARRY BROOK DRY
Addr. 121 WINDSORVILLh ROAD
BROAD BROOD, CT 06016 Type of Wore: DRIVEWAY
Rhone (.860 !623- 526
Applicant agrees to furn I sIh the Town of South Windsor the amount of bond
required and to reimburse the 'Town of South Windsor for anv expenses
incurred by the Town for maintenance or reoair work in connection with this
permit and that ,apo ) 7 c:ant is f amp liar with and will abide by the ru i es and
regulations for permits as outlined in "' the "Town' of South Windsor ' s Street
Cut Permit Manual .
ak x PERMIT TAD<,BE KEPT ON JOB SITE. AT ALL TIMES . �
Issued by ,..
Tit 1 e
Date Compieted Inspected By
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
:.540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
-Name of Firm
Address of Firm �vn �No-
Location of proposed work
Describe fully nature of permit requested
Starting date
Call Before You Dig No. `l Approx.time for completion
Traffic Services Control No.
---------------
Show sketch of proposed work or famish
two copies of separate drawing To filled out by Town of South Windsor
Indicate'North Pavemen n�
Prop.size of cut
No.cuts
Amt.of Deposit$ by
O Cash O Check#
Cut size after Perm.Patch
No. Cuts _
' Final Billing$
Amt. Due Payee$
Amt.Due Town
Applicant is responsi for contacting
the Police De .and C:B.Y.D. by date
I AGREE TO FURNISH r�THE MOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO R
SOUTH WINDSOR FOR-ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION
PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FORREIMBURSE THE TOWN OF
TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. WITH THIS
PERMITS AS OUTLINED IN THE
Signed:
Dater
Title:
D.L.#:
PERMIT SHALL BE KEPT ON]OBSITE A7 ALL TIMES
Standard'Forms\Permits�Street Excavation Permit.doc.