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HomeMy WebLinkAboutDriveway Street Cut Permits 111 Robert D r Permit No. 3019 Town of South Windsor, CT Date 08/24/2000 Street Excavation Permit Expiration Date 08/24/2001 Descrip: Applicant Location Name BOUTIN & SONS b11r„,R+DBEIT DRIVE Addr. 121 WINDSORVILLE ROAO_� ' BROAD BROOK CT 06016 " TYPg, of Work DRIVEWAY Phone (860)623-2526 Applicant agrees i±afur > ef� 'the Town `1' South. Wei nd8or the amount of bond required and to reimburse ,# �e :.Tot r :a©f _S6Uth 'Wi ndsor, ;fir any expenses incurred by the Town enance Or,. ' epai r -wcsrk i h connection with this permit and that appl icalts '.f°� x� r w `t _ and-t `i 1 abide by the rules and regulations for permits a � ,pl riei '7n Cut Permit Manual . t � Tn Sc►uth Windsor's Street * PERMIT T60 BE KEPT 'O4' JOB, ` S"ITE, AT ALL TIMES. Issued by Date Complet d Inspected By _ Jv f 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 Brook, Ct 06016 Location of proposed work 111 Robert Drive Describe fully nature of permit requested_ Widen driveway on left side of existing driveway Starting date /Approx. time for completion Call before you dig no. 20003501598 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 V f Q I No. cuts Amt. of Deposit S by Cash () Check k U� t Cut size after Perm. Patch No. Cuts I \ / Final Billing 5 i / Amt. Due Payee S Amt. Due Town 6 Applicant is responsible for contacting the Police Dept. and C.B.Y.D. by date I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO RQIMBURSE 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: Date 8/23/00 Title:. Secretary D.L.B PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES