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HomeMy WebLinkAboutDriveway Street Cut Permits 149 Scantic TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. :3857 G � Contractor �T �. ;BOUT� l"I&QNS Location 0149 SCANTIC MEADOW R A" dx:emIJ ' '"<121 N SOEtVT'gf E ROAD Type Work DRIVEWAY PT1opt'•::.NrY..;#'8.a ;523-?2' .... Date Insp Needed Time Insp Needed :S ----------- Inspected B Work in Progress l Inut"a.:... Pate Permit No. 3857 Town of South Windsor, CT Date 09/23/2604 Street Excavation Permit Expiration Date 09/23/2005 0 " :w Descrip: Applicanon t Name BOUTIN & SONS ;' €` sMEf�2)9�] t Addr. 121 WINDSORVILL3' ROAb " BROAD BROOK CT 6`041.6 Phone (860)623-2526 Applicant agreed Ar fhe'��r Rq. w1aQses the afnd nt of bond required and to rembtss the,sown oftlf2Ndsorx�2. 4 'expenses incurred by the Tov*n">f�xr {elaeffey rk r}3Zeptign with this permit and that appli, f ml , h3 gi cY," , i ` A t ' T 1. 1 by the rules and regulations for perrti °a ©}Yt93Y � a �xAa�ath Wxndsesr s Street Cut Permit Manual �F �, �. ' * * PERMIT O�BF« ISEI3 OhT �i s 21t 2 T �7M Issued b Date Completed APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC- WORKS DEPARTMENT 3 TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Boutin & Sons Const . Co. 623-2526 Name of Firm Phone No. Address of Firm 121 Windsorville Road roa rook, Conn UbUlb Location of proposed work 149 Scantic Meadow Hoacl Describe fully nature of permit requested omp e e dig ou O riveway, dig out par of lawn area, put in process gravel, gracte, roll ann pave Starting date Approx.time for completion Call before you dig no. Traffic Services Control No. Show sketch of proposed work or furnish To be filled out by Town of So Windsor two copies of separate drawing Pavement Cut Indicate North Prop.size of cut No.cuts Amt.of Deposit S by O Cash O Check# Cut size after Perm. Patch No.Cuts Final Billing S Amt. Due Payee S Amt.Due Town$ 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 REIMBURSE THE TOWN OF SOUTH WJNDSOR 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. Title: G %4s D.L.# PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES OFF RYE STREET, MGHTOWER ROAD Job Location: Description: 3- o' U U U 30 Lpletion. - Contract Quote Good for 6X Days. Special Attention: 1/2 Paymen Upon Starting Balance Upon CoP ONE YEAR GUARANTEE O WORKMANSHIP &MATERIALS. CBUD, Date tf