HomeMy WebLinkAboutDriveway Street Cut Permits 29 Spinners TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3798 Cont,x.ac 23Y""g'p g�N,, `SONS
Location 0029 SPINNERS RUN I r"
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Type Work DRIVEWAY r`' °'": �'"
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Permit No. 3798 Town of South Windsor, CT
Date 07/14/2004 Street Excavation Permit
Expiration Date 07/14/2005
Descrip:
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Applicant
kt�caion
Name BOUTIN & SONS
� "" ��� SPI.NN�FRS lYZJN
Addr. 121 WINDSORVILL;E RdAD,: o
BROAD BROOK CT 0.6 6::,:..
Phone (8 6 0)6 2 3-2 5 2
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Applicant a reds to €uVfx2 PP g Sh theQvrf q{th Widx f h� amount of bond
required and to reimbrirse the .Town of `cat #j� dsor Eor ar�y; expenses
incurred by the Town .forafxitei%asc �� #E ,ryrorkn coz7riQctbn with this
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permit and that app,li;c nt.'::i;;�g,.A a..
. y tkie rules and
regulations for er ti>t5'°a'ls-;-o. t'"' >P ?aak :yt ° w ":t `': u. ls'vint3or s Street
Cut Permit Manual.
* * PERMIT`TO:::: --- ICE'P`I' d $Y
N`'<� 4•;:;:A&.:s'. L.TAMES:
Issued by (,' G�. Title
Date CompletedPet`ed By
AVVLICAlION 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. 623-2526
Address of Firm in sorvi a roa , 'Q ,'�I?`
Location of proposed work 29 Spinners Run
Describe fully nature of permit requested Resurface Existing Driveway
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 S
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: 7/9/04
Title:
D.L.# a
a
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
'A Job Location: .4
.Description:
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Quote Good for 60 Days. _
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
0 Contract Permit
ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. C r3 y ') 4. � F
CBUD Date