HomeMy WebLinkAboutDriveway Street Cut Permits 4 Steep Road TOWN OF SOUTH WINDSOR INSPECTION REPORT
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Permit No, 4308 ContraCf.o:r BOUTIhT .SONS
Location
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- Ad'dres 121 17ND5OR'VILLE ROAD
Type Work AR,Q.AD 'ROO CT"'"46016
'526
Date Insp NeededDate
Time Insp Needed mime InsZ
Inspected By
Work in Progress
JD6 = 1 w
y Permit No. 4308 Town of South Windsor, CT
Date 10/04/2006 Street Excavation Permit
Expiration Date 10/04/2007
Descrip:
Applicant Location
Name BOUTIN & SONS Ot04 STEEP RC1,�D
Addr. 121 WINDSORVILLE RpF�,D::
BROAD BROOK CT 06dk7 6 ` Tae of ,t!1orJc IIRYk7E�T1Y;
Phone (860)623-2526
Applicant agrees: to fuxnzsh,the T:erwn ,cad.,S �kC Wind tir 'tl e,.at Ount of bond
required and to reimbtzY e:; khe 0 AX,of South (� is'b'r fez any..��pehses
incurred by the Town xri ance''or' r p'air aoIr.. c'o ectiron with this
permit and that applicants ai: b ifd .ia l ab 66 y th`e rules and
regulations for permits as;. 6Ut'1;ine'tic" .'a e'T s�}<16f Sour": W: ncds'or's Street
Cut Permit Manual.
* * PERMIT TO`"'BE•,;IC' PT':..:,OIL:.::: CIE,..S.'S :E;:> T...AuSr<::T�'M.,
I
ssued b
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:
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. Phone No. 623-2526
Address of Firm 121 Windsorvi e Road roa rook, Conn 06016
Location of proposed work 4 S PPP R o a d
Describe fully nature of permit requested__ S t r i p. existing driveway, dig -out 1 wn a r p a g pi.LL in
Process Gravel, grade, roll and pave
Starting date Approx.time for completion
Call before you dig no. 20063900657 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(}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 1 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:/r2C�� L��sR�1/� 9/2 9/0 6
Title: �C�e� G D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Description: 44
Op
PAP
13
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PLEASE NOTE: DUE TO CURRENT VOLATILIT OF LIQUID PI+ALT,PRIC
CONTRACT PRICES WILL BE SUBJECT TO ANVLANT MAT RIAL t IARG
Quote Good for 00 Days.
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion. —rz 4 &,
Contract_ Permit
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ONE YEAR GUARANTEE ON WORKMANSHIP & MATERIALS.
Pres.
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CBUD_ r--��-�� )�� ��i����� Date
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From:
To:
Date: 9/25/002:37PM
Subject: Louob» Raoueo�-20UO3QOOO57
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(CALL BEFORE YOU DIG -CT) 09/25/2006 14:30:13
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°°°°°ROUTINE°°°°°
T|K8E..14:35 DATE..09/25/2000