HomeMy WebLinkAboutDriveway Street Cut Permits 14 Stone Cro 700059 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 05/25/07
GIS ID: 86050014
FEE: 25.00
MUNIS APPLICATION# 200700743
IRATION DATE: 05/24/08
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NAME: BOUTIN&SONS .:: µ.1�: TON�`. CROSSING
ADDRESS: 121 WINDSORVILLE>ROAux: ::<.';.
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BROAD BROOK CT P6 1%6
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CRIPTION: DRIVE `Y.APPLI
CANT AGREE
S TO FURNISH THE'I' �:QWI�IsO $diJ'I'R' .SqR,:`T' 'AMO�. ��''Q.F`�BflNb.`I' REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANTE .EN�I~;S< Z 1.I 3WN F6i MXINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THi t�P.E Ic.AN>'T*lS;V "4 % III "ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THETOWN/ OF%S.OUT.,H.WM*S-R'-'S` 1 ii�C JT>F I fMANUAL.
ISSUED BY DATE" Sl`WnD INSPECTED BY�
5/25/200711:41 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.:—InU0-
CONTRACTOR: f&I, / A)
LOCATION: .5`*Dtp L//y- ADDRESS:
TYPE OF WORK: A; V•0 u9oa
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: l,)
WORK IN
PROGRESS: vew F
INPUT: L^�� DATE:
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC- WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN. AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm Boutin & Sons Cons t . Co. Phone No. 623-2526
Address of Firm 121 Windsorville Road roa rook, Conn 06016
Location of proposed work 14 Stone Crossing Lot 7
Describe fully nature of permit requested_ Put in process gravel , grade, roll and nave
Starting date 6 15/0 7 Approx.time for completion 7 15 07
Call before you dig no._ 20071903182 Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of So Windsor
two copies of separate drawing Pavement Cut
Indicate North Prop.size of cut
35 ' . No.cuts
/. Amt.of Deposit$ by
r 3 Z 12 () Cash(}Check#
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Cut size after Perm. Patch
No.Cuts
Final Billing S
Amt. Due Payee $
Amt. Due Town $
Applicant is responsible for contacting
the Police Dept. and C.B.Y.D. by date
1 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: �' 7 e 7
Title: ei D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES