HomeMy WebLinkAboutDriveway Street Cut Permits 871 Strong R TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 4124
Con�r�ctor BOIVTN"CONSTRUCTION INC
Location ,,"71 STRONG ROAD Address P.O BQX, 337:..,.
Type Work DRIVEWAY 01UME& ci p.6Z"3;7 p�nf
Pone N,Q 983 y
Date Insp Needed ----------- --- bat@ haspL3
Time Insp Needed .
Inspected By
Work in Progress --_ �— —
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Permit No. 4124 Town of South Windsor, CT
Date 11/08/2005 """"" Street Excavation Permit
Expiration Date 11/08/2006
Descrip:
Applicant
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t
Name BOIVIN CONSTRUCTION 'INC 0 ' 1 STRONG RpPp
Addr. P.O. BOX 337
COLUMBIA CT 06237 Tyke of Mork f�RTVFWY
Phone (860)870-8983 ;
Applicant agrees to fizrhi:&' 'the on coati Windsor the amount of bond
required and to reimbrzrsehosq ci' $duh Wcx ,or Eor any;" xpnses
incurred by the Towxs d mad t nari 'e or repair worl�'isi e xin. ction with this
permit and that app
1.' :,.
�.Cant "
ajijij. t xY gill, abide „ y tte rules and
regulations for permits a oautlind'; si tk�e ,Toy;y'of S,,¢uh Ta,nd, or s Street
Cut Permit Manual.
* * PERMIT TO $E KEPI ON' JQ$ ,S,ZTE AT., ALL TIMES.
Issued
ed b
y
Date Completed ----_— Inspected By
I:macI CA AWN PERMIT
TOWN OF SOUTH WINDSO,R
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm \ Phone No.�y _�6�
Address of Firm
Location of ropo ed work IC
t
Describe fully naturelf permit requested
Starting date Approx.time for completion
Call Before You Dig No C2 Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of South �aJin sor�'two copies of separate drawing - I
Pavement Cut
Indicate North Prop. size of cut
No.cuts
r
Amt. of Deposit$ _ by
O Cash O Check# j
Cut size after Perm. Patch
No. Cuts
Final Billing$
Amt. Due Payee$
Amt. Due Town $
Applicant is responsible for contacting by date
the Police Dept. and C.B.Y.D.
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE 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 WINDSORAS STREET CUT PERMIT MANUAL.
Sig ed: Date: _
Title: D.L.#•
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Standard Foims\Permits\Street Excavation Permlt.doc
!-"#Route6.ColmNa,CTOU37 OTT JOB ESTIMATE
1-NO-PAVE-145-228-4= �*►
Date of Estimate• — y
bo n ction Prepare`'by-
Job Address:
Job Phone: G -7 work Phone:
Proposal Number: Type of Job. Sq.Ft.:2 6 56
ESTIMATE i Tom`
FOR:
9771
'O TH WM-Dso a Q7F
Specifications:
Fine grade existing base adding processed stone as follows:
❑0"-2" )&.0 U.."
E3 other
Pave using hot bittimi leto em"Ildt on follow
C7�I1�'RG
.;a
2
7-6 114
o0
� 0 p
Special Notes:
l Al aR �
Estimated Completion Date: NY V,r "'" 10-5
State Permit Required: ❑ yes no
Town Permit Required: A yes ❑ no .-*". 0m,
Taxable: ❑ G f
yes Od no
Estimate Approved by: Total Bid:
Signature for Ouotation Release-