HomeMy WebLinkAboutDriveway Street Cut Permits 26 Sunrise L s
Permit No. 3039 Town of South Windsor, CT
Date 10/20/2000 Street Excavation Permit
Expiration Date 10/20/2001
Descrip:
Applicant Location
Name BOUTIN & SONS 00` � SUNRISE LANE
Addr. 121 WINDSORVILLE ROAD
BROAD BROOK CT 06016.ry ;y TJype of Work DRIVEWAY
Phone (860)623-2526
Applicant agrees to fWrn the Tt�wn Soutt <1Nndsor the amount of bond
required and to reimburse, ih Totf;; th i1Csor.'for any expenses
incurred by the Town 'frrt� .tenar cox c� +epai.lr' work i connection with this
permit and that app 1 i;cirit x s ,fma� i~ W� and, 11 abide by the rules and
regu 1 at i ons for permi is att l i i� d tti Trta of South Windsor' s Street
Cut Permit Manual .
* * ERMIT T�,. E#E KEf�T,'ON , OJJ ST1"E AT ALL TIMES.
Issued by -� ,� fide 1. 7,
Date Complet d
Inspected By
RF,rm"i r 610 . su2' i"own of Soutn W,nusor , CT
Late 10/20 r 2000 Street Excav r ?on Permit,
E,a i rat i or>. Date 1 0,,2 0, 2p<<�,
Descrip :
cpp 1 i cant LOG
Name BOUTIN & SONS, 0026 SUNRISE LAkNE
Addr. 121 WINDSORVai_i_E ROAD
BROAD BROOK CT 05016 Type of Word.. DRIVEWAY
Phone (86[) )6.23-2526
Applicant agrees to furnish the Town cif' South Wincbor tie amount of bond
required and to reimburse the: Tow'n of South Windsor, for any expenses
'incurred by the Town for maintenance or• repair' wore; in connection with this
permit and that appiicant is faMiilar 'with and will abide by tree rules and
regulations for, permits as outG i i ned r n the Town of South �: i nds-or : s Streer,
Cut Perin i t Manua k .
* PERMIT TO', SE KEP i' :ON 10 SITE A f ALL T1,14ES , � *.
Issued by x c Itle
.date Completed : :inspectea By
d
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH-WINDSOR
PUBLIC WORICS..DEPARTMENT
TOWN HALL-
1540 SULLIVAN AVENUE
SOUTH VIFINDSOR, CT
FEE $25.00
Name of Firm Boutin & Sons Const. Co. - 623-2526
Phone No.
Address of Firm 121 windsorvi lle Road Broad-Broo , Conn UbUlb
Location of proposed work 26 Sunrise. Lane
Describe full nature of permit r nested
y p eq grave en pave
Starting date Approx.time for completion
Cali".Before You Dig No.20004301033 Traffic Services Control No.
Show sketch of proposed work or fumish To�edtout by Town of South Windsor
two copies.of separate drawing
EMment Gut
Indicate North Prop.size of cut
No:cuts
qd '
Amt.of Deposit$ by
Cash Check#
_ - 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 WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: �- Date: l 0 J 17/00
Title: ��Gre 7-22 c DL.#•
PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit.doc