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HomeMy WebLinkAboutDriveway Street Cut Permits 59 Troy Road TOWN OF SOUTH WINDSOR INSPECTION REPORT . Permit No. 3284 Contractor BOUTIN & SONS Location O 9 *,lR Y RbAD Address 121 WINDSORVILLE ROAD Type, Work DRIVEWAY BROAD BROOK CT 06016 No. (860)623-2526 Date Insp Needed s Time Insp Needed , SA Inspected By s Work in Progress n �L Date 713 02 Mc►s Permit No. 3284 Town of South Windsor, CT Date 05/10/2002 Street Excavation Permit Expiration. Date 05/10/2003 Descrip; Applicant N Location Name BOUTIN & SONS 10 OAD Addr. 121 WINDSORVILLE R , BROAD BROOK CT 060, Phone (860)623-2526 RIVEWAY �a Applicant agrees he end or the amount of bond required and to reim u o ! th rany expenses incurrdd by the Town e a pai i connection with this permit and that appli' t an ide by the rules and regulations for permi 1 f " uth Windsor's Street Cut Permit Manual . * * PERMIT T ,Bt. K LL TIMES. Issued by Date Completed Inspected By 4604n", � APPLICATION FOR STREET EXCAVATION PERMIT 3�8y 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 Broad Brook, Conn 06016 Location of proposed work 59 Trov Road Describe fully nature of permit requested Reconstruct Existing Driveway Starting date Approx.time for completion Call before you dig no. 20021803114 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 $ by () Cash () Check# Cut size after Perm. Patch No.Cuts Final Billing $ Amt. Due Payee $ Amt. Due Town $ 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 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: cJ ' G " d 2— Title- ��-�/P T �� D.L.# PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES 4 �- Z 5• o o Pc�m� / -ice e Job Location: laole Description: /v©d ?� ao Z ' o Quote Good for 60 Days. nd Mastercard Special Attention: 1/2 Payment Upon Starting, B lance Upon Compl Mon. Contract t Permi ONE YEAR GUARANTEE N WORKMA SHIP S.MATERIALS. Pres. GD CBUD U to 2. b .� � Date 5 3 2