HomeMy WebLinkAboutDriveway Street Cut Permits 21 Wendy Dri TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 2899 Contractor BOUTIN & SONS
Location 0021 WENDY DRIVE Address 121 WINDSORVILLE ROAD
Type Work DRIVEWAY BROAD BROOK CT 06016
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S�one .No. (860 ?625-2526
Date Insp Needed777
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Time Insp Needed me �nsp
Inspected By _
Work in Progress
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Permit No. 2899 Town of South Windsor, CT
Date 12/22/1999 Street Excavation Permit
Expiration Date 12/21/2000
Descrip:
Applicant Location
Name BOUTIN & SONS 0021 WEiJDY DRIVE
Addr . 121 WINDSORVILLE ROAD-,
BROAD BROOK CT 0601fi Type of Work DRIVEWAY
Phone (860 )623-2526
Applicant agrees to",furn-z sh -the Tpwn ' f South =Wi ndsor the amount of bond
required and to reimt urse 'fyh�+� own. of _.South ,WirfdsQr for any expenses
incurred by the Town fer ma`tntenanc ;or repair .workn connection with this
permit and that app 1 i;cant i s Fam i 1 i ar. w- ';t � and pt l i abide by the rules and
regulations for permits as outlned '' i.n " h@i Town" of South Windsor's Street
Cut Permit Manual .
* * PkRMIT T KEPT ;pN .l0 ,SI,TE AT', ALL TIMES.
Issued by
. Date CQmp1_et�d_ Inspected By
�J
APPLICATION FOR
OF SOUTH EXCAVATION PERMIT
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm one No.
Address of Firm 'e
Location of proposed work
Describe fully nature of permit requested
Starting date /Approx. time for completion
Call before you dig no. �, y"7 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
O Cash O Check#
Cut size after Perm. Patch
No. Cuts
j ! Final Billing S
/( Amt. Due Payee $
Amt. Due Town $
Applicant is respon'ible 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 RF,_IMBURSE THE TOWN OF
SOUTH WINDSOR 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 STRE T CUT PERMIT MANUAL.
Signed: Date: 14
Title: D.L.A
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES