HomeMy WebLinkAboutDriveway Street Cut Permits 68 Willow St TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No 3279 ,E 3 Contractor BOUTIN & SONS
Location 68 Vft'�,Low",- Address 121 WINDSORVILLE ROAD
Type Work DRIVEWAY BROAD BROOK CT 06016
a No. (860)623-2526
Date Insp Needed Iis
Time Insp Needed / il,S A Al
Inspected By
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Work in Progress
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4 SO �' Date
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�ermit Na. 3279
Date . _ 05/01/2002 Town of South Windsor, CT
Street Excavation Permit
Expiration Date 05/01/2003
Descrip:
Applicant Location
Name BOUTIN & SONS ° r' LL STREET
Addr. 121 WINDSORVILLE RO wr
BROAD BROOK CT 060 6 - -
A 1 0 DRIVEWAY
Phone (860)623-2526
Applicant agrees th h `
or the amount of bond
required and to reimtu o, th r any expenses
incurred by the Town ' e pa connection with this
permit and that appl ilc �"
<,�' ��� an i de by the rules and
regulations for permi , s th Windsor's Street
Cut Permit Manual . "� b
* * PERMIT T n '
, � �.�� L TIMES.
Issued by fl1
Date Completed Inspected By _ ��
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 COnst . Co . Phone No. 623-2526
Address of Firm 121 Wi ndsoryi 1 1 e Road Broad Brook Conn 06016
Location of proposed work _68 Willow Street
Describe fully nature of permit requested Strip Fxistina Driveway, dress With process
-ravel . grade , roll and nave
Starting date Approx.time for completion
Call before you dig no. 200 .1 gOn444 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 S by
() Cash () Check#
Cut size after Perm. Patch
No. Cuts
Final Billing S
Amt. Due Payee $
Amt. Due Town S
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.
`/ 4/30/02
Signed: 1
Date:
Secretary -
Title: D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
f
w�a
Quote Good for 60 Days. .
Special Attention: 1/2 Payment Up Sta )inag. Balance Upon Completion.
Contract "I, 1� Permit
ONE YEAR GUARANTEE ON WORKMANSHIP &MATERIALS. Pres
CBUD O� l� "[ Date S