HomeMy WebLinkAboutDriveway Street Cut Permits 86 Willow St i
Permit No. 2949 Town of South Windsor , CT
Date 04/14/2000 Street Excavation Permit
Expiration Date 04/ 14/2001
Descrip: •
Applicant . Location
Name BOUTIN & SONS r3tB -I LC: 3V1,STREET
Addr. 121 WINDSORVILLE ROA'
BROAD BROOK CT 060,16 io 0 Mork DRIVEWAY
Phone (860 )623-2526
Applicant agrees to fa '1044 the T' pf South;'Windsor the amount of bond
requi red and to reimbur.'e tS , Towii o 0:th W,j.,A,dsor ` fbr any expenses
7 7incurred by the Town Fors. m � n +"Ot ;4r° �^�pait�k- iti connection with this
permit and that app 1 i Gant , 1'amf=t i ar w nd w.i'1 1 abide by the rules and
regulations for permits as- outli.nad i,n,-the -T,6*n7Of South Windsor' s Street
Cut Permit Manual .
* * PERMIT TO BE .K,EP�' b�1 'JOB "$,IT'8 ,AT, ALL TIMES.
Issued by - /�.e�! _ ;Title _ -*, ---
Date Completed _ Inspected By __
Permit No. 2949
Date 04/ 14/2000 Town a,' South Windsor , t;T
Street Excavation Permit
EXbl ration Date U4.i 1«i ?Ui39
Descrip :
Ca!-It
Loccat on
Name BOUTIN SONS
Addr. 121 WINDSORVILLE ROAD Ou86 WILLOW STREET
Bk` AD BROol,. CT 06016
Phone ( 860 )623-2526 Ty ?e of Work DRIVEWAY
Applicant agrees to furnish the Town of South Windsor the amouvi
required and to reimburse the Town of South Wind sc�r for any expensesaf band
incurred by the Town for maintenance or repair work in connection wrth this
Permit and that applicant is farniiar, ' with and w � i 't abide b�
regu 1 at i ons for per-ml is as out ) l ned in tt�e Town, of South w�ndsoer ' �u�es and
Cut Permit Manual . Street
* PERMIT TO 3E KEPT ON iIOB SITE AT ALL TIMES.
Issued by
Date Comp l eted - - ----._-._—_-_
--_ 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 ` Phone No.
Address of Firm
Location of proposed work
Describe fully nature of permit requested �r -'let l ai
Starting date �Approx.time for completion
Call before you dig no. 9 7 T 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 k
Cut size after Perm. Patch
No. Cuts
Final Billing S
Amt. Due Payee $
Amt. Due Town ¢
Applicant is r sponsible for contacting
the Police D pt. and C.S.Y.D. by date
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO RQIMBURSE 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:
Title: D.L.M
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES