HomeMy WebLinkAboutDriveway Street Cut Permits 42 Windshire TOWN OF SOUTH WINDSOR INSPECTION REPORT XZ3�
Permit No. 3130 Contractor BOUTIN & SONS
Location 1E , Address 121 WINDSORVILLE ROAD
Type Work DRIVEWAY BROAD BROOK CT 06016
Phone No. (860)623-2526
Date Insp Needed Date Insp,.
T i me Insp Needed Ti►he :.hrisp
Inspected By
Work in Progress
Input " Date
Permit No. 3130 Town of South Windsor, CT
Da4;-e- % 06/12/2001 Street Excavation Permit
Expiration Date 06/12/2002
Descrip:
Applicant Location
Name ROUT'IN & SONS °: 0042 *I�Ni) HIRE DRIVE
Addr. 121 WINDSORVILLE ROAD" .
%ROAD BROOK CT 06016' Type o , Wo , DRIVEWAY
Phone . (860)623-2526
Applicant agrees to fernigh the 'Tow'n of S6ttth 'Windsor the amount of bond
required and to reimburse, ti'ie 'Town of.,.<S,ou fi "Wlind,sor` 'for any expenses
incurred by the Town for mw#tltenande ar repast loork in connection with this
permit and that applican,t ,,-ia, Yam1liar Wirth and'�*IJV abide by the rules and
regulations for permits-as. Qutljl6ed in' the , Tow.n of South Windsor's Street
Cut Permit Manual .
* * PERMIT TO SE, ' EPT 0 .la8 SITE AT ALL TIMES.
Issued by -�-�'" Title
Date Completed 1X 01 Inspected By
v
A- APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm Boutin & Sons Const. Co. Phone No. 623-2526
Address of Firm 121 Windsorviiie Roacl Broad Broo , Conn 0 O1
Location of proposed work 42 Windshire Drive
Describe fully nature of permit requested Dress existing drivewav With dust grade, roll
and pave
Starting date Approx.time for completion
Call before you dig no. 20012303324 Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town Of SO Windsor
two copies of separate drawing Pavement Cut
Indicate North Prop. size of cut
No. cuts
Amt. of Deposit$ by
O Cash O Check#
Cut size after Perm. Patch
No. Cuts
Final Billing $
Amt. Due Payee $
Amt. Due Town $
Applicant is responsible for contacting
the Police Dept. and C.B.Y.D. by date
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: L/ Date: 6/8/01
Title: ��C�/� / �c 2 D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
rPsc iption:
l 00
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Quote Good for 60 Days.
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion. r
CContract Permit (� Cr/
ONE YEAR GUARANTEE ON WORKMANSHIP & MATERIALS. Pres. ,
CBUD 2 0 a l 2 ,3 l 2 Date_