HomeMy WebLinkAboutDriveway Street Cut Permits 133 Windshir TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3157 Contractor BOUTIN & SONS
Location x 1 .'�PI19 # RE 1. Address 121 WINDSORVILLE ROAD
Type Work DRIVEWAY BROAD BROOK CT 06016
Phone No. (860)623-2526
Date Insp Needed Datie `Insp.
Time Insp Needed l"°trriInspr
Inspected By .� -r
Work in Progress � .
Input "U
Date / �
Permit No. 3157 Town Q f South Windsor. CT
—_ _ �—
Date 07/25/2001 Street Excavation Permit
i
-Expiration Date 07/25/2002
Descrip: CK#1404 FOR 2 PERMITS
Applicant Location
Name BOUTIN & SONS 61 3..,,WINDSHIRE DRIVE
Addr: :.121 WINDSORVILLE ROAD
BROAD BROOK CT 06016 'Ty.p'9 "of Work DRIVEWAY
Phone (860)623-2526
Applicant agrees to f u rn i sit 'tMe ' bWft of..:'South' Windsor the amount of bond
required and to reimburse' the... Town�_q���°�c�uth Winc�sor" fpr any expenses
incurred by the Town foe m4in na . I,6p a4�r Work In connection with this
permit and that appl ican�t," i;s f,afini lr ;ar; l�tai � 11 � akide by the rules and
regulations for permits �as, 0,i t Town , f S9t th Windsor's Street
Cut Permit Manual .
* * PERMIT ,T`0 BE: KEPT O " . „3I1'E AT;. ALL; TIMES.
Issued by Titla'
' ' nspected BDate Completed y �
v
�7 APPLICATION FOR STREET EXCAVATION PER
TOWN OF SOUTH WINDSOR MIT
PUBLIC- WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE 25.00
Name of Firm Boutin & Sons Const, co.
Address of Firm W1ndSOTV111e ROad Phone No. 623-2526
Location of proposed work Stri bOttOm a .ronBofadrivewa p
grade, roll and rP G c " *'' g''---'ol I
ave
Describe fully nature of permit requested
in s ire Drive
Starting date
Call before you dig no. 20013001203 Approx. time for completion
Traffic Services Control No.
Show sketch of proposed work or furnish rAmt.
11ed Out bV TOwn Of SO WIII(lSOC
two copies of separate drawing
nt Cut
Indicate North
e of cut
Deposit $ by
() Cash () Check#
Cut size after Perm. Patch
No. Cuts
Final Billing $ '.
Y-
Amt. Due Payee $
$
Applicant is responsible for contacting Amt. Due Town
the Police Dept. and C.B.Y.D.
by date
1 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: 7/24/01
Title: Secretary
D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
�PIZQN UNI,Y
.lab Lncatlon:
Doscription:
T
Quoto Good for GO D ;r
Spoclal Atlontlon: 1/2 Paymont Upon Storting, Bal nco Upon Complotlon.
i ) 1
Contract 'r, Pormit
ONE YEAR GUARANTEE ON WORKMANSHIP & MATERIALS. P'os.
CBUD ��a n j on U .� __ Dato