HomeMy WebLinkAboutDriveway Street Cut Permits 30 Woodmar C A 1
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3825 Con;:t> actor BOUT; & SONS
Location 0030 WOODMAR CIRCLE Address 12..1.:WII3DSO12'VILLE ROAD
Type Work DRIVEWAY OAD'BROOK.;CT::;06016
Phone' No ($j0),&23' 2526:,
Date Insp Needed —_--__—_ Date ^Ins
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Time Insp NeededTime p L
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Inspected By — �
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Work in Progress
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Permit No. 3825 Town of South Windsor, CT
Date 08/16/2004 Street Excavation Permit
Expiration Date 08/16/2005
Descrip:
Applicant Location
X.
Name BOUTIN & SONS (lQ3p IypOIDMAR CIPCI E
Addr. 121 WINDSORVILL,E ROAD
BROAD BROOK CT 06Q16 Type �JE Wdk DRIVEWA,
Phone (860)623-2526
Applicant agrees t6 furii'sh the Townl'a€ gUth Wiridsbtt:he amount of bond
required and to reimburse Ehe 'Town of S,p th W ndsor to azy e pQnses
incurred by the Towxt for malnk6:13Tf!eF p epa vnork .an coinnectzon with this
permit and that applicant as* familiar with and will:4_:ic_e by the rules and
regulations for permits as autl n' ed �u ttie To#n Of: youth YdinclSor s Street
Cut Permit Manual
* * PERMIT PO B.A KEPT',;ON b 3': S IF"AT A*LL TIMES.
Issued by —_—�-- Title
t
Date Completed ---_ Inspeced B
V
APPLICATION FORSTREET EXCAVATION PERMIT /
N OF SOUTH WINDSOR
PUBLIC- WORKS DEPARTMENT
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm
Boutin & Sons Const. Co. 623-2526
Phone No.
Address of Firm 121 Windsorville Road Broad Brook Conn 0601
Location of proposed work 30 Woodmar Ci rr 1 P
Describe fully nature of permit requested Strip existi ng dri vPway, drew vi th =rnr`Agc ravel
Qrade, roll and pa ye g �
Starting date Approx.time for completion
Call before you dig no.- 20043301640 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
t)Cash O Check#
Cut size after Perm. Patch
No.Cuts
Final Billing S '
Amt.Due Payee S
Amt.Due Town S
Applicant isresponsible for contacting 01
the Police Dept.and C.B.Y.D. bye date_
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF
SOUTH WJNDSOR 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 U✓2 '�"" "ts�C—
Date. / Z 6
Title: y
D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Job Location:
,- Description: 2 ( to
3
20
I.
l Quote Good for 60 Days. '
Special Attention: 1/2 Paymen Upon Starting, Balance Upon Completion.
Contract Permit
ONE YEAR GUARANTEE ON WORKMANSHIP & MATERIALS.
CBUD , �( UDate
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