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HomeMy WebLinkAboutDriveway Street Cut Permits 203 Quarry B 800047 PERMIT NUMBER TOWN OF SOUTH WINDSOR, CT DATE: 04/18/08 STREET CUT PERMIT GIS ID: 74100203 'f MUNIS APPLICATI ON# 200800498 'S<< FEE: €' 25.0 EX' 0 RATIO DATE: I 04 P 1 8/0 9 C A N T. N :� NAM E: TI &SON S 1. ;... .' LOC ATION ATIONDREss 121 WINDSORV 2< S BROOK D RIVELLERO UARkYBROAD BROOK, T(6 ] ! 1 REIA 'ROB ARLENE ><: :ti»' P Y H ARP O BR OOK R E O K D fr. 8 - R 6 0 62 : 25 2 6 .. .T:H` IND SO R CT 06 074 0 7 4 WO RK of RK RI D E S t P T I N• D RI :V W f THE TO WN OF APPLICNT AGREES EES TO F H THETOSOUTH WINDSOR FOR Ate' P<E. rtS>. .. N # �Q?'>B;C)Ik4D REQUIRED AND TO REIMBURSE CONNECTION WITH THIS PERMIT AND THE PI tCANT'I ,: SE FOR PERMITS AS OUTLINED IN THE TOWN OF h : 1WN � VM� TENANCE OR REPAIR WORK IN 1? ?IT�'RII AI IDABIDE BY THE RULES AND REGULATIONS SOUTH IN?DSR l STRE$T ie>//o� pCUT pt. R1F � MANUAL. ISSUED BY > 4/18/2008 3:30 PM DATEINSPECTED *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** INSPECTED BY TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: CONTRACTOR: LOCATION: TYPE OF WORK: DATE INSP NEEDED: DATE INSP: ? ©S INSPECTED BY: Rb WORK IN PROGRESS: CL AS-BUILT: INPUT: DATE: W/2007 Town of South Windsor INPSECTION REPORT 07 APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC- WORKS DEPARTMENT 00c'y 7 TOWN HALL 1540 SULLIVAN. AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of Firm Boutin & Sons Cons t. Co. Phone No. 623-2526 Address of Firm 121 Windsorvi e Roadroa rook, Conn 06016 Location of proposed work 203 Quarry Brook Drive Describe fully nature of permit requested Strip existing driveway, dress with gravel, grade, roll Anr] p ne Starting date Approx.time for completion Call before you dig no. 20081601629 Traffic Services Control No. Show sketch of proposed work or furnish TO be filled out by Town of So. 'Wind: two copies of separate drawing Pavement Cut Indicate Nort Prop.size of cut No.cuts Amt.of Deposit S b P Y Cash(}Check# Cut size after Perm. Patch 7 No.Cuts S Final Billing S ' Amt. Due Payee S ,57 e,1;0 Amt,Due Town $ Applicant is r sponsble for contacting 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 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. Date: Signed: e\`==� 4/16/0.8 g Title: Secretary D.L.# PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES