HomeMy WebLinkAboutDriveway Street Cut Permits 166 Gray Roa 800064 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
STREET CUT PERMIT
DATE: 05/09/08
GIS ID: 38100166 >'.
MUNIS AP FEE
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APPLICAN `
NAME: BOUT IN&SON "
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ADDRES :.> �.. 1 '}kOAD
S: 121 WINDSORVILLE PIG.
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SCRIPTION:S C RIP T I O N: DRIV
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APPLICANT AGREES TO FURNISH THE TO Sp'
THE TOWN OF SOUTH WINDSOR FOR ANY 1<�PENSES:;V. * "`> �` REQUIRED AND TO REIMBURSE
CONNECTION WITH THIS PERMIT AND THE AFPLICAWNT rS-A rkIL AR`=`` "' �VN,.F 1R £AINTENANCE OR REPAIR WORK IN
FOR PERMITS AS OUTLINED IN THE TOWN OF SC17 H•>:,.: L ABIDE BY THE RULES AND REGULATIONS
SR'. R1 T BUT PENT MANUAL.
ISSUED BY
DAT INSPECTED INSPECTED BY
5/9/20089:17AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 's C)®o(c, CONTRACTOR: 60y t
LOCATION:_ i?d
TYPE OF WORK: I U� UGC
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS: Db,,.e Z)ro''„
AS-BUILT:
INPUT: C 6L DATE:_
W/2007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FORSTREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC- WORKS DEPARTMENT YOM)&
y 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 Windsorville Road roa rook, Conn 06016
Location of proposed work Strip existing driveway, add nrn,pq�q ora P1 —gra
de, roll and3Pmve
Describe fully nature of permit requested_ 166 Glenwood enwood Rd)ad(
Starting date — /S tl 'r Approx.time for completion - /.S- d
Call before you dig no. 20081901235 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 North Prop.size of cut
No.cuts
p, Amt.of Deposit 5 by
s�
(3 Cash(1 Check#
Cut size after Perm. Patch
No.Cuts
Final Billing $ '
Amt. Due Payee $
Amt,Due Town .$
Applicant is responsible or contacting
the Police Dept.and C .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 1 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: �t.� Date. 5/6/08
Title: Secretary D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES