HomeMy WebLinkAboutDriveway Street Cut Permits 87 Pine Tree 800020 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 03/24/08
GIS ID: 72300087 " f` FEE: 25.00
MUNIS APPLICATION# 200800294 ° 1'IRATION DATE: 03/24/09
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APPLICANT' n:..:::. ,: .:.. ::....:::,::: LOCATION
NAME: BOUTIN&SONS "" `° "
,, 's�? "s Sin" 471.?INE T�EE LANE
ADDRESS: 2 fir'- �,fi�y 1 1 WINDSORVILLE: AD:<.• "
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BROAD BR
OOK, CT��:.6
TREE LANE
A:.
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DS OR CT 06074
PHONE 860- 2 623-2 5 6
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WOR
K DESCRIPTION:
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APPLICANT AGREES G S TO FURNISH THE TOW , NTH'• u:AMOUNT.T. `-I O<'D RE UIRED AND T
i3 . .? f, . ! TJ Q.:.,I Q O REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY'`Ek'3'E!,.Z INcll:`i10
rTvIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPfiCAN A.mr,.,.. AND.CiZ I ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF Sfl1 TTHVII7,YDS 'S 172ETI:PRtfIT MANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
3/24/20083:56PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: ( CJD
CONTRACTOR:. f
LOCATION: r r n�' -4 YT ev Y' ,
TYPE OF WORK: b T,\ Lz a
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: AL)
WORK IN
PROGRESS:
AS-BUILT:
INPUT: G IN DATE: 10
W/2007 Town of South Windsor INPSECTION REPORT 07
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 Cons t. Co. Phone No. 623-2526
Address of Firm 121 Windsorvill—eRoad Broad. Brook, Conn 06016
Location of proposed work
Describe fully nature of permit requested
Starting date Approx.time for completion
Call before you dig no. a0 z o0 S 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
GNo.cuts
Amt.of Deposit 8 by
O Cash O Check#
Cut size after Perm. Patch
No.Cuts
Final Billing $
Amt. Due Payee S
L—
Amt.Due Town .$
Applicant is responsible for contacting
the Police Dept.and C.B.`!.D. uy 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 t 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.
Signe
d:. Date:
J J 6tl
Title: U D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Molloy, Catherine
From: CaliCenter@CBYD2.com
Posted At: Friday, March 21, 2008 11:49 AM
Conversation: Locate Request-20081300057
Posted To: CBYD
Subject: Locate Request-20081300057
(CALL BEFORE YOU DIG - CT) 03/21/2008 11:49:22
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*** REMOTE BATCH ENTRY ***
***** ROUTINE *****
TIME. .11:48 DATE. .03/21/2008
REQUEST NO. . .20081300057
LATITUDE. .41.8202098 LONGITUDE. .-72.5177318
TOWN. . . . . .SOUTH WINDSOR
ADDRESS. . .87
STREET. . . .PINE TREE LANE
NEAREST
CROSS STREET. .AVERY STREET
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TYPE OF WORK. . . . .DRIVEWAY
AREA IS MARKED. . .YES
REMARKS:
RECONSTRUCT DRIVEWAY
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START DATE. . . . . .03/27/2008 START TIME. .07:00
CALLER. . . . . . . . . .KAREN
CALL BACK. . . . . . .8-5
PHONE #. . . . . . . . .860-623-2526
FAX #. . . . . . . . . . .860-623-2529
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . .BOUTIN & SONS CONSTRUCTION CO.
ADDRESS. . . . . . . . .121 WINDSORVILLE RD
CITY. . . . . . . . . . . .BROADBROOK
STATE. . . . . . . . . . .CT
ZIP. . . . . . . . . . . . .06016
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EXCAVATOR DOING WORK. .BOUTIN AND SONS
ISSUED TO: DATE: TIME: BY:
DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY:
CALL BACK: 1) DATE: TIME: BY: 2) DATE: TIME: BY:
PERSON CONTACTED: PERSON CONTACTED:
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