HomeMy WebLinkAboutDriveway Street Cut Permits 24 Cody Circ 800138 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 08/11/08
GIS ID: 21800024 " "x<., '' FEE: 25.00
MUNIS APPLICATION# 200801231 s'` :: IRATION DATE: 08/11/09
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APPLICANrT r LOCATION
NAME: BOUTIN&SONS 3 r " ARE r 24 CODY CIRCLE
ADDRESS: 121 WINDSORVILLIr :A13 ty ;, .w r �3I s::; BTLTNIZ GERALD N&PATRICIA M
BROAD BROOK,CI 0 1 u 4 ODY CIRCLE
WINDSOR,CT 06074
PHONE 860-623-2526 3t x £
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WORK DESCRIPTION: DRIVEY
APPLICANT AGREES TO FURNISH THE—rQW-N'0 GITTI � `�: VII f7 T F BAND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANNKP [.SL' 'O WTI FOI .�vIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE ?1'1 T A IT I '>I? T H ND,•Vq- L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SnI7fi' ? 4Ii''S ST rCJ T PERMIT MANUAL.
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ISSUED BY DATE INSPECTED INSPECTED BY
8/11/200810:15AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 00 13 9, CONTRACTOR:___
LOCATION:_
TYPE OF WORK: 1�r`�V'P COCL(A
-DATE INSP NEEDED: DATE INSP: ° z
INSPECTED BY: 6 b
WORK IN
PROGRESS:__,,
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AS-BUILT:
INPUT: ty, DATE: b
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 Windsorville Road roa rook, Conn
06016
Location of proposed work 9 ZL (.Cd y ,.i6r fig
Describe fully nature of permit requested dig out lawn area, add i raae c c QraCue 1
roll and pave.
Starting date 1 i (()R Approx.time for completion 9/3 8
Call before you dig no. 9 0 0 R q 1 Q2 Fi 1 R 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 a,rA A Prop.size of cut
No.cuts
Amt.of Deposit S by
fJ
n5 O Cash O Check#
Cut size after Perm. Patch
.
No.Cuts
Final Billing S '
Amt. Due Payee S
Amt.Due Town S
Applicant is responsble for contacting 2
the Police Dept. and C.B.Y.D. by 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:___
�`�% Date: d
Title:
��G/�T D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES