HomeMy WebLinkAboutDriveway Street Cut Permits 75 Paper Cha 800134 ,. TOWN OF SOUTH WINDSO
PERMIT NUMBER R, C T
w STREET CUT PERMIT
DATE: 08/04/08 '
GIS ID: 69000075 '
E
MUNIS APP LI CA T I O N# 200801183F E•
2 25.
00 0
" wRATION DATE: 08/04/09
APPLICANT :LOCATION
NAME: BOUTIN&SONS
ADDRESS: 121 WINDSORVILLP RflA : x SS 7S PAPER CHASE
BROAD BROOK, C 06fl16 3 s„ "� S+ RAVE RICHARD E&PAULA C
7 >. AP:El CHASE
PHONE 860-623-2526 nOUxH WINDSOR,CT 06074
WORK f. <i is
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DESCRIPTION:
,S
APPLICANT
AGREES TO FURNISH THE Tp "Of"S,0,UT ..
THE TOWN OF SOUTH WIN ?, ;AIbEE�:INF.<f F+$:(JND RE U DSOR FOR ANI'=:EXPSE .:INC:'. : .: _<:':: Q IRED AND TO REIMBURSE
CONNECTION WITH THIS PERMIT AND THE APPLICANT I�F�AM� SIDE BY THE RU TENANCE OR LES AIND REGU IN
LATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SQUTf $WS S. BEET OIj� IT MANUAL.
ISSUED BY DATE INSPECTED
8/4/2008 11:24 AM
INSPECTED BY
*** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: S 0Q 13 CONTRACTOR:_u
LOCATION:_ '7 Pa peg C �C�S
TYPE OF WORK:_
DATE INSP NEEDED: DATE INSP: f z
INSPECTED BY: 51)
WORK IN
PROGRESS: D
�U a
AS-BUILT:
INPUT: DATE:_- L9
W/2007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FORSTREET 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
Location of proposed work 75 Paner Chn SP Rond
Describe fully nature of permit requested— Fine Grade area in front of garage, resurfPce
area #2 on diagram
Starting date 811108 Approx.time for completion 81 01/0 S
Call before you dig no. Not D i "i n g 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
(J Cash(J Check#
Cut size after Perm. Patch
_. No.Cuts
Final Billing S '
Amt. Due Payee S
Amt.Due Town S
Applicant is responsible for contacting
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:
Title:
Secretary D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
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