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HomeMy WebLinkAboutStreet Cut Permit 100 Farmstead Drive PERMIT -P TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT <.,. DATE: 05/11/09 "ems GIS ID: 31800100 } FEE: 25.00 MUNIS APPLICATION# 200900469 gip• `*tx< ' . ' OS/11/10 TION DATE: APPLICANT �� 'LOCATION NAME: BOUTIN&SONS a k- ` q FAA. - STEAD DRIVE ADDRESS: 121 WINDSORVILLVJT RO ERT E&CAROLINE B BROAD BROOKDRI0 ,ky �� STEAD DRIVE SOR,CT 06074PHONE 860-623-2526 Na WORK DESCRIPTION: DRIVx AI s 4 v <} 4FS ,,2 p f f ... k ws v •�' :k'�';:+� "i.: APPLICANT AGREES TO FURNISH THE T6'Vt� O � `ry.' " 1NT 'B�SND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANI IyXv I SE C 13 V�EO *IvIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THEIa�, A3�IT*� 11" VIZ LL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF 3b TV T C�T.LIT MANUAL. �' ISSUED BIP 47 DATE INSPECTED INSPECTED BY 5/11/200912:10PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 9 DDD CONTRACTOR:- 0 iu LOCATION: //�(� �-GP1'!�7�S liea -1 /-i TYPE OF WORK: V-e 1k.-_. DATE INSP NEEDED: DATE INSP: /z/2-lot INSPECTED BY:- WORK IN PROGRESS: too AS-BUILT: INPUT: - DATE: W/2007 Town of South Windsor INPSECTION REPORT 07 1) ©00V 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 100 Farmstead Driv6e Describe fully nature of permit requested Widen driveway by road strip turnaround add ravel made roll and pave Starting date 6/1/0 9 Approx.time for completion 7 1 0 9 Call before you dig no. 20091803462 Traffic Services Control No. Show sketch of proposed work or furnish TO be filled out by Town of So. 'Windsoe two copies of separate drawing Pavement Cut Indicate North - Prop.size of cut No.cuts Amt.of Deposit S by r O Cash O Check# n ` Cut size.after Perm. Patch �( No.Cuts Final Billing $ Amt.Due Payee S Amt.Due Town S Applicant is responsible for ntacting the Police Dept.and C.B.Y.0 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 TO#N 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: � �W!/kJ Date: r Title: D.L.# PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES