HomeMy WebLinkAboutStreet Cut Permit 65 Andreis Trail 900036
PERMIT NUMBER TOWN OF SOUTH WINDSOR, CT
STREET CUT PE
RMIT
DATE: 04/29/09
GIS ID: 03300065
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MUNI APP ATIO # 20090040 ,:��,° FEE: 25.00
# U ' RATIO
¢ .` _.. 4 M1f.. DATE: 04/29/10
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NAME: APPLICANir k
BOUTIN&SONS f � ...... °LOCATION
ADDRESS: 121 WINDSORVILLI ' � ' �ryy5`�1Ad IS TRAIL
BROAD BROOK,C 0� t s� 'r� L ( N ROBERT K&LUCY V EST
4� ; IS TRAIL
PHONE z .', 1
860-623-2526 # k € 0 ?1H WNDSOR,C
WORK DESCRIPTION: •�,�;•< `1'06074
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APPLICANT AGREES TO FURNISH THE T �t �
THE TO OQIIE}
WN OF SOUTH WINDSOR FOR ANY .xkA1ITNcT BND REQUIRED AND TO REIMBURSE
CONNECTION WITH THIS PERMIT AND THE�2pL '
FOR PERMITS ;
^ V�+F::FOI MAINTENANCE OR REPAIR WORK IN
AS OUTLINED IN THE TOWN OF STffiV EI{
3LL ABIDE BY THE RULES AND REGULATIONS
µ IT MANUAL.
. ISSUED BY
DATE SPECTED
4/29/2009 8:58 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** INSPECTED BY
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT'NO.: CONTRACTOR.- 1�
— i1,t Y� Y +� �
LOCATION. (0 �)p(r c 'S o
TYPE OF WORK: f�t tA)
-- - --DATE INSP NEEDED: DATE INSP: lZ 23 a
INSPECTED BY: 6r-)
WORK IN
PROGRESS: �o .
GV Lao o� .
AS-BUILT:
INPUT:,`U� DATE: 2',-3/ U
W/2007 ToWn of South Windsor INPSEMON REPORT 07
APPLICATION FOR STREET EXCAVATION PERMIT g000sr .
N OF SOUTH WINDSOR
PUBLIC- WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN.AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm Boutin & Sons Cons t. Co. Phone No. 623-2526
Address of Firm 121 Windsorville Road roa rook, Conn 013016
Location of proposed work 65 Andreis Trail
Describe fully nature of permit requested Strip existing driveway add process ; rgyel,
grade, roll and pave.
Starting date 14/0A Approx.time for completion 6.41-4 409
Call before you dig no. 20091701810 Traffic Services Control No.
Show sketch of proposed work or furnish TO be filled out by Town of So. Windsoe
two copies of separate drawing Pavement Cut
Indicate North Prop.size of cut
No.cuts
/ Amt.of Deposit$ by
/ {)Cash{)Check#
q J }
Cut size after Perm. Patch
No.Cuts
�D Final Billing$ '
Amt. Due Payee S
" 6L
Amt.Due Town.$
Applicant is r sponsbte for contacti g
the Police D pt.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: 11.2 07
Title: D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES