Loading...
HomeMy WebLinkAboutStreet Cut Permit 89 Overlook Road 900101 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER - , STREET CUT PERMIT DATE: 07/31/09 GIS ID: 67500089 y FEE: 25.00 MUNIS APPLICATION# 200900905 j RATION DATE: 07/31/10 -V ! If lt — APPLICANT -LOCATION NAME: BOUTIN&SONS I jok g S y 49 R 00K ROAD ADDRESS: 121 WINDSORVILLERQAII� s r R T`TZ AiTHUR S&CYNTHIA L BROAD BROOK,CT�Off,63 � RLOOK ROAD INDSOR'CT 06074 PHONE 860-623-2526 off j WORK DESCRIPTION: DRIWAY �' � � APPLICANT AGREES TO FURNISH THE TO �-� W = l� OND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY �1; �B MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE AIiCSILLR I LL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOU�VII3 . 4 jErRMIT MANUAL. ISSUED BY DAT INSPECTED INSPECTED BY 7/31/200910:21AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOft INSPECTION DEPORT PERMIT-NO.:_ 9I C-1 D OONTRACTop,.., D J / LOCATION: ©o Loc ((Do� nQ 7)(PE OF WORK:_ ! 1 V-e -� DATE'INSP NEEDED: DATE INSP: /.a INSPECTED BY: �n ` WORK IN -PROGRESS: �o �Slv AS-BUILT:_ . INPUT: DATE: W/2007 Town of South Windsor INPSEMON REPORT 07 APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC• WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN.AVENUE SOUTH WINDSOR, CT FEE $25.00 49' Name of Firm Bottin & Sons Cons t. Co. Phone No. 623=2526 Address of Firm 121 Windsorvi e Roadroa rook, Conn Location of proposed work 89 Overlook Road Describe fully nature of permit requested Strip existing driveway add ;Travel at dig out, graclei roll anti nave Starting date 8/12/09 ___Approx.time for completion 9/12/09 Call before you dig no. 20093100676 Traffic Services Control No. Show sketch of proposed work or furnish To be flied out by Town of So. Wind.- two copies of separate drawing Pavement Cut Indicate North Prop.size of cut No.cuts_ Amt.of Deposit S by �. O Cash O Check# Ji O� Cut size after Perm. Patch No.Cuts � Final Silting$ 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 1 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. ASigned: Date: " Title: D.L.# PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES