HomeMy WebLinkAboutStreet Cut Permit 51 Oakwood Drive 900100
PENT NUMBER TOWN OF SOUTH
W I N D S O R, CT
vv STREET CUT PERMIT
DATE: 07/31/09
GIS ID: 66000051
MUNIS APPLICATION# 200900903
FEE:
TION DATE: 25.00
n\ „ 07/31/10
APPLICANTP
NAME: 13OUTIN&SONS \�\ o\�`n"\ `" N\\\\ \\\\\\\\P \\�\\`\\\\`\P\\q\\ \, a\ \\ 1,
ADDRESS: 121 �� �v vvvw` w yv�A � \���\�\\ \vwy ,"� `,,LOCATION
WINDS ,\ \„ \,\\ \, " •" `,5. . 'F
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PHONEv�„� vwAvv OOD DRIVE
860-623-2526 � "nmv"\
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SO R CT 06074
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WORKDESCRIPTIO a `"°a 'Vv V�\\v
N' DRIV
WAY
APPLICANT AGREES TO F
URNISH THE TO \ \,n a
THE TOWN OF SOUTH ,,, W v, Aa�iE' d T^v v WINDSOR FOR ANY ` „ ^' ` OND RE CONNECTION WITH THIS PERMIT AND THE I; �\\\o �,\ MAINTENANCE OR REPAIR WORK IND AND TO
FOR PE �,„„n, `
RMITS AS OUTLINED IN
I �N "'" ILL ABIDE BY
THE TOWN OF SO �\ \ '��� THE RULES
Ilo
"\m\\s1 pu 1` ue"rn\ \ \mumoaw °0 " RMIT MANUAL. AND REGULATIONS
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ISSUED BY lb
DATE INSPECTED
7/31/200910:17AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** INSPECTED BY
- s
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMITNO.: 00/00
CONTRACTOR._
LOCATION: S/ &4LIA)oo
T*&E OF Wowc:
,. ..DATE INSP NEEDED: DATE INSP:
INSPECTED BY: Qb `
WORK IN
PROGRESS:
INPUT: C tN� DATE:
W/2007 Town of Sw i 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 $25.00
Name of Firm Boutin & Sons Cons t. Co. Phone No. 623-2526
Address of Firm 121 Windsorville Road roa rook, Conn
Location of proposed work 51 Oakwood Drive
Describe fully nature of permit requested Strip existing driveway, dress with gravel,_grade
roll and pave
Starting date 8/12/09 Approx.time for completion 9112Z09
Call before you dig no. 20093100674 Traffic Services Control No.
Show sketch of proposed work or furnish To be fiIied out by Town of So. Wind;
two copies of separate drawing 7e-
..fP( Pavement Cut
Indicate North Prop.size of cut
No.cuts
• Amt.of Deposit$ by
O Cash O Check#
(�,� ► Cut size after Perm. Patch
No.cuts
U Final Billing$
Amt. Due Payee S
Amt,Due Town$
Applicant is responsible for contacting �y
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: Aw 4A Date: / v 9 .Q
Title: D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES