HomeMy WebLinkAboutStreet Cut Permit 74 Timber Trail 900149 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
' STREET CUT PERMIT
DATE: 11/03/09 ��
GIS ID:89700074 -
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MUNIS APPLICATION# 200901348 ' FEE: 25.00
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TION DATE: 11/03/10
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NAME. US-
APPLICAN LOCATION
BOUTIN&SONS %
ADDRESS: 121 WINDSORVILLE �I � 0 - r� TIVR TRAIL
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BROAD BROOK,CT �€ L � � MAND&ROBIN
fi B R TRAIL
PHONE 860-623-2526 �� � OTTH VINDSOR,CT 06074
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WORK DESCRIPTION: DRIVVV w- i'
APPLICANT AGREES TO FURNISH THE TQ � �� s
THE TOWN OF SOUTH WINDSOR FOR ANY .:.CU � NfF-POND REQUIRED AND TO REIMBURSE
. 6 AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE LIt � S'r� ND- LL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SI1SJ IT MANUAL.
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ISSUED BY ���,��,
DATE INSPECTED D
INSPECTED BY
I1/3/200911:47AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 9 00 ( y 9 CONTRACTOR: So(At + N
LOCATION: -6
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: Q�
WORK IN
PROGRESS: S c
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES [-] NO
AS-BUILT:
INPUT: C' DATE: 48
W/2007 Town of South Windsor INPSECfION REPORT 07
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC• WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN. AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm Boutin & Sons Const. Co. Phone No. 623=2526
Address of Firm 121 Windsorville Road Broad. rook, Conn
Location of proposed work 74 Timber Trail
Describe fully nature of permit requested Strip existing driveway, dress With gravel, grade,
roil and pave:.
Starting date 11111;A4 Approx.time for completion
Cali before you dig no. 2Q f}2 Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town Of So. Wind.
two copies of separate drawing Pavement Cut
Indicate North Prop.size of cut
6ura
No.cuts
Amt.of Deposit$ by
��7 O Cash(?Check#
Cut size after Perm. Patch
No.Cuts
Final Billing$
Amt. Due Payee S
Amt,Due Town $
Applicant is responsible for contacting a�
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.
Signed: Date: 10/27/®9
Title: Secretary D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES