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HomeMy WebLinkAboutStreet Cut Permits 32 Partridge Lane (2) 1100163 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 10/11/11 , GIS ID: 69600032 - FEE: 25.00 MUNIS APPLICATION# 201101187 EXPIRATION DATE: 10/10/12 APPLICANT „; . LOCATION NAME: BOUTIN&SONS ADDRE§§t 32 PARTRIDGE LANE ADDRESS: 121 WINDSORVILLE OAD OW1 ER �HEPARD KIMBERLY D TRUSTEE BROAD BROOK, CTX)6Qlb 32 PARTRIDGE LANE SOUTH WINDSOR,CT 06074 PHONE 860-623-2526 WORK DESCRIPTION: v-(' , APPLICANT AGREES TO FURNISH THE 1 WAJ OP-SOUTH=V MWS6R--jftE AM06ft OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY EXPENSES IN UI RED JIM IHE TOWN i WAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE AP I ICANT JS I AMI AR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN -WIN DSR'"S STREET CUT PERMIT MANUAL. 1O =ramj 491 ISSUED BY DATE"INPE TED INSPECTED BY 10/11/201110:42AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: l l ©D l( 3 CONTRAC rOR: '60 t l l� LOCATION: 3 -'iYPE OF WORK.- 'DATE INSP NEEDED: DATE INSP: o d7 INSPECTED BY: WORK IN _ 9 PROGRESS: v) �. SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO '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 Name of Firm Boutin & Sons Cons t. Co. Phone No. 623-2526 Address of Firm 121 Windsorvi e Roadroa rook, Conn 06016 Location of proposed Work 32 Partridge Lane Describe fully nature of permit requested Strip existing driyewajz� dress with gravc-1 grade, roll and pave. Starting date 10/10/11 Approx.time for completioni1 10 1 1 Call before you dig no. 7 011 1 9 4 7 5 Traffic Services Control No. Show sketch of proposed work or furnish . To be filled out by Town of So. Windsor two copies of separate drawing Pavement Cut Indicate North Prop.size of cut r!i w r"5 No.cuts Amt.of Deposit S by Cash O Check# Cut size after Perm. Patch No.Cuts Final Billing S ' ' Amt. Due Payee S Amt.Due Town S Applicant is respon ble 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 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: �� r�� � Date: Title: �/ D.L.# PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES