HomeMy WebLinkAboutStreet Cut Permits 311 Oak Street (2) 1100081 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 07/06/11
GIS ID: 65400311 - FEE: 25.00
MUNIS APPLICATION# 201100709 = EXPIRATION DATE: 07/05/12
APPLICANT : ;LOCATION
NAME: BOUTIN&SONS A1IRESN,- -11 OAKTREET
ADDRESS: 121 WINDS ORVILLE ROAD - 6 T I3INW LLIAM L&CAROLE K
BROAD BROOK,CT G601 = 11:OAR STREET
" OiZTH WNDSOR,CT 06074
PHONE 860-623-2526 - -
WORK DESCRIPTION: DRIVEWAY
APPLICANT AGREES TO FURNISH THE TORN.OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED-BY TIIE TOWN FOIE"MIINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPLICANT IS FAMILIAR WITH AND WELL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSR'S STREET CUT FERMI C MANUAL.
ISSUED BY DATE INSPECTED INSPECT9b BY
7/6/20111:24PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: Q00P I CONTRACTOR: 166t1+1 N
LOCATION:_-- J I ! Oat 6-wre.t
TYPE OF WORK: D'c'�v-e Lk')q. (I
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: Q
WORK IN
PROGRESS:- 1ba7_,
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE.
W12007 Town of South Windsor INPSECTION 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
06016
Location of proposed work 311 Oak Street
Describe fully nature of permit requested Strip .existing driUPway, drPgg with prnn.Pgc
,;ravel, Grade, roll and have.
Starting date 7/18/11 Approx.time for completion
Call before you dig no. _20112602464 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
( ( 0 No.cuts
Amt.of Deposit 8 by
O Cash O Check#
( 1 � Cut size after Perm. Patch
— —� No.Cuts
Final Billing S
Amt. Due Payee $
Amt.Due Town 8
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.
• t �Signed:. Date:
Title: �/� / l D.L.# ~
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES