HomeMy WebLinkAboutStreet Cut Permits 64 Greenfield Drive (2) 1100181 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 12/02/11 ;
GIS ID:38400064 -- FEE: 25.00
MUNIS APPLICATION# 201101449 = _ E i?IRATION DATE: 12/01/12
APPLICANTAi_ = LOCATION
NAME: BOUTIN&SONS AllDRES 6 GRENFIELD DRIVE
ADDRESS: 121 WINDSORVILLE (j&Ab OWNER: HILL P ERT P&LISA A
BROAD BROOK, CT 66 64`GREENFIELD DRIVE
OUTH VJNDSOR,CT 06074
PHONE 860-623-2526
WORK DESCRIPTION: DRIV$ Y ,
APPLICANT AGREES TO FURNISH THE TQWZ}fi OF SOUTH WWt)S(QR T1-E AM010Nt OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANI'= EN§E8-IN -BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPLLGANTIS FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSR'S STREET CUT PERMIT MANUAL.
ISSUED BY DATETNSPECTED INSPECTED BY
12/2/2011 10:30AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
_... - ......... ._.._...._ ......-
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO..--I 00/ �'I CONTRACTOR: hig 1 /�
LOCATION:_ �'g ��Pn A
.TYPE OF WORK: cA�a
:DATE INSP NEEDED: DATE INSP: il-i2 1 2
INSPECTED BY:
WORK IN
PROGRESS:
01
SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑ YES [—] NO
'AS-BUILT:
INPUT: - DATE: sG Ifate_
W/2007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FOR STREET EXCAVATION PERMIT
OWN OF SOUTH WINDSOR
PUBLIC- WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN. AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm Boutin & Sons Cons t. Co. Phone No. 623-2526
Address of Firm 121 Windsorville Road roa rook, Conn olsoils
Location of proposed work 64 Greenfield Drive
Describe fully nature of permit requested Strip existing driveway, dig out lawn' area,
add gravel, grade,roll and pave.
Starting date 11/3 0/11 Approx.time for completion 12/15/11
Call before you dig no. 2 0114 8 0 0 5 7 9 Traffic Services Control No.
Show sketch of proposed work or furnish To*be filled out b,y Town of So. Windsor
two copies of separate drawing Pavement Cut
Indicate North
5� Prop.size of cut
No.cuts
ig Olt) Amt.of Deposit$ by
L
Cash(J Check#
Cut size after Perm. Patch
`lam No.Cuts
Final Billing$
Amt. Due Payee$
Amt.Due Town S
Applicant is responsible f 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.
Signed:.
Date.
Title: D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES