HomeMy WebLinkAboutStreet Cut Permits 52 Ronda Drive (2) 1100033 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 04/19/11
GIS ID: 77100052 elFEE: 25.00
MUNIS APPLICATION# 201100315 EXPIRATION DATE: 04/18/12
APPLICAN P = LOCATION
NAME: BOUTIN&SONS `; ADDRESS: 52 RONA DRIVE
ADDRESS: 121 WINDSORVILLE ROADi -WEIIv QN SCOTT C
BROAD BROOK,CT 06916 52 RONDA DRIVE
SOUTH WINDSOR,CT 06074
PHONE 860-623-2526 - =
WORK DESCRIPTION: DRIVEWAY
APPLICANT AGREES TO FURNISH THE TOWI f OF-SOUTH WI ID (7R TEE AMOUNi--ORBOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANYtkl`ENSES IN�URR I BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE AP t'CANT IS I A AJAR WITH ANIJ=WIEL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINUSR'S STREET-CUT PE9-MIT MANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
4/19/201111:03AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
..........- - --
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: t 1 ()()()3 3 CONTRACTOR: _86u-�� N
LOCATION: 6 j2. A o N cAa a7r �y-Q
TYPE OF WORK: b sr-Q v,)a.0
DATE INSP NEEDED: DATE INSP: a f/ lrz
INSPECTED BY: &b
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: �' DATE:
W/2007 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 $25.00
Name of Firm Boutin & Sons Cons t. Co. Phone No. 623-2526
Address of Firm 121 Windsorvi e Roadroa rook, Conn
Location of proposed work 52 Rhonda Drive
Describe fully nature of permit requested Strip. driveway, dig out par_ t i nn , acirl araNTP 1 a
needed, grade, roll and pave
Starting date 4/2 C)f 1 1 Approx.time for completion 514gl4j j
Call before you dig no. 20111602121 Traffic Services Control No.
Show sketch of proposed work or furnish TO be filled out by Town Of So. Windsor-
two copies of separate drawing Pavement Cut
Indicate North Prop.size of cut
No.cuts
22 Amt.of Deposit S by
(J Cash
Check#(J
Cut size after Perm. Patch
q,
No.Cuts
Final Billing$ '
Amt. Due Payee S
Amt.Due Town.$
Applicant is respons le 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.
Signed; Date:
Title: D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES