HomeMy WebLinkAboutStreet Cut Permits 50 Valley View Drive (2) 1100031 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 04/19/11
GIS ID: 91200050 = = FEE: 25.00
MUNIS APPLICATION# 201100313 EXPIRATION DATE: 04/18/12
APPLICANT , == LOCATION
NAME: BOUTIN&SONS ADDRESS: 50 VALLEY VIEW DRIVE
ADDRESS: 121 WINDSORVILLE ROAD - OVER: COLLIN JAMES P&PAMELA A
BROAD BROOK,CT 060t6 50 ,VALLEY VIEW DR
OUTI WINDSOR,CT 06074
PHONE 860-623-2526
WORK DESCRIPTION: DRIVEWY =-
APPLICANT AGREES TO FURNISH THE TOWNQF SOUTH-IWNDSOR THE AMOUNT OF=BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCUR D BY"TH'E TGWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE AR ANT--IS FAMI2 IAR WJTH ANFJ WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WII>IDSR'S STREET"CUT PERMIT MANUAL.
r
ISSUED BY DATE INSPECTED INSPECTED BY
4/19/201110:58AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
........ ..... -- .._.
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: I l D 00,31 CONTRACTOR:
LOCATION: 50 VA )Ie y View b r
TYPE OF WORK:_ Loa(�
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: nJ
WORK IN
PROGRESS: be;y t- 1:..,
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: _ DATE: J —/
W/2007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FORSTREET 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 50 Valley View Drive
Describe fully nature of permit requested Strip existing driveway, dress with gravel, grade
roll and pave.
Starting date LE/2 11 Approx.time for completion 2 9 11
Call before you dig no. 20111603017 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
Amt.of Deposit S by
/ O Cash O Check#
—7
Cut size after Perm. Patch
�� ✓ No.Cuts
Final Billing S
Amt.Due Payee S
Amt.Due Town S
Applicant is respons le for contacting
the Police Dept.and C.B.Y.D. by slate
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.
ASigned: Date:
Title: .r D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES