HomeMy WebLinkAboutStreet Cut Permits 401 Abbe Road (2) 1200194 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
STREET CUT PERMIT
DATE: 10/03/12
GIS ID: 00600401
FEE:
MUNIS APPLICATION# 201201301 Ti)_A_ 25.00
� 3.'V__T] .
- 0 03/13
APPLICANT' LOCATION
NAME: BOUTIN&SONS A�3IRESS: 40-1-1AB3E ROAD
ADDRESS: 121 WINDSORVILLERQAD = = IWNER iFEVES(UE KEVIN M&
BROAD BROOK, CT 06016 = g01ABIE ROAD
PHONE 860-623-2526 SOUTH WINDSOR,CT 06074
WORK DESCRIPTION: DRIVEW
APPLICANT AGREES TO FURNISH THE TO WN OF SOUTH INSORI1 AMOUNT OF B}ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY EPEI*ISES IN -URRBBtS�3Y fiHE TO IN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND Th APPLICANT IS F I LIAR W-ITF1 AND WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SGUTH W1-NDSR'8 STREE I CU-tp �MANUAL,
ISSUED BY DATE INSPECTED INSPECTED BY
10/3/2012 11:04 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 0 I CONTRACTOR: �y"�1 t
LOCATION:_ Al (c,Q
TYPE OF WORK: 1�y\ Ve cAoat p
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS:__
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT:- C�tv�� DATE: 13® '1`>
S/FORMS/TOWN OF SOUTH WINDSOR INSPECTION
APPLICATION FOR STREET EXCAVATION PERMIT
" TOWN OF SOUTH WINDSOR
PUBLIC- WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN. AVENUE
SOUTH WINDSOR, CT
Name of Firm Boutin & Sons Cons t. Co. Phone No. 623-2526
Address of Firm 121 Windsorvi e RoadBroad. rook, Conn
06016
Location of proposed work L/D / �4 b , /L
Describe fully nature of permit requested e. e %
Starting date /d-S-/ 2 Approx.time for completion
Call before you dig no. Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of So. Wind:
two copies of separate drawing Pavement Cut
indicate North Prop.size of cut
No.cuts
Amt.of Deposit S by
O Cash(J Check#
Cut size after Perm. Patch
No.Cuts
Final Billing $
Amt.Due Payee $
Amt,Due Town .$
Applicant is responsible for contacting a�
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 WJVDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS
PERMIT AND THAT t 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: � a / o�
Title: `fie /"- D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
730
BOUTIN &SONS PAVING COMPANY, INC.
121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526 Consumer Protection Reg.#500258
Date of Call:. 08/23/11 Scheduled Work Date:
Date of Estimate:-
Lance
: --- .-
`-�Date of Acce
p
y
Name: KEVIN LEVESQUE _
h
401 ABBE RD
Address::
SW i
Tei: PHONE 860-951-5397 —
Directions: OFF GRAH�
Description: ��'•��
41
- - �
;1P
PLEASE NOTE: DUE TO CURRENT VOLATILITY OF L1QUl� ASPHALT PRICES,
CONTRACT PRICES- WILL BE SUBJECT TO ANY PLANT MATERIAL CHARGES. �»
Quote Good for I Days. • ' ' '" '
- iat;Att�nt(n: 1 2- ayment Upoir-Startirrg;Balanced
Contract ", Permit 2 S Z
ONE YEAR GUARANTEE ON WORKMANSHIP &MATERIALS. Pres.
CBUD S Dated 2-