HomeMy WebLinkAboutStreet Cut Permits 95 Diane Drive (2) 1200139 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
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DATE: 08/06/12 ,
GIS ID: 282_09995
MUNIS APPLICATION# 201201022 - EIRATION DATE: 08/06/13
APPLICANT = LOCATION
NAME: BOUTIN&SONS - DRES 95 D1'_ DRIVE
ADDRESS: 121 WINDSORVILLERD ER WALKEIKENNETH J&HOLLY A
BROAD BROOK,CT 06016 95 D&KI DRIVE
� TTH WINDSOR,CT 06074
PHONE 860-623-2526
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WORK DESCRIPTION: DRIVEWAY - / , �- AF `
APPLICANT AGREES TO FURNISH THE I QWN�F OUTII INDSI R I E AMOUNT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANYEiI'ESE -IN
BYTH T �VN FOR lY€AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THi!; I L CANT IS E AR WLTH ANI)WILE ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLIN/E�+D IN THE TO WN OF SCSUTH WlRb-SR'-§�TREE T-CUT1'1 R11 ffT MANUAL.
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ISSUED BY DATElNSPPJCIED INSPECTED-BY
8/6/201211:34AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.:j'2L 0615 �I CONTRACTOR: g„H6h .E
LOCATION: L►A iV E
TYPE OF WORK: �r v
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: Ab
WORK IN
PROGRESS: Z�Q K-e 4--® S >
AS-BUILT:
INPUT: C DATE: I /
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
S Ll_T_T_T�T W11�TIIS(ll�rrp
FEE , 25.00 -
Name of Firm Boutin & Sons Cons t. Co . Phone No. 623-2526
Address of Firm 121 Windsorvi e Road roa rook, Conn
06016
Location of proposed work
Describe fully nature of permit requested C ;
7)1 O U T /r._t✓n/ a 1-,e A.
Starting date "7-.3 O /2 Approx.time for completion
Call before you dig no. „2 o Traffic Senrices 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$ by
O Cash O Check#
Cut size after Perm. Patch
No.Cuts
Final Billing$
Amt.Due Payee $
Amt.Due Town $
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 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.
CAL
Signed: Date:— /
Title: e C rG D.L.# ~
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
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4 OUTIN & SONS PAVING COMPANY, INC.
121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526 Consumer Protection Reg.#500258
Date of Call: - / Scheduled Work Date:
Date of Estimate: - ® Based Date:
Date of Acceptance: P,
P
y
Name: L /- C G —
E
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Address:: ! �'� e `✓ E
Tel: 7 7 ® 6 I
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Directions'. .J e / - If / g
Description: Is'- .�
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Quote Good for 6� Days. fAG� r� -�' • - • ' •
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
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Contract J"�� Permit /
ONE YEAR GUARANTEE ON WORKMANSHIP & MATERIALS. Pres.
CBUD / L 3 Date O 2-