HomeMy WebLinkAboutStreet Cut Permits 45 Clinton Drive (2) 1300209 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
STREET CUT PERMIT
DATE: 08/07/2013
GIS ID: 21300045 FEE: 25.00
MUNIS APPLICATION# 201301124IRATION DATE: 08/07/2014
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APPLICANT ; LOCATION
NAME: BOUTIN&SONS
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ADDRESS: 121 WINDSORVILLE Z !� - IA ON DRIVE
%ATE AREN
BROAD BROOK CT
, �7.DN STREET
PHONE 860-623-2526 JVINDSOR,CT 06074
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WORK DESCRIPTION: DRIV ��
APPLICANT AGREES TO FURNISH THE TbW BOA`S JD REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN- ftl-34SRSAINTENANCE OR REPAIR WORK IN
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CONNECTION WITH THIS PERMIT AND THI P'L 1I�IF�,S IA1 ANWkW L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF'SQi �WTIIS 1 PENT MANUAL.
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ISSUED BY DAT TED INSPECTED BY
8/7/2013 8:22 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 00 09 CONTRACTOR:
LOCATION: L � c i\m n 1�Y 1 y-P
TYPE OF WORK: \j
DATE INSP NEEDED: DATE INSP: ►' 53 - I�f
INSPECTED BY: 1B
WORK IN
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PROGRESS: C, 4r, k�
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: CIP�"" DATE: )
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W/2007 Town of South Windsor INPSECTION REPORT 07
y APPLICATION TOWN
STREET EXCAVATION PERMIT
Off' SOUTH WINDSOR
PUBLIC- WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN. AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm Boutin & Sons Const. Co. Phone No. 623-2526
Address of Firm 121 Windsorville Road roa rook, Conn 0150-1-5
Location of proposed work qs- lY1 Vl �r•
D cribe fully nature of permit requested V
ram.
Starting date 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. Windsor
two copies of separate drawing Pavement Cut
Indicate North Prop.sue of cut
No.cuts
Amt. of Deposit S by
(3 Cash O Check#
Cut sve after Perm. Patch
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No.Cuts
Final Billing S
Amt. Due Payee S
Amt. Due Town S
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.
Signed: - _ `" Date: f J
Title: D.L.# `
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
M(�;' 3AY ICAM
' BOUTIN & SONS PAVING COMPANY, INC.
121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526 Consumer Protection Reg. #500253
Date of Call: 07/08/13' Scheduled Work Date: ��► �- '/
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Date of Estimate: 07/1 S/ Completion Date: /I
Date of Acceptance: / J
KAREN STEELE
Name: G!
E,
45 CLINTON DR
Address:: _
SOUTH WINDSOR
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Tel: PHONE 860 644 9999 N r
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Job Location: OFF
Description: ARP ve
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PLEASE NOTE: DUE TO CURRENT VOLATILITY OF LIQUID ASPHALT PRICES,
CONTRACT PRICES- WILL BE SUBJECT TO ANY PLANT MATERIAL CHARGES. �,%� 0
Quote Good for Days. -®
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
Contract - A 6 -1� Permit t t 31113
ONE YEAR GUARANTEE ON WORKMANSHIP &MATERIALS. Pres.
CBUD �013 j LO Oa) Date P