HomeMy WebLinkAboutStreet Cut Permits 198 Kent Lane (2) 1300167 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
STREET CUT PERMIT
DATE: 07/15/2013
GIS ID: 50100198 ,
MUNIS APPLICATION# 201300968 FEE: 25.00
EXPIRATION DATE: 07/15/2014
APPLICANT
jJ LOCATION
NAME: BOUTIN&SONS DRESS 198 KE14 LANE
ADDRESS: 121 WINDSORVILLE Olkb %i��
E BURRED,GARY J&ADRIENNE E
BROAD BROOK, CT I36� %�i
ri-gi km LANE
PHONE 860-623-2526
- JT INDSOR, CT 06074
WORK DESCRIPTION: DRIVy %
Off
APPLICANT AGREES TO FURNISH THE TQWI�?EMOI T T C5F B41 ID REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANC EI'EISES3I•IUfJJ3 TpR MAINTENANCE OR REPAIR WORK IN
I AA I,I AI TES F �It WIC AI�I30 ki ABIDE BY THE RULES AND REGULATIONS
CONNECTION WITH THIS PERMIT AND TH
FOR PERMITS AS OUTLINED IN THE TOWN OF`S MW�Sm�`TR I�, R IT MANUAL.
C
ISSUED BY DAM7INSPEICTED INSPECTED BY
7/15/2013 9:21 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
i� i
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: I ' O�7 CONTRACTOR: �i1'�"! h
LOCATION: t9 Q, aV)-e
TYPE OF WORK: ,�('\�t�� f�►
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: 6D
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE: 1
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 WIDSOR, CT
FEE $25.00
Name of Firm Boutin & Sons Const. Co. Phone No. 623-2526
Address of Firm 121 Windsorville Road roa rook, Conn
Location of proposed work 198 Kent Lane
Describe fully nature of permit requested Strip apron pave and resurface entire driveway
Starting date 7/15/1 1 __Approx.time for completion 7/3 0/13
Call before you dig no. 20132801709 Traffic Services Control No.
Show sketch of proposed work or furnish . TO be fi
lled Out by Town Of SO. Windsor
two copies of separate dra,Gving Pavement Cut
Indicate North Prop.size of cut
No.cuts
Amt.of Deposit 5 by
f a Cash t)Check#
Cut size after Perm. Patch
No.Cuts
Final Billing $
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.
7/9/13
Signed: Date.
Title:
Secretary D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
TUESDAY 2:00
BOUTIN & SONS PAVING COMPANY, INC.
121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526 Consumer Protection Reg.#500258
Date of Cali: 06/03/13 Scheduled Work Date:
Date of Estimate: Completion Date: _
Date of Acceptance:
Name: GARY&ADRIAN BURRELL Gravel:
Equipm(
198 KENT LANE
Address::
SOUTH WINDSOR Bituminc
Tel: PHONE 860-644-8488 No.of s
Pricq
Job Location: OFFy° �
Description:
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PLEASE NOTE: DUE TO CURRENT VOLATILITY OF LIQUID ASPHALT PRICES,
CONTRACT PRICES- WILL BE SUBJECT TO ANY PLANT MATERIAL CHARGES.
Quote Good for f3 Days.
,3
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
Contract Permit
ONE YEAR GUARANTEE ON WORKMANSHIP& MATERIALS. Pres.
CBUD �f 0, �� r 4 Date '