HomeMy WebLinkAboutStreet Cut Permits 97 Windsorville Road (2) 1300204 TOWN OF SOUTH WINDSOR CT
PERMIT NUMBER ,
STREET CUT PERMIT
DATE: 07/30/2013lb
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GIS ID: 95700097
MUNIS APPLICATION# 201301080 FEE: 25.00
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EXPIRATION DATE:
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07/30/2014
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APPLICANT � = LOCATION
NAME: BOUTIN&SONS DRESS 97 WINI)SORVILLE ROAD
ADDRESS: 121 WINDSORVILLE R(7I5 RKANIEL J&
BROAD BROOK, CT61Z1 = 17 MDORVILLE RD
PHONE 860-623-2526 4UT WINDSOR, CT 06074
WORK DESCRIPTION: DRIVIy y - Al
APPLICANT AGREES TO FURNISH THE TbW TLT } � gOT OF BOIQD REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANYk-f"ENSE INC[I EJ B II T-OWS14-�R 11 AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THAPLICANTJS F2MIIwITII ANWILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TO WN OF-SOU 11T WIIS��STU7 pB MANUAL.
ISSUED BY D SP MD INSPECTED BY
7/30/2013 9:31 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 13 On a7D q CONTRACTOR: _Bt�t t
d
LOCATION:
TYPE OF WORK: D6�p
DATE INSP NEEDED: DATE INSP: 31
INSPECTED BY:
WORK IN
PROGRESS:_
N
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: C� DATE: 1J
W12007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FOR STREET EXCAVATION PERMIT
O
r a N Off' SOUTH WINDSOR
PUBLIC- WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN. AVENUE
SOUTH WINDSOR, CI~
FEE $25.00
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Name of Firm Boutin & Sons Cons t. Co. Phone No. 623-2526
Address of Firm 121 Windsorville Road ro rook, Conn
Location of proposed work RAC' L
QAscribe fully nat re of permit requested WrV.1 i
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.size of cut
No.cuts
Amt. of Deposit by
()Cash(a Check#
Cut size after Perm. Patch
No.Cuts
Final Billing 8
Amt. Due Payee 8
Amt. Due Town S
Applicant is responsible for contacting
the Police Dept.and C.B.•r.D. €�y lots
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 1 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.
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Signed: � _
Date: l�
ot
Title: D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
T UESDAY 9:00
BOUTIN & SONS PAVING COMPANY INC.
121 Windsorviile Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526 Consumer Protection Reg.#500258
i
Date of Call: 07 01/131 Scheduled Work Date: y�%
Date of Estimate: 07/02/13
Date of Acceptance:
DANIEL MARAK
Name:
IINDSOR I� LLE -ROAD
Address::
SOUTH WINDSOR
'Do—
PHONE 860-519-3663
Tel: {
G' --f--y J —
OFFS
Job Location: I /1 164?,ce v
\' Description: � �✓, .. �, ,. ,�—at..` d 1 r�
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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 60 Days. • • ° • ••
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
-� Contract ! / Permit 1
ONE YEAR GUARANTEE ON WORKMANSHIP
WOR2KMANSHIP & MATERIALS. Pres.
CBUD 1 J C7�qy �J Date