HomeMy WebLinkAboutStreet Cut Permits 168 Debbie Drive (3) 1300156
PERMIT NUMBER TOWN OF SOUTH W I N D S O R, CT
DATE: 07/02/2013 - = STREET CUT PERMIT
GIS ID:26700168 = _
MUNIS APPLICATION# 201300922 '
FEE: 25.00
EXPIRATION DATE:
APPLICANT 07/02/2014
NAME: BOUTIN&SONS f- 001 LOCATION
ADDRESS: 121 WINDSORVILLE A D S fl 'M BIE DRIVE
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BROAD BROOK, CA009 -A� ER = Sl JOHA LAW
RENCE K&MARY ELLEN
PHONE `= 1b$ � IE DRIVE
860-623-2526 � INDSOR, CT 06074
WORK DESCRIPTION:
EAY �' -
DRIB
APPLICANT AGREES TO FURNISH THE / _ / / /
/ /%�
THE TOWN OF SOUTH WINDS OR FOR AN
CONNECTION WITH THIS PERMIT AND THIr�P �Y,130XISji T E AMOUI�13 Off'B-OND RE
�B H �N-FDR�IAINTENQANICE OR REPAIR WORK IN
FOR PERMITS AS OUTLINED IN THE TOWN OASWT 4- IS if �W AN W ABIDE BY THE RULES AND REGULATIONS
VINDITR1 T GIST PETIT MANUAL.
ISS D BY ;
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7/2/2013 2:38 PM A E"M-swuTED INSPE ED BY
*** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.:J300 k�(o CONTRACTOR. b
LOCATION:
TYPE OF WORK:
DATE INSP,NEEDED.
DATE INSP: ;z ,Z)1�
INSPECTED BY:
WOW rn -
PROGRESS;
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE: I$
WFORMSITOWN OF SOUTH WINDSOR INSPECTION
APPLICATION FORSTREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC- WORDS 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
06016
Location of proposed work
scribelully lure of ermit requed � � � CSZ t (•
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 S by
O Cash O 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 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.
Signed:-- Date• t t
Title: D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
•THURSDAY 8:00
OUTIN & SONS PAVING COMPANY, INC.
121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526 Consumer Protection Reg. #50^'7�-
i
Date of Call: 06/04/13 Scheduled Work Date: q _
Date of Estimate: 06/06/13 C
Date of Acceptance: eo-//0/13 v
Name: LARRY ST.JOHN G
i E
168 DEBBIE DRIVE
Address::
SOUTH WINDSOR E
Tel: PHONE 860-644-0877 H
860-214-1551 C
F
Job Location: OFF DART HILL ROAD
N, Description: l
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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 ik0 Days. s i', - • . ' s
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
Contract '/ Permit
ONE YEAR GUARANTEE ON WORKMANSHIP &MATERIALS. s Pres.
CBUD eJ Date