HomeMy WebLinkAboutStreet Cut Permits 424 Felt Road (2) 1300243 TOWN OF SOUTH WINDSOR CT
PERMIT NUMBER ,
STREET CUT PERMIT
DATE: 09/23/2013
GIS ID: 32400424
MNIS APPLICATION# 201301372 - FEE:U 25.00
mamaEXPIRATION DATE: 09/23/2014
APPLICANT =Jr-
—�% LOCATION
NAME: BOUTIN&SONS DDRESFEU ROAD
ADDRESS: 121 WINDSORVILLE - %'
/ W ER f KLUTE JEEANNE G
BROAD BROOK, CTJ56IQ�6 — 424 LT ROAD
PHONE 860-623-2526
' OI1 VINDSOR, CT 06074
WORK DESCRIPTION: DRIA%Y�i
APPLICANT AGREES TO FURNISH THE YQW 0 0!EBG&ID REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANt E ff
WNflR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THI PRLJCAM1IS I A A IAI � i A III WII I ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN Ol~�OUTLW3ET,CUTpEIT MANUAL.
ISSUED BY DATON9 TED
INSPECTED BY
9/23/2013 9:22 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 1 3 b0 a(4, 2 CONTRACTOR: &-A l lid
LOCATION: Dn �x
TYPE OF
DATE INSP NEEDED: DATE INSP: 9'
INSPECTED BY: �>
WORK IN
PROGRESS: '_TV
,l
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE:
W12007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FOR STREET E CA` ,&TION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC- WORKS DEPARTMENT
TOWN HALL,
1540 SULLIVAN. AVENUE
SOUTH W1 DSOR, CT
FEE 25® 0
Name of Firm Boutin & Sons Cons t. Co . Phone No. 623-2526
Address of Firm 121 Win^d�sorvi e Roadroa rook, Conn
Location of proposed work i{t c L- v a c
e tribe fully tylre of permit ryequested rl ej CA LL
Starting date 1 Approx.time for completion
Call before you dig no. Traffic Services Control No.�,
Show sketch of proposed work or furnish . T�o 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 fi by
f Caste Check#
Cut size after Perm. Patch
No.Cuts
Final Billing tr
Amt. Due Payee S
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 WJVDSOR 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.
_ 9
Title: D.L.9 _
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES.
h
1.
T HURSDAY 4;OOPM
BOUTIN & SONS PAVING COMPANY, INC.
121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526 Consumer Protection Reg.#500258
Date of Call: 09/04/13 Scheduled Work Datq:
Date of Estimate: 09/ Completion Date: _
Date of Acceptance:
Name: JFA5 KLUTE Gray
WE—
----- Eau
424 FELT RD
Address::
SOUTH WINDSOR Bite
Tel: 860 644 8661
ri
OFF OAKLAND ROAD
Job Location:
N r
1 Description: 17, f ,>
l4.
l
9 0 C
PLEASE NOTE: DUI:-TO CURRENT VOLATILITY OF LIQIJID ASPHALT PRICES,
CONTRACT PRICE S- NVILL BE SUBJECT TO ANY PLANT IVIATs1RIAL CHARGES.
3�' ✓ ?f sue.
Quote Good for r Days.
Special Attention: 1/2 Payment Upon Starting, Balance Upon Cornplat:ion.
, f /
Contract "f ` d` Permit ?'/
ONE YEAR GUARANTEE ON WORKMANSHIP &MATERIALS. Pres.
CBUD 46 f 3 3 6-(--)G� i D Date � �9 l3