HomeMy WebLinkAboutStreet Cut Permits 742 Pleasant Valley R (3) i300233 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
STREET CUT PERMIT
DATE: 09/05/2013
MOV
GIS ID: 72900742
MUNIS APPLICATION# 201301282 je FEE: 25.00
JAPIRATION DATE: 09/05/2014
APPLICANT
NAME: BOUTIN&SONS LOCATION
ADDRESS: 121 WINDSORVILLEA D -% ��RES4j T42 PL8WSANT VALLEY ROAD
BROAD BROOK, CT 1J6��b
� R S SKYMARY J
�� 742, PC!ESANT VALLEY
/ ?JM-- WlINDSOR,CT 06074
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PHONE 860-623-2526
WORK DESCRIPTION: DRIY� �
y
APPLICANT AGREES TO FURNISH THE I`rWOFOUT S9R i
AND TO
THE TOWN OF SOUTH WINDSOR FOR ANt Ej1sIVSE � VANR MAI D REQ HIRE CE OR REPAIR WORK INE
CONNECTION WITH THIS PERMIT AND THI` wA'M- 4�IS A I W H A WI L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOW/�N OF-S.,O ?f WJIaI SR rTI F BUT P1 SIT MANUAL.
ISSUED BY DAITI$f i CTED INSPECTED BY
9/5/2013 9:42 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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Perna, Joseph
From: Perry, Patricia
Sent: Thursday, November 21, 2013 8:31 AM
To: middleton, kathy
Cc: Perna, Joseph
Subject: Permit Refund
Kathy, 1"3�)Z>?'�
Can you please refund Boutin &Sons$25 for an engineering permit#S1300233.
Please use account 10000505-00554.
Thank you
Patty
Patty Perry
Assistant Director of Finance
Town of South Windsor
1540 Sullivan Avenue I South Windsor, CT 06074
Tel (860) 644-2511 ext 263 1 Fax (860) 648-2179
Email: Patricia.DerrvCalsouthwindsor.org
11/27/2013
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC- WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN. AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm Boutin & Sons Cons t. Co . Phone No. 623-�2526
Address of Firm 121 Windsorvi e Roadroa rook, Conn
Location of proposed work `7 L(;)., Lo Slit1�' f3 f 12S-f
D tribe fully nature of permit requested LLAM Ulkf� QN " 0 LQIu_ BLS ifs A V`1uL1f'_SJ.9('
G� � �,
Starting date ` Approx.time for completi y
Call before you dig no. S� 6 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
i
() Cash(}Check#
Cut size after Perm. Patch
No.Cuts
Final Billing 8 '
Amt. Due Payee S
Amt. Due Town fi
A plicznt is fesponsibte for contacting
the Police Dept.and C.B.Y.D. by date
1 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: _ fy Date' J� !
Title, D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
t
MONDAY 230PM
BOUTIN & SONS PAVING COMPANY, INC.
121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526 Consumer Protection Reg. #500252
1
-� Date of Call: 08/06/13 Scheduled Work Date:
Date of Estimate:
Date of Acceptance:
Name: MARY SETSKY
742 PLEASANT VALLEY ROAD l Address:: —
SOUTH WINDSOR
Tel: 860 528 6108 � - —
OFF r ?�- ,� � PERMIT FE 25.00
Job Location: 4 -
Description: ,
r, F
a � "
PLEASE NOTE: DUE TO CURRENT VOL`tILITY OF LIQUID ASPHALT PRICES,
CONTRACT PRICES- WILL BE SUBJECT T O ANY PLANT MA1,ERIAL, CHARGES.
Quote Good fo0"Days. • °
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion. _
Contract r / �� Permit � o �? _
ONE YEA�/}R GUARANTEE ON WORKMANSHIP&MATERIALS. Pres.
CBUD r7`c- \3 3 50 Ln0 Date