HomeMy WebLinkAboutStreet Cut Permits 149 Scantic Meadow Ro (2) 1300271 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
STREET CUT PERMIT
DATE: 10/17/2013
GIS ID: 81000149
MUNIS APPLICATION# 201301532 - FEE: 25.00
EXPIRATION DATE: 10/1725.00
/2014
APPLICANT = LOCATION
NAME: BOUTIN& SONS = ADDRESS: 149 SCANTIC MEADOW ROAD
ADDRESS: 121 WINDSORVILLE ROAD OWNER V ALL FRANK J JR&MARY L
BROAD BROOK, CT 0601 4 9 Scxs�
TIC MEADOW
PHONE 860-623-2526 " SOUTFI VINDSOR,CT 06074
WORK DESCRIPTION: DRIVEWAY
APPLICANT AGREES TO FURNISH THE AWN OF SOUTH WINDSfJR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANC'F PENSES INCIIRIM' TOWI FOR M 4INTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPLICANT"1S F fI1=IAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS ASO-�LiUTLINED IN THE TOWN OF SOUTH Vt3IIIDSR 9$TREIx16T P2M-.-If MANUAL.
ISSUED BY DATE-INSPECTED
INSPECTED BY
10/17/2013 3:50 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 1.3 00 0 71 CONTRACTOR:
LOCATION:_ / V9 S'C,,..;AL I)Ie¢do f..y
TYPE OF WORK:_
DATE INSP NEEDED: DATE INSP: /-/7t)k
INSPECTED BY: O b
WORK IN
PROGRESS:
AS-BUILT:
INPUT: U DATE:
--"
W/2007 Town of South Windsor INPSECTION REPORT 07
Wednesday 10:00
SOUTIN & SONS PAVING COMPANY, INC.
121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526 Consumer Protection Reg.#500258
Date of Call: 9/24/13 Scheduled Work Date:
Date of Estimate: 9/2 S/13 Completion Date:
Date of Acceptance:
Frank Wall
u Name; Grau
Equi
e� -
Address..
149 Scantic Meadow R& 14
_
South Windsor
Bitun
Tel: 289-8043 No.c
L \ f
Price v
Off Rye. Street f fy'>J j; r G6°y, dos
Job Location:
Description:
i
tf
Quote Good fo Days. • • • •
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
Contract " � Permit
ONE YEAR GUARANTEE ON WORKMANSHIP & MATERIALS. Pres.
CBUD �--QX(�') LACC `L Date
M APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH W1 D
PUPLIC- WORKS DEPAR 1°JIEIT
TOWN HALL
1540 SULLIVAN. AVENUE
SOUTH WI DS�R, CT
FEE 25 O
623-2526
Name of Firm Boutin & Sons Cons t. Co Phone No.
---ObUlu
O
roa Toole,
Address of Firm 1 21 Windsorvi e Roa
1 1
Location of proposed work 4
scribe fully nature of permit requested r`e,df
1 Approx,time for completion
tarting date Traffic Services Control No.
Call before you dig no.
--�� To be filled out b `I'owrri of So. Windsor
Show sketch of proposed work or furnish . pavement.Cut
two copies of separate drawing
Prop.size of cut
Indicate North
No.cuts-
Amt.of Deposit';--by
(! Cash Q➢ Check#
Cut size after Perm. Patch
No.Cuts
LA
al Billing G
t.Due Payee
S
Final
Due Town G
Applicant is responsible for contacting ____-
date
the Police Dept.and C.B.Y.D.
AND TO
IMBURSE THE
OF
I AGREE TO FURN
ISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BONDEQ REQUIRED
WORK INE ONNECTiON WIDTH THIS
SOUTH W)NDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENAN
PERM
IT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED 1N THE
TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL_
Date' 8
Signed*-LLf
a
D.L.€f
Title:
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES