HomeMy WebLinkAboutStreet Cut Permits 85 Valley View Drive (2) 1300122 TOWN OF SOUTH WIND
PERMIT NUMBER S O R, C T
STREET CUT PERMIT
DATE: 05/31/2013
GIS ID: 91200085
or
MUNIS APPLICATION# 201300734 %� FEE: 25.00
EXPIRATION DATE: 05/31/2014
OF
APPLICAN / —T
NAME: BOUTIN&SONS _" LOCATION
ADDRESS: 121 WINDSORVILLEAD v aDRQ� � AL1 EY VIEW DRIVE
BROAD BROOK, CTM616
MS— I �I�VE ALAN C&LOIS C
5 )LL-Y VIEW DR
PHONE 860-623-2526 INDSOR,CT 06074
%
WORK DESCRIPTION: DRIP —
� i i
APPLICANT AGREES TO FURNISH THEW - r SQUTIT �$ E�M41IT OF BAND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN I0W-'I"I I1I� T TD N R +IAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE%&"L�CANTIS A IA W; aN WTI ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OI SQL fiTI VjNDl' T P IIT MANUAL.
DA`I'E `��'�TED INSPECTED BY
5/31/2013 12:22 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 13 yo l a CONTRACTOR:
LOCATION: !8,5 U A O e y 'J; o
Lo
TYPE OF
DATE INSP NEEDED: DATE INSP:T- - T
INSPECTED BY: _
WORK IN -
PROGRESS: c>►-.� �S
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT.
INPUT: DATE: A
S/FORMS/TOWN OF SOUTH WINDSOR INSPECTION
APPLICATION FOR STREET EXCAVATION
TOWN OF SOUTH WINDSOR
PERMIT
• PUBLIC- WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN. AVENUE
SOUTH WINDSOR, CT
FEE $25.00
' k
Name of Firm Boutin & Sons Cons t. Co. Phone No. 623-2526
Address of Firm 121 Windsorville Road roa rook, Conn 06016
Location of proposed work 0-l �P—
Describe fully nature of permit requested f
d f/yl
Starting date Approx.time for completion
Call before you dig no Traffic Services Control No.
Show sketch of proposed work or furnish TO be filled out by Town of So. Windsor
two copies of separate drawing Pavement Cut
Indicate North Prop.size of cut
No.cuts
Amt.of Deposit$ by
O Cash O Check#
Cut size after Perm. Patch
No.Cuts
Final Billing S
Amt. Due Payee S
Amt.Due Town S
Applicant is responsible 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 Date:
G/G ✓✓w.�
Title: t.- uJ D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
ANEDNESDAY
BOUTIN & SONS PAVING COMPANY INC.
121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526 Consumer Protection Reg.#500258
Date of Call: OS/06/13 Scheduled Work Date:
Date of Estimate: 05/08/13 Completion Date:
Date of Acceptance: "`�� G' °� t -3
ALAN SNELGROVE
Name: Gr u _
Bq _
85 VALLEY VIEW DRIVE
Address:: _
SOUTH WINDSOR
Biti
PHONE 860-644-8342
Tel: No _
Pric
Job Location:
OFF t . , s
Description: 6 A
T A ter`" Pj"T �
l L
s
i I
PLEASE NOTE: DUE TO CURRENT VO'T;A 1 AITY OF LIQUID ISPHALT PRICES,
CONTRACT PRICES- WILL BE SUBJECT T ANT Y PLANT MA"I TRIAL CHARGES.
Quote Good for 6 Days. f -• •
Special Attention: 1/2 Payment Upon Starting, B andbe Upon Completion.
Contract = Permit
ONE YEAR GUARANTEE ON WORKMANSHIP & MATERIALS. Pres.
CBUD f r �� Date b13