HomeMy WebLinkAboutStreet Cut Permits 178 Palmer Drive (2) ----- --- -------- -----------—-------- --- -----
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300281 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 11/06/2013 - ---
GIS ID: 68400178 FEE: 25.00
MUNIS APPLICATION# 201301637 = EXPIRATION DATE: 11/06/2014
APPLICANT - LOCATION
NAME: BOUTIN&SONS ADAESS 17$IAMER DRIVE
ADDRESS: 121 WINDSORVILLE ROAD OWNER STRANGE SUSAN
BROAD BROOK, CT OAQ-i 6 = P O BO)6407
SOUTH WINDSOR,CT 06074
PHONE 860-623-2526 ;
WORK DESCRIPTION: REMOVE ANI I PIIA XIS PING DRIVEWAY FROM STREET TO GARAGE
APPLICANT AGREES TO FURNISH THE TOWN dF SOU 1IIV1 } I�E AMOUNT dFdl�}D REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCGIRRED BY THE TOWN FOR MXINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE PLICANT IAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS
FOR PEWITS AS OUTLINED IN'T TOWN dF SOUTH W�NDSR'S STREETIIT PERMIT-IVIANUAL.
ISSUED BY DA-M IN-SP -CTED-` INSPECTED BY
11/6/2013 3:10 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
- ... .....
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WIN:DSOR
PUBLIC- WORKNS DEPA�R�MEI�T re
PUBLIC- fiq 130 81
A rl # ad 130/63'7 1540 SULLIVAN. .VENUE
P SOUTH WI USOR., CT
- FEE $25.00
623"2526
Name of Firm Boutin & Sons Const CO . roa rook,Conn G
Address of Firm 121 Winalsorvi e Roa
ct
Location of proposed w•ork
scribe fully nature of permit requested
Approx.time for completion 11
tatting date 1 4400709 Traffic Services Control No.
Call before You dig no.
Show sketch of proposed work or furnish , To be filled out $35 Town 0f SO 'pVIndSOi'
PavemrCut
• two copies of separate drawing �
Prop.size of cut
Indicate North
No.cutsi
Amt.of Deposit fi —by
(�CashACheck#o�96_
Part rah v-f
Cut size after Perm. Patch
No.Cuts
Final Billing S
Amt. Due Payee $
Amt.Due Town S
Applicant is resp^nsif,le for contacting,
b AV-
3 h date O aq
y --
the Police Dept.and C.B.Y.D. , L ��� •`4�,�`'
INDSOR THE
WN OF
I AGREE TO FURNISH TO THE TOWN OF SOUTH W AMOUNN MAINTENANCE OR REPAIR WORK 1N RED AND TO ECONNECTION E WITH THIS
SOUTH WJNDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAT
PERMIT AND THAT ! 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.
J ✓ Date•
10/29./13
Signed:
Secretary D.L.#
Title:
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
MONDAY 7130/ 745 AM �
SOUTIN & SONS PAVING COMPANY, INC.
j 121 Wndsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526 Consumer Protection Reg.#500258
Date of Call: 09/13/13 Scheduled Work Date:
Date of Estimate: 09/16/13 _ Completion Date: _
Date of Acceptance: I � t 3
SUSAN STRANGE
Name: Gravel:.
Equipm,
178 PALMER DRIVE
Address::
SOUTH WINDSOR �
Bitumin(
860- 704 2107
Tel: ,,��,o� No.of S
o. �)c � S �l '�`�D� Price: _
T JNGTON ROAD
j oL
i
i
/ j 1
PLEASE NOTE: DUE TO CURRENT VOLATILITY OF LIQUID ASP-HALT PRICES,
CONTRACT PRICES- WILL BE SUBJECT TO ANY PLANT N1AT R- (AI. CHARGES.
i�G�r
Quote Good for °'C3ayS. e e e e
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
k ✓
Contract , Permit J d � �
ONE YEAR GUARANTEE ON WORKMANSHIP & MATERIALS. (( Pres.
CBUD oLd a L 400 � / Date bi t L3
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR:
LOCATION:
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS: E,v•� '
tj
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE: / Ll
W/2007 Town of South Windsor INPSECTION REPORT 07