HomeMy WebLinkAboutStreet Cut Permits 176 Oak Street (2) 1300155 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 07/02/2013 =
GIS ID: 65400176 FEE: 25.00
MUNIS APPLICATION# 201300921 PIRATION DATE: 07/02/2014
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APPLICANV / ; , LOCATION
NAME: BOUTIN&SONS DRESS !RMAk STREET
AFF
ADDRESS: 121 WINDSORVILLE-!RwWIY �EI GhQFFI4)Y ROBERT J&DONA M
BROAD BROOK, CTb6A 6 "=
I VAIN:STREET
l J M, INDSOR,CT 06074
PHONE 860-623-2526It Ii
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WORK DESCRIPTION: DRIVE�Y �, % "
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APPLICANT AGREES TO FURNISH THE W��E,SOUTY,MYR F �M0 Q B(ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AI�f EP13RCJPE T6V�N FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THl_AL�PLICALT IS I r f I l Wffi ANb WIFE ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN dk6l fi�WT DSR- TR G PE$ IT MANUAL.
ISSUED BY DXTE IqS MtD INSPECTED BY
7/2/2013 2:34 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR: 1C5o 1
LOCATION: 1 —) (6 DC�r S�
TYPE OF WORK: . Q r \ t�ae
DATE INSP NEEDED: J y
DATE INSP r y'
INSPECTED BY:
WORK IN
PROGRESS:
0 AT
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: -�,� DATE:� 1 �—
S/FORMS/TOWN OF SOUTH WINDSOR INSPECTION
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 Roa road-brook, Conn
Location of proposed work
scribe fully nature of p ;14
requested �' I
O
tarting date � Approx.time for completion
Call before you dig nc 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 5 by
(� Cash(9 Check#
Cut size after Perm. Patch
No.Cuts
Final Billing $
Amt. Due Payee $
Amt.Due Town .$
Applicant is responsible for contacting
the Police Dept.and C.B.Y.D. by daze
I 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
PERMII'AND THAT 1 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.
,/� v� Date: J
Signed: I r v
Title: D.L.9
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
FRIDAY 3:00
BOUTIN & SONS PAVING COMPANY, INC.
121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526 Consumer Protection Reg.#500258
Date of Call: 05/30/13 Scheduled Work Date:
Date of Estimate: 05/31/13 ComK _
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Date of Acceptance: v
Name: ROBERT GEOFFROY Graver
Equipr
176 OAK STREET
Address::
SOUTH WINDSOR Bitumi
Tel: PHONE 860-644-9596 No.of
Price:
Job Location: OFF KELLY ROAD
Description: d y� —
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PLEASE NOTE: DUE TO CURREN, T VOLATILITY O LIQUID ASPHALT PRICES,
CONTRACT PRICES- WILL B S BJECT TO ANY PL 4NT I'.4ATERI�1L CHARGES.
Quote Good for E,f1 Days. ,} ' �— d ` ---� r� e
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Special Attention: 1/2 Payment n Starting, Balance Upon Com tion.
Contract `- �--� Permits
ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. i Pres.
CBUD �1 7 l 1 Date 1 t � acD