HomeMy WebLinkAboutStreet Cut Permits 125 Oak Street (2) 1300055 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER_._ _ __ __
STREET CUT PERMIT
DATE: 04/18/2013
GIS ID: 65400125 y FEE:
25.00
MUNIS APPLICATION# 201300461
LPIRATION DATE:
04/18/2014
dI-
APPLICANT' - ! LOCATION
NAME: BOUTIN&SONS
� V"AX STREET
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ADDRESS: 121 WINDSORVILLE D E -eVI> LEX JENNIFER M&MICHAEL R
BROAD BROOK, CT6fb f!A �� .ONK TREET
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PHONE 860-623-2526
� J, INDSOR,CT 06074
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WORK DESCRIPTION: D R I
APPLICANT AGREES TO FURNISH THE T Wl SQUT p
(V B(ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AA V
E �-WNN OR AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THUPLQ1T IS m W A VC�I ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF Otff jrw� I PEI T MANUAL.
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ISSUED BY DAMT9SPEMD
INSPECTED BY
4/18/201311:55AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: L3060,5 _ CONTRACTOR: 60(Aq-i r-
LOCATION: `�� OGI,
TYPE OF WORK: JC \V-e iA)a(G
DATE INSP NEEDED: DATE INSP: �- -�
INSPECTED BY:
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE:
S/FORMS/TOWN OF SOUTH WINDSOR INSPECTION
APPLICATION FOR STREET EXCAVATION PERMIT_-TOWN OF SOUTH WINDSOR
d� PUBLIC- WORKS DEPARTMENT
1540 SULLIVAN AVENUE
SOUTH WIDSOR, CT
FEE $25.00
Name of Firm Boutin & Sons Cons t. Co. Phone No. 623-2526
Address of Firm 121 Windsorvi e Roadroa rook, Conn
Location of proposed work /a SS D 4l< 's CJ P, T �r
Describe fully nature of permit requested / P_/'Yl0 e c Gi!/ lV� C� ' f
G
Starting date & 11 a Approx.time for completion L)�
Call before you dig no. Traffic Services Control No.
Show sketch of proposed work or furnish . To be ripe l o"t by Tovm of.Ro Wine
two copies of separate drawing Pavement Cut
Indicate North Prop.size of cut
No,cuts
Amt.of Deposit$ by
() Cash() Check#
Cut size after Perm. Patch
No.Cuts
Final Billing $
Amt. Due Payee $
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 CONNEC I-IW4 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: Z/ s 3
Title:_ �� G�� �7 D.L.#
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
WEDNESDAY
- --BOUTIN _ SONS PAVING COMPANY INC. -
11:30 121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860
-' Date of Call: 04/01/13
Date of Estimate: 04 103/I
_.
Date of Acceptance:
- . /..
Name: MIKE VEILI EUX
Address::
125 OAK STREET % 3
SOUTH WINDSOR
Tel: PHONE 860- 432-41 37
OFF AVERY ST, KELLY RD
Directions:
Description:
tl
t.
PLEASE NOTE: DUE TO CURB T VOLATILITY OF LIOUI ? ASPHALT PRICES.
CONTRACT PRICES- WILL BE SUBJECT TO ANY PLANT MATERIAL CHARGES.
Quote Good for q0 Days. • ' •
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
' Contract �� '� Permit
ONE YEAR GUARANTEE ON WORKMANSHIP & MATERIALS. Pres.
CBUD c�� l C�U� Date act