HomeMy WebLinkAboutDriveway Street Cut Permits 66 Good Hill Permit No. 2782 Town of South Windsor, CT
Date .- 07/27/1999
Street Excavation Permit
Expiration Date 07/26/2000 r�
Descrip:
Applicant Location
Name BOIVIN CONSTRUCTION INC pa66 .000D `HILL ROAD
Addr. P.O. BOX 337 _
COLUMBIA CT 06237 `Pyp�r of Wprk ,DRIVEWAY
Phone (860)870-8983
Applicant agrees to Puri_ the n of
Uh Wndsor the amount of bond
required and to reimburse ,, Tow :Vf.' F r "' or for any expenses
incurred by the Town fcartellane �epai` rk its connection with this
permit and that and w,�'���� V .,abide by the rules and
regulations for permits, " Town Q`f -so Windsor's Street
Cut Permit Manual .
* 4* ERMIT T`Q, fE; KEPI +t ;SITE,AT .ALL TIMES.
Issued by
title
Date Comp1 t Inspected By
'Fly'" .- ,,;. ',�..- -• ,. A 'cl'!l...
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1S40 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm P one No. 7 J 56
Address of Finn ,
Location of propose work
}
Describe fully nature of permit requested
Starting date a Approx.time for completion
Call Before You Dig No. Traffic Services Control No.
Show sketch of proposed work or furnish To be filled oft by Town of South Windsor
two copies of separate drawing
Pavement Cut
Indicate North Prop.size of cut
No.cuts
Amt,of Deposit$ by
{)Cash{)Chetk#
Cut size after Perm. Patch
No. Cuts
Final Billing$
Amt.Due Town$
Applicant is responsible for contacting by- date
the Police Dept.and C.B.Y.D..:
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF
SOUTH WINDSOR 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.
Cj
Signed Date: 1
Title: D.L.#:
PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit.doc
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109 Ra_utP,6•Columbia,CT 06237 STRIP JOB ESTIMATE
1-800-PAVE-145•228-4030
• Date of Estimate:_Q — L/
Prepared by:
boivin construction
Job Address:
15
Job Phone: Work Phone: �1
Proposal Number: Type of Job: Sq. Ft.:
ESTIMATE
eq
FOR: MARK
eo 1 LL 2C-41 . sV
0 10 A v
Specifications: S ��
Strip driveway of asphalt,regrade using existing base
adding processed stone as follows:
X01.-2" ❑ 2"-4" ❑ 4"-6"
❑ other
Pave usinghot bitumino s asp t as folfbw
, � C�O/Y1/�cT7��iJ �1
in oarse
❑ 112"binder KcIass 2
�Rr-I:-: Roder RiE�moQ /4 L
T
3 Pp V-
3
I `
Special Notes:
C 0Kc. WA�.�G
.._Estimated.Completion Date: ' N 1-XA OF 49
109 Raitte 5•Columbia,CT 06237 STRIP JOB ESTIMATE
s-800-PAVE-145 9228-4030 _ O
Date of Estimate: Q �/
boivin construction Prepared by:
Job Address: cc
C�
Job Phone: z3oWork Phone:
ESTIMATE
Proposal Number: Type of Job: Sq. Ft.:
_
FOR: MARKFZTERSdt �
o l 0 A "v
Specifications:
i
Strip driveway of asphalt,regrade using existing base
adding processed stone as follows:
X011-2" ❑ 2"-4" ❑ 4„-6„
❑ other
Pave using hot bitumim s asp t as follow
�}� �O/yl/�CTTdAs;�
in —coarse ( $/
❑ 112"binder ,class 2
R�� R o d1 'R M�v r� L wo ui-k
Special Notes:
C oKc. W����
'5_` 3
_Estimated_Completion.Date:., ' .(_A 9,1=-