HomeMy WebLinkAboutDriveway Street Cut Permits 78 Good Hill <a
Permit No. 999 Town
Date 08/06/1999 of South Windsor, CT
Expiration Date 08/05/2000 Street Excavation Permit
Descrip:
Applicant Location
Name BOIVIN CONSTRUCTION INC, 78, GOOD' HILL ROAD
Addr. P.O. BOX 337
COLUMBIA CT 06237 Type, of Work DRIVEWAY
Phone (860)870-8983 `
Applicant agrees to tri
the `awn cif S00th, Windsor the amount of bond
required and to reimk ur e nth frvdsor-for any expenses
incurred by the Town .f - r ,teriahoe .o ~`,.repair work i connection with this
Permit and that app 1 f'can- a fth and wa�1 i de by the rules and
.th4�jown of "South Windsor's Street
regulations for permits, as
Cut Permit Manual .
3
* * P MIT TO BE; KEPT ot4 j 8 SITE AT ALL TIMES.
Issued by
Inspected By
Title
Date Complete
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm coric'I
Phone No,
Address of Firm (
Location of proposed work
Describe fully natur f permit requested
Starting,date Approx.time for completion
Call Before You Dig No. Traffic Services Control No.
Show sketch of proposed work or furrnish- �~ To be filled out by Town of South Windsor
two copies of separate drawing
Pavement Cut
Indicate North Prop. size of cut
No.cuts
Amt.of Deposit$ by
Cash{)Check#
Cut size after Perm. Patch
No. Cuts
Final Billing$
Amt. Due Town$
Applicant is responsible for contacting by date
the Police-Dept.and C.S.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.
Sign d• Date• r
Title: D.L.#:
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit.doc
109 Route 6•Columbia,CT06237 STRIP J,OB ESTIMATE
1-800-PAVE-145•M-4030.
Date of Estimate: Ll
Prepared by.
bowin `construction P }
Job Address:
g G ► 1
/0= �11✓� S alb- n n
Job Phone: 6 r l Work Phone;.
Proposal Number: Type of Job: �/' Sq. t.:
ESTIMATE ✓YJe
FOR: /',a C 1 A6"41. . ,
SO- O)WS012 �onA
Specifications: d
1
Strip driveway of asphalt,regrade using existing base ,
adding processed stone as follows:
❑ 0"-2" L 2"-4" ❑ 4"-6"
� ✓c7
❑ other S2t) 1
l
1
PWte using hot bituminous as halt as follows: a
/ W
in �»� � coarse � -ter(
❑ 1/2"binder N class 2
y,
�g G06S
Special Notes:
Estimated Completion Date:;
.State Permit Required: ❑ yes no
Town Permit Required: ❑ yes Ua\ no;
Taxable: yes ❑ no
Estimate Approved by: r ''
Signature for Quotation Release
This proposal may be withdrawn by P>`�'
109 Route 6•Columbia,CT 06237
STRIP JOB EST(NtATE
1-800-PAVE-145.228-4030: r
Date of Estimate:
Prepared by
boivin construction Job Address: MG
y lIII
a- fir+ San- nn
Job Phone: D � /LY Work Phony. n
Proposal Number Type of Job: /' Sq. t.: 44
ESTIMATE r FOR: /V�,�y�e
�g Go® 6 YTJ
So, Vjjn 2dso
�
�0
Specifications:
1
Strip driveway of asphalt, regrade using existing base
adding processed stone as follows:
El0"-2" V 2"-4" ❑ 4"-6"
Ca
❑ other "2u
1
1
1
Pave using hot bituminous as halt as follows:
�� „in �� coarse
❑ 1/2"binder class 2 ' �►j
I
N'
s I pec a Notes: V ��
f T S1
----
Estimated Completion Date;` `!
State Permit Required: ❑ yes no ,
Town:Permit Required:, ❑ yes no
Taxable: yes ❑ no
Estimate Approved by:
Signature for Quotation Release: °�"`
This proposal may be withdrawn by P "� -