HomeMy WebLinkAboutStreet Cut Permits 82 Country View Drive 1200160 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 08/29/12Sir
GIS ID:24300082
MUNIS APPLICATION# 201201110 = _ vnrn TT^lT FEE: 25.00
13
APPLICANT LOCATION
NAME: BOUTIN&SONS ADDRESS- B� OLTNTRY VIEW DRIVE
ADDRESS: 121 WINDSORVILLE ROAD pWNERO' "PARADlS KEVIN J&JILL E
BROAD BROOK, CT616 „ $i OLJITRY VIEW DRI
SOUTH WINDSOR,CT 06074
PHONE 860-623-2526 ,
WORK DESCRIPTION: DRIVE WA
APPLICANT AGREES TO FURNISH THE TOWN 6,F 13()ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY EPE+IS$S IN111EI5BY THE TOWN FOR IvAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THIf API LICANT IS FAIVIILI�LR VIT$AN WII ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOI ri WINDSR G STI I T CUT IS RMIT MANUAL.
ISSUED BY DATE- INSPECTED BY
8/29/2012 10:49 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
i =
-------------------------------------------
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: a ®O l bd
- — CONTRACTOR:
LOCATION: p q C p U h fi r y `,r g - r
TYPE OF WORK: "jcL N
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS:__ ,,,_k -ho S Kg +e�,
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: C. DATE:
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
Name of Firm Boutin & Sons Const. Co. Phone No. 623-2526
Address of Firm 121 Windsorville Road Broad. rook, Conn
Location of proposed work_ --_82 Countryyiew Drive
Describe fully nature of permit requested remove and replace existing driveway and
I_auln dig out
Starting date Approx.time for completion 1 Mont
Call before you dig no. 2012 340 1134 Traffic Services Control No.
Show sketch of proposed work or furnish To be filled Out by Town of So. Wind!
two copies of separate drawing Pavement Cut
Indicate North Prop.size of cut
No.cuts
Amt.of Deposit S by
O Cash O Check#
Cut size after Perm. Patch
No.Cuts
Final Billing S
Amt. Due Payee S
Amt,Due Town S
Applicant is responsible for contacting
the Police Dept.and C.B.Y.D. by date
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
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:
Title: J GAL�� D.L.# ~
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
�T UESDAY 11:00
BOUTIN & SONS PAVING COMPANY, INC.
121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526 Consumer Protection Reg.#500258
Date of Cali:. 07/24/12 Scheduled Work Date:
Date of Estimate: 02/24/12 Based Date:
Date of Acceptance: Paved Date:
r i `
Name: KEVIN PARADISE
82 COUNTRYVIEW DRIVE
Address::
SOUTH WINDSOR
Tel: PHONE 860-212-9661
Directions: OFF AVERY ST "
1
Description: E-
05
P,
t + ? 4 s
• . gym— _
PLEASE NOTE: DUE TO CURRENT VOLATILITY OF LIQUID ASPHALT PRICES,
CONTRACT PRICES- WILL BE SUBJECT TO ANY PLANT MATERIAL CHARGES
Quote Good for 60 Days. •
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
Contract Permit
ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. Pres.
CBUD Date -