HomeMy WebLinkAboutStreet Cut Permits 11 Hearthstone Drive (2) 1300282 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 11/06/2013
GIS ID:41100011 = FEE: 25.00
MUNIS APPLICATION# 201301638 = EXPIRATION DATE: 11/06/2014
APPLICANT
LOCATION
NAME: BOUTIN&SONS = �DI7ESS Ll HEARTHSTONE DRIVE
ADDRESS: 121 WINDSORVILLE ROAD OWNER GERST N CEIL SARETTA
BROAD BROOK,CT MOT% = 11 HEAT�THSTONE DR
- ;
SCH WINDSOR,CT 06074
PHONE 860-623-2526 = - =
WORK DESCRIPTION: REIVI AND R PLA 1SVMRIVEffirAY I -W STREET TO GARAGE
APPLICANT AGREES TO FURNISH THE TOWN OF ROUTS C?NPSS{3R�BE 211GIOUNT flF AND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AY EXPENSES INCJI�D�3YH I O�VFOR MIINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TB APPLICANT IS FAMII��A.1k VC�ITH A II WILUABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN QF$OUTHNVINIIRR S^�TRP--E MLT"MANUAL.
ISSUED BY DATD INSPECTED- INSPECTED BY
11/6/2013 3:27 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: /300a FQL- CONTRACTOR:
LOCATION: _ q� rg:h
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: 3111 117
INSPECTED BY:
WORK IN
PROGRESS: bo,z 4, Sfl.�k 1 L
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: 'iI DATE:
W12007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FOR STREET EXCAVATION PERMIT
OWN OF SOUTH WINDSOR
PUBLIC- WORKS DEPARTMENT Per r"14 4 1300 adoZ,
TOWN HALL
A r p1 a 01301639 1540 SULLIVAN. AVER
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm Boutin & Sons Cons t. Co. Phone No. 623-2526
Address of Firm 121 taindsorvi e Roa roa rook, Conn
Location of proposed work Ij- REARM 6TUNE DRIVE
Describe fully nature of permit requested REMOVE AND REPLACE EXISi'iNG DRIVEWAY FROM
STREET TO GARAGE
Starting date 11 02 7 13 Approx.time for completion_
Call before you dig no. Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of So. Windsor
two copies of separate drawing Pavement Cut
Indicate North Prop.size of cut
No.cuts
Amt.of Deposit$ by
8) Cash*Check# I.0i"
Cut size after Perm. Patch
No.Cuts
Final Billing $
Amt. Due Payee S
Amt.Due Town S C
Applicant is responsible for contacting
the PaIice^vi pt. and C.B.Y.D. by L3Gu4"I date �o a� 1
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.
r'
Sig ned• Date:
Title: L�cre. /�or D.L.# `
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
TUESDAY 830AM
BOUTIN & SONS PAVING COMPANY, INC.
121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526 Consumer Protection Reg.#500258
Date of Call: 10/12/13 Scheduled Work Date:
Date of Estimate: 10/15/13 Completion Date.
Date of Acceptance: f ! J
CEIL GERSTEN
Name: Gravel:
Equipm \!
11 HE A H TONE DRIVE
Address::
SOUTH WINDSOR
Bitumin
860 965 7618
Tel: No.of y
Pricy
OFF OF MILLER ROADS
Job Location: _
� q
Description:
611 t =7
i
PLEASE NO ° E TO CURRENT VOLATILITY OF LIQUID ASPHALT PRIG
4a t�R9�r 9r� - WILL, BF. ST 1R FC'F TO ANY 131,ANT MATERTAT, CHAR( •
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
Contract ✓ e' .. I e' " I .� Permit
ONE YEAR GUARANTEE ON WORKMANSHIP & MATERIALS. Pres.
CBUD c�0r 3 L11fe-) G
1 < / q Date���� ( [3