HomeMy WebLinkAboutStreet Cut Permits 58 Farmstead Drive (2) 1400064 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 04/14/2014
GIS ID: 31800058 FEE: 25.00
MUNIS APPLICATION# 201400377 EXPIRATION DATE: 04/14/2015
APPLICANT LOCATION
NAME: BOUTIN&SONS ADDRESS: A-FARMSTEAD DRIVE
ADDRESS: 121 WINDSORVILLE ROAD = OWNER. MCGI4N GREGORY J&LINDSAY A
BROAD BROOK, C 0 1 58 FARMSTEAD DRIVE
SOUTH VVINDSOR,CT 06074
PHONE 860-623-252615
WORK DESCRIPTION: DRIVEA1�
APPLICANT AGREES TO FURNISH THE TOyN f1F SOUTH;taVINDSOR THE"AMOUNT OF BOND REQUIRED AND TO REIMBURSE
— -
THE TOWN OF SOUTH WINDSOR FOR AI :EXPENSES INCURRED AY TIIE TOWN FOR 1vIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND ThE APPI:,ICANT IS FAMILIAR WITH A�L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN QF SOUTH WINDSR'S STREET`CUT PERMIT MANUAL.
A c) .
ISSUED BY DATE INSPECTED INSPECTED BY
4/14/2014 9:30 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: t y 600(o CONTRACTOR:_ 56�kf
LOCATION:
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: . I /�
INSPECTED BY: 4Z
WORK IN
PROGRESS: o /
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: �� DATE:
V51L. 10;`.,. Oi J:-j;,`h VVinJSOf NP F`. I!ln o 0'
j d (�_F �P
APPLICATION FOR STREET EXCAVATION PERMIT
Appl-No- TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1640 SULLIVAN AVENUE Date:
SOUTH WINDSOR,CT 06074
FEE $25.00
-NameofFirm Boutin & Sons Construction Co Phone No 623-2526
Address of Firm 121 Windsorvi a oaBroad roo , Ct 060lb Zip Code
Location of proposed work 58 Farmstead Drive
Describe fully stature of permit requested_ Remove and rep lace and widen existing
driveway from street to garage.
Starting data 4/16/ Approx.time for completion 5/16/14
Call Before You D1g•No.q 1 4 5()1-7-2 5 Existing Water Supply: Public Water [I Well
Existing Sewage Service: a Public Sewer ❑ Septic
PLEASE NOTE: THE DEPOSIT.'FOR THE PERMAiidtNT PAVEAENi'PATCH AND CURS REPLACEMENT IS A
PRELIMINARY.ESTIMATE.-THE APPLICANT IS RESPONSIBLE FOR THE FULL.FINAL COST.OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATdH-AREA,-CUR]3
LENGTH,TRAFFIC CONIrROL AND-THE TOWN'S CONTRACT COSTS.-THE PERMANENT PATCH-IS TYPICALLY
COMPLETED WITHIN A YEAR-OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN-A YEAR.
-Show sketch of proposed work or funush
' two copies of separate drawing - This section to�be filled out by
fndcate ft th - Mown of South Windsor
• ffo.
Est.Patch Sizes) sf
Est.Pvt.:Thiftess- in.
Est.Patch knit Price$ • /sf
Est.Patch-Cost$
Est.Curb Replacement ft.
Est.Curb Unit.Prioe$. /it
Est.Crab Costa
Est.Traffic Unit Cost
Est.Traffio Control$
Ain-of Depbsit
Total Duo
{ )Cash ( )Check#
Applicant is responsible for contacting Paid By
the Police t.and C.13.Y.R .
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 ASAIMNED IN TOWN F'SOUTH WINDSOITS STREET CUT PERMIT MANUAL
Signed: Date: / y V V
Title: T Drivers License#:
PLEASE ALLOW AT LEAST ORKING DAYS AFTER APPLICATION FOR ISSUANCE OF PERMIT
WORK MAY NOT BEGIN UNTIL A PERMIT HAS BEEN ISSUED
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
cf-mot Fxravation Permit 08 REV iD-?7 [)R