HomeMy WebLinkAboutStreet Cut Permits 148 Scantic Meadow Ro (2) 1400250
TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
STREET CUT PERMIT
DATE: 08/20/2014
GIS ID: 81000148 FEE:
MUNIS APPLICATION# 201401144 25.00
13XPIRATION DATE: 08/20/2015
APPLICANT LOCATION
NAME: BOUTIN&SONS ADDRESS 448 SCNTIC MEADOW ROAD
ADDRESS: 121 WINDSORVILLRR6A10 _ OWNER TIES ALBERT J
BROAD BROOK, ClY 06(fJ Q
148 3CNTIC MEADOW
Z� AOUTV VINDSOR,CT 06074
PHONE 860-623-2526 -
WORK DESCRIPTION: DRIVEWAY
APPLICANT AGREES TO FURNISH THEE OVEN OF"SQUTH WINDSQII THE AMOUNT OF BAND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AI�XIXPENSES,INCI3J2RED B THE TOWNFORIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND Tft APPL ICANT IS"FAMILIAR WITIfAND R�II L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TO WN k-SOUTH WINDSOR°S-STREET CUT PERMIT MANUAL.
ISSTJED BY DATE INSPECTED 1
INSPECTED BY
8/20/2014 10:48 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: /7®0 d5e CONTRACTOR:
LOCA :.TION: _._- _'� _.: ..SCC,t1 --
TYPE OF WORK: I)A l \�,0 LOa W
DATE INSP NEEDED: DATE INSP: 2 �S
INSPECTED BY:' 90
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT:_ - DATE:
S/2014 Town of South Winder WSEMON REPORT 14
04-14-914 06 e 45 FROM— 1—vI;_ r'r ou l;,i_rr o_i l r—`o-iu
' Appl,No, TOWN OF sOU rH WINDSOR PUBLIC WORKS DEPAFTMENT Permit No.
TOWN HALL. 1540 SULLIVAN AVEN LIE SOUTH WINDSOR OT 06074 FEE $25,00
BOUTIN AND SONS CONST 'hone tf<),_ 860 623 2526
Nome cif�in�i,.w.,�. . _ � 06016
Address of Firm 121 w1ndsorville rd BROAD BROOK CT _ ip Code^--
L,ocation of proposed work 148 SCANTIC MEADOW RD --
Describe fully nature of permit requested REMOVE AND REPLACE EXISTING DRIVEWAy FROM__
STREET TO GARAGE _
Starting date 8/16/14 LL� Call Before'You Dig No20143302289 -
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURD R�tPLA(,Rmr;NT IS A PRELIMINARY ESTIMATE, THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THr.TONN'S CONTRACT CO ;TS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR:OF THE TEMPORARY PATCH BUT IT 1OULD BE LATER TH!-.N A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut C7 Curti Cart ❑ Sidewalk Cut
existing Driveway,No Changes ❑ Proposed Urivoway Widening -D Proposed Nevi Driveway
Water Supply; ❑ Public Water ❑ Well Sexyage Senile;; ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North his section tc,Lie filled cant ka Town
two copies of separate drawing
N),cuts
E,t_Patch
�. E::t.Pvt.Thickness in.
Es t. Patch Unit Price$ /sf
E.t. Watch Cast$
Es;t.Curb Replacement eft
Est Curly Unit Pricy:$ !tt
Est.Curb Cost$
Sidewalk Replacement sf
E!A.Sidewalk Unit Price$ !sf
1 t E4t.Sidewalk Cost
Traffir;Hours hr
E.;t.Traffic Unit Cost$ /hr
fEst.Tmffio Control
Aunt.of Deposit$
Total Due$
{ 1 Cash ( )Chock#
Applicant is responsible for contacting the Police Dept.and C,B.Y.D
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMF-S Paid By
I AGREE TO rURNISH 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 FAgILiAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR'S 6/REET CUT 77-
OVAL.
l Print Name '•`��, '� � `r<�.rf;�OGDate:�8/14/14
Street Excavation Permit 2014 t
BOUTIN & SONS PAVING COMPANY, INC.
121 Windsorville Road, Broad Brook, Connecticut 06016
" + Tel. (860) 623-2526 Consumer Protection Reg.#500258
Date of Call: Scheduled Work Date:
lf�
Date of Estimate: 'g,` ` Completion Date:
Date of Acceptance:
c
Name:
Address::
Tel:
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Job Location:
Description:
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Quote Good for 60 Days. • ' • •
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
_. Contract Permit'
ONE YEAR GUARANTEE ON WORKMANSHIP & MATERIALS. Pres.
t I � C7 g r ...;
CRUD _. � � Date.. '. s