HomeMy WebLinkAboutStreet Cut Permits 29 Charing Road (2) 1400111 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 05/12/2014
GIS ID: 18300029 FEE: 25.00
MUNIS APPLICATION# 201400544 EXPIRATION DATE: 05/12/2015
APPLICAN - LOCATION
NAME: BOUTIN&SONS ADDRESS: 29 GHQ RING ROAD
ADDRESS: 121 WINDSORVILL ROAD OWNER: = SCHWIRTZ CAROL REVOCABLE TRST
BROAD BROOK, CT, 06016SHARING ROAD
% Soutll Windsor, CT 06074
PHONE 860-623-2526
WORK DESCRIPTION: DRIVEWAY-"
APPLICANT AGREES TO FURNISH TH93 OWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY-EXPENSES INCURRED BY THE TOWN FOR AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND f E APPLICANT IS FAMILIAR WITH AN D WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN"CIF SOUTH WINDSR'S STREET CUTPERIVIITMANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
5/12/2014 2:37 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: / gQ011 j CONTRACTOR:
LOCATION:
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: � /4 'S_
INSPECTED BY: 6D
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
rr
INPUT: C ' DATE:
S/2014 Town of South Windsor INPSECTION REPORT 14
04-14—'14 06:45 FROM— T-1 18? F0001 1/0001 F-280
AFIJLIUA I WIN t-UK b I Ktt I LA(;AVA I 1UN PLKMI I
Appl. No, TOWN OF SOUTH WINDSOR PU13LIC WORD DEPARTMENT Permit No.
TOWN HALL IM SULLIVAN AVENUE SOUTH WINDSOR CT 06074 FEE $25.00
Name of Firn, BOUTIN AND SONS PAVING phoneNo, 860 623 2526
SORVILLE RD BRAOD BROOK CT
121 WI - Zip Code_-
Address of Firm
Location of proposed work 29 CHARRING ROAD
Describe fully nature of permit requested REMOVE AND REPLACE EXISTING DRIVEWAY FROM STREE
TO GARAr.E
Starting crate 5/8/14 Call Before'You Dig Nc,_ 2014 1900894,
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURES REPLACEMENT IS A PRELIMINARY E9TIMAT15— THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURS LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT CO<i-r& THE PERMANENT PATCH is
TYPICALLY COMPLETED WITHIN A YEAR--OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: 0 No Pavement,Curb or Sidewalk Cut El Pavement Cut. El Curb Cut El Sidewalk Cut
9 Existing Driveway,No Changes 0 Proposed Driveway Widening ❑ Proposed New Driveway
wlatcrSupply: Ell Public Water F1 Well Sewage service,: El "Put";ic.Sewor E-1 sep`--:3
Show sketch of proposed work orfurnish Indicate North 1 1 his section to he filled out by Town
two copies of separate drawing
No.cuts
Ei-it.Patch
Ent. Pvt.Thickness in.
Est, Patch Unit Price
Eat, Patch Cost
E,-,t.Curb Replacement ft
Est-Curb Unit Price
M.A.Curb Cost$
Sidewalk Replacement sf
Est,Sidewalk Unit Price
Est.Sidewa!k Cost S
F,M,Traffic Hours hr
Es,t.Traffic Unit Cost$ /hr
Est.Traffic Control
Arnt. of Deposit$
Total Due
Cash Check
Applicant is responsible for contacting the Police Dept.and C.B.Y.D
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Paid By
1 AGREE To ruwsH 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 ASIDE 13Y THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THF,TOWN OF;SOUTH
VVINDSOR'S nREET CUT PERMIT MANUAL. 541 40f.-
,,4 4X,14 At lfw�
Print Narn Date:,,
Dnyrnir 2014
TUESDAY 4 PM
BOU ■ IN & 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.
10/26/13
Date of Estimate: 10/29/13 Completion Date:
Date of Acceptance:
CAROL SCHWARTZ �
Name:
140,V
29 CHARRING ROAD
Address::
SOUTH WINDSOR CT DWI
Tel:
860 644 9681cl
e,
of f of ELLINGTON RD c l r r,r: f
Job Location: r�
Description: f
3C3
Quote Good for Days. "LA.
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion. ® d�
- Contract Permit� a�
ONE YEAR GUARANTEE ON WORKMANSHIP & MATERIALS.