HomeMy WebLinkAboutStreet Cut Permits 877 Pleasant Valley R (2) 1400063 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 04/14/2014
GIS ID: 72900877 FEE: 25.00
MUNIS APPLICATION# 201400376 EXPIRATION DATE: 04/14/2015
APPLICANT ;";_ LOCATION
NAME: BOUTIN&SONS ADDRESS: ' 877 PLEASANT VALLEY ROAD
ADDRESS: 121 WINDSORVILLF It Alb O ?NE Z TRINK SHEILA G
BROAD BROOK, C 0f�I6 = 877`IsLASANT VALLEY
SOUTH VJINDSOR,CT 06074
PHONE 860-623-2526
WORK DESCRIPTION: DRIWAY
APPLICANT AGREES TO FURNISH THETOV "OF SOUTH WIND80R=THE AMOItNT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY XPEN-- TNCURREI7 X THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPLICANT 19 FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN 6F SOUTH WIN SR'S=STRI ET CUT PERMIT MANUAL.
ISSUED BY DATE SPECTED
INSPEC ED BY
4/14/2014 9:28 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: / �16bo(��3 CONTRACTOR:_ ZoCA_ J r�
LOCATION: -7 -7 Sin b e
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: 0
INSPECTED BY: s;
WORK IN
PROGRESS: -1 SG-K k1
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT:
DATE:
720 ;o:`.:. o S 1'j'; 'Windsor;NIPSECTION REPORT O;
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 $25.00
Name of Firm Boutin & Sons Construction- Co 860 623-2526
Phone No.
Address of Firm 121 Windsorvi le Roa Broa Broo , Ct 06016
Zip Location of proposed work 877 Pleasant Valley Road Code
Describe fully nature of permit requested Remove and replace e x i s t in g
driveway from street to garage.
Starting date 4/15/14 Approx.time for compleVon 5/15/14
Call Before You Dig-No. 2 01415 0 0301 Existing Water Supply: []'Public Water ❑Well
- - Existing Sewage Service: D Public Sewer ❑Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY.ESTIMATF- THE APPLICANT IS RESPONSIBLE FOR THE.FULL FINAL COST.OF THE
PERMA-HE"T PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCHI�4RI�s�-CURB
i EI+IGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS.-THE PERMANENT PATCH-IS TYPICALLY
COMPLETED WITHIN A YEAR-OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
-Show sketch of proposed work or furnish This soon tote filled aut 6v
two copies of separate 4rawirtig
tndscate.Notfh Town of.South Windsor
No.cuts
Est Patch Sizes) sf
-Est-PvL Thickness. in.
Est.Patch Unit Price$ /sf
Est,Patch-Cost,$
Est.Curb Replacement ft.
Est Curb Unit.Pdoe
EsL Curb Cost;&
• Est.Traffic Unit Cost$ Ilu
Est.Traffic Control$
Amt.of Deposit$
Total Due$
{ )Cash { )Check#
Applicant is responsible for contacting
Ling Paid Sy
the Police t.and C.B,YA.
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 .
CONNECTIQN WITH THIS PERMIT AND THAT 1 AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULAT ow FOR
PERMITS AS NED IN.THE T N OF WINDSOR'S STREET CUT�PERMIT MAN/UAAL.
Signed: Date: j 7'�7
Title Driver's License M
PLEASE ALLOW AT LEAST O WORKING 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
s+rcnt FYravatinn Permit 08 RSV 10-97418
WEDNESDAY 10:00
a
BOUTIN & SONS PAVING COMPANY, INC.
121 Windsorville Road, Bro-1 Rr^^U F
Tel. (860) 6
03/17/14
Date of Call:
Date of Estimate: 03/19/14
Date of Acceptance:
SCOTT TRINKS
Name:
77 PLEASANT VALLEY ROAD
Address::
SOUTH WINDSOR
Tel:
860 798-9105 CELL
Job LocationORNER OF LEFOLL BLVD (WHITE HOUSE)
Description:
A ��
1 � ! 2 `-
PLEASE NOTE: DUE TO CURRENT VOLATILITY ��' IQUID ASPHALT PRICES,
CONTRACT PRI S- WILL BE SLBJECT TO ANY PL NT MATERIAL CHAR E,
Quote Good for 6ffl Days. /1 r ,
Special Attention: 1/2 Payment Upon Starting, Balance U n Completion. ,
Contract �% ' Permit
ONE YEAR GUARANTEE ON WORKMANSHIP & MATERIALS. / Pres.
CBUD- 11 f �:�� P G� Date "� �/