HomeMy WebLinkAboutStreet Cut Permits 70 Dogwood Lane (2) 1400061 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
STREET CUT PERMIT
DATE: 04/14/2014
GIS ID:28500070
MUNIS APPLICATION# 201400374 = FEE: 25.00
EXPIRATION DATE: 04/14/2015
APPLICANT = X LOCATION
NAME: BOUTIN&SONS ADDRESS 70-DOGWOOD LANE
ADDRESS: 121 WINDSORVILLE KI AD flWN
��1 R BAILEY ANITA S
BROAD BROOK, C 14 70 T O(3WOOD LANE
2 = SOUTH WINDSOR,CT 06074
PHONE 860-623-2526 -= --
WORK DESCRIPTION: DRLVEAY
,. _.,.
APPLICANT AGREES TO FURNISH THE"TOIN OF"SOilTH tINDSt)I�THE AMO�JNT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR Al*tY fXPENSFS 1NCURRED,$Y TIIETOWI*1 - R=MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPLICANT IS FAMII IAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSR'S.STRE T-GUT PERMIT MANUAL.
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ISSUED BY DATE IN FECTED
INSPECTED BY
4/14/2014 9:23 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: I L/000(v I CONTRACTOR: ti
LOCATION: 7®
TYPE OF WORK: r I %J P it)a c,(
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS:_ TDo
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: L�
DATE: - J
`Sou,: 'Windsor iFJPSECT ION RrPOPT 0;
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 $25.00
Name of Firm Boutin & Sons Construction Co 623-2526
Phone Na.
Address of Firm 121 Windsorville Road Broad Brook; Ct zipL6116
Location of proposed work 7 0 D o wood Lane
Describe fully nature of permit requested femove and replace exi LingIriveway
Starling date 4/16/14 Approx.time for completion 5/16/14
Call Before You D' No. 2----- 010 7 4 9 Supply: ❑public Water D Well
i Existing Water
Existing Sewage Service: ❑Public Sewer ❑Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE..THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST.OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY'INCREASES_14 PATCH-AREA,-CURB
LENGTH,TRAFFIC CONTROL AND-THE TOWN'S CONTRACT COSTS.-THE PERMANENT PATCH-IS TYPICALLY
COMPLETED WITHIN A YEAR-OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN-A YEAR.
-Short sketch of proposed work or furnish ThIs section to be tilled out by
two copies of separate drawkig fr4cate"iV M - Town of.South Windsor
No.cuts
at.Patch Size{s) sf
-Est.-Pvt.'Thickness- in.
Est.Patch Unit Price$ /c
Est.Patch-Cost$
_ Est.Curb Replacement ft.
Est.Curb Unit.Pdoe$. /it
Est.Cuth Cost
Est.Traffic Unit Cost$ /hr
Est.Trraftrio Contral$
Amt.of Deposit$
Total Due$
{ )Cash ( )Check#
Applicant is responsible for contacting
the Police t.arxi C.B.Y.D. Paid By
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 TH_AT 1 AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMITS AS TLtNED 1N.THE TOWN O SOUTH WtNDSOR'S STREET CUT PERMIT MANUAL
Signed: _ Date:
Title: Driver's License#:
PLEASE ALLOW AT LEAST TWO WORKING DAYS AFTER APPLICATION FOR ISSUANCE OF PERMIT
WORK MAY NOT BEGIN UNTIL A PERMIT HAS BEEN ISSUED
PERMIT SHALL BE KEPT ON dOBSTTE AT ALL TIMES
et,-ant Fxravation Permit 08 MA 0-22 M
-EDNESDAY 11:00
BOUTIN & SONS PAVING COMPANY, INC.
121 Windsorviile Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526 Consumer Protection Reg.#500258
Date of Call: 03/17/14 Scheduled Work Date:
Date of Estimate: 03/19/14 Completion Date: _
Date of Acceptance:
Name:
ANITA BAILEY
70 DOGWOOD LANE
Address::
SOUTH WINDSOR i
Tel: 860 644-16 0
Job Locati®FF
Description: R 1j a ,,,•,a����...
y V�"
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VOL'LEASE NOIT : DUETO CURREN D ASPII LT PRIT
i'O 'IR.4 C:I. I'F,I ES- WILL BE SUBJECT TO ANY PLA T -RIAi CHAR
Quote Good for 46ays.
Special Attention: 1/2 Payment Upon Starting, Balance UporCompletion.
Contract _ 1 I Permit
ONE YEAR GUARANTEE ON WORKMANSHIP & MATERIALS. Pres.
CBUD `%� �?f`L� 117 41 Date