HomeMy WebLinkAboutStreet Cut Permits 26 Elm Street (2) 1400075 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
STREET CUT PERMIT
DATE: 04/25/2014
GIS ID: 30600026 -
MUNIS APPLICATION# 201400437 = FEE: 25.00
EXPIRATION DATE: 04/25/2015
APPLICANT '
NAME: BOUTIN&SONS = OCATION
ADDRESS: 121 WINDSORVILLE ROAD-wo - ADDRESS 26 ELM TREET
BROAD BROOK, CT 061 - OWNER' SERII DANIEL J&BONNIE J
26 11TEET
PHONE 860-623-2526 = = S U H WIVDSOR,CT 06074
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WORK DESCRIPTION: DRIVE'VR-Y-- ,
APPLICANT AGREES TO FURNISH THE TO I€SF OUTI VYINI�S R TI3 I�MOUNT OF 3QI�ID 2EQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY XPEIIIrS INCURREL3 BY=THE TOWN Fp11]UfAI1TENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE LICAI�iT IS FAM&AR WITH AND WI Lj I BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WIIVDSR'S STREET;CUT P NUAL.
ISSUE BY DATE INSPECTED INSPECTED BY
4/25/2014 10:44 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: / q 600-7.S CONTRACTOR: 1�ou t� ►�
LOCATION:
TYPE OF WORK: r \j-P uDct Ll
DATE INSP NEEDED: DATE INSP:_
INSPECTED BY: eb
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: C DATE:
S/2014 Town of South Windsor INPSECTION REPORT 14
04-14-'14 06:45 FROM- T-118 P0001 1/0001 F-280
Appi. No, TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL. 1540 SULLIVAN AVENUE SOUTH WINDSORCT 06074 FEE $25.00
Name of Firm-, BOUTIN CTTON_CD, __-,.,_Phone No, 860 623 2526
Address of Firm 121 WjNDSQRVTL.T.F. RD BROAD BROOK G1 ______,Zip Gode 06016
Location of proposed work 9is- ELM STRFF'T _
Describe fully nature of permit requested REMOVE AND REPLACE EXISTING DRIVEWAY FROM
STREET TO GARAGE
Starting date 5 12 2014 Gall Beforo You Dig No , 0141701 90.
PLEASE NOTF: THI*DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CU RP Ri�PLAC: MEN-r IS A PRELIMINARY ESTIMATE. THE
APPLICANT is RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURS LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS, THE PERMANENT PATCH is
TYPICALLY COMPLETED WITHIN A YEAR-OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
d Existing Driveway,No Changes Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North TI'hi see4ion to be filled out by Tower
two copies of separate drawing
— No, CUtS
Ent Patch Site(s)_,.__� s_,sf
' Ef3t. Pvt.Thickness in.
Est. Patch Unit Price$ lsf
EA, Patch Cost$
E:t.Curb Replacement ft
Et,L Curti Unit Price
Est.Curb Cost$.-- - -Est.Sidewalk Replacement sf
Est,Sidewalk Unit Price$ tsf
Est.Sidewalk Cost$
Est,Traffic Hours hr
Est.Traffic Unit Cost$ Air
Est,Traffic Control$
Amt.of Deposit$
Total true$
( }Cash ( )Check#t 4
Applicant is responsible for contacting the Police Dept.and C.B.Y.D
PERMIT SHALL BE KEPT ON JOBSITB AT ALL TITLES 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 FXPENSFS INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND
THAT I AM FAMILIAR WITH AND WILL ABIDE BY THERULES AND REGULATIONS FOR P2RMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR'S ST' ET CUT PERMIT MANUAL.
t
Signocl: _ Print Name_. �2 'n
Street Excavation Permit 2014
ANYTIME
I ✓OUTIN & SONS PAVING COMPANY, INC.
1
121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526 Consumer Protection Reg.#500258
Date of Call: 07/03/13 Scheduled Work Date:
Date of Estimate: Completion Date:
Date of Acceptance:
Name: _ BONNIE SHERIDEN Gray '
Equ
Address:: 26 ELM STREET
SOUTH WINDSOR ^�•
_ vita
Tel: PHONE 860 8785059 No. _
Pric
Job location: _ OFF KELLY RD
Description:
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PLEASE NOTE: DUE TO CURRENT VOLATILITY OF I.IQtiID ASPliALT PRICES.
CONTRACT' PRICES- FILL BE SUBJECT TO ANC' I)T ANT -IAT'1 RIAT CEIARCTES.�
Quote Good foDays.
Special Attention: 1/2 Payment Up®n Starting, Ba1ance Upon Completion.
.Contract
Permit
ONE YEAR GUARANTEE ON WORKMANSHIP & MATERIALS. Pres.
CBUD ? d i`l� f/ `` Date "��