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Home My WebLink AboutStreet Cut Permits 49 Elm Street (2) 1400076 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 04/25/2014 GIS ID: 30600049 FEE: 25.00 MUNIS APPLICATION# 201400438 EXPIRATION DATE: 04/25/2015 APPLICAIT LOCATION NAME: BOUTIN&SONS ADD SS 49 iL1I STREET ADDRESS: 121 WINDSORVILI ROAD it aWNER BERGARON GERALD P E&SHARON BROAD BROOK, C 'Qfi14 49IM,, STREET SL7TI#WINDSOR,CT 06074 PHONE 860-623-2526 WORK DESCRIPTION: DRFV� A1' APPLICANT AGREES TO FURNISH THLTOWI OF SOUTH V1lIND8OT}THE AMOUNT OF$OND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDS0R FOR A11X=I XPENSES-INCURRED,$Y THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE AP T I$FAMILIAR WIfiH AIt1D WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSR'S STREET GUT PERMIT MANUAL. OZ ISSUED BY DATE INSPECTED INSPECTED BY 4/25/2014 10:51 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: Odd CONTRACTOR: -&&-ri N LOCATION: � !�— cc- t m S1Y�e� TYPE OF WORK: DATE INSP NEEDED: DATE INSP: Z2,3L INSPECTED BY: e n WORK IN PROGRESS: ;moo Sri; S1�e � SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: G DATE: 3 S/2014 Town of South Windsor INPSEMON REPORT 14 i 14-'14-''14 06:45 FROM- T-118 P0001,r'0001 F-280 AF FLIUA 1 WIN t UK 5 1 Ktt I tAGAVA 11UN FtKMI I Appl- No, TOWN OF SOUTH WINDSOR PUBLIC UWORK$ DEPARTMENT Permit No. TOWN HALL. 1640 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00 Name of Firm,._.—BOUTIN AND SONS_ OQN��RiTCT -ON--___ 'hone No, �_�2 Address of Firm 121 _WINDSQR G VTT.TY ED BROAD $R00K T Zip Code�06016 Location of proposed work -E'EM STREET Describe fully nature of permit requested REMOVE AND REPLACE EXISTING DRIVEWAY FROM Starting date 5/12/14 Call Before You Dig No_2.9j_4_1._6j01.1~1.-6_......_----- -- PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLAC;I;MEN-r IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND T'i-IE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH Is TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable, ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut `)p� Existing Driveway,No Chanr;as ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water Q Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North This section to he filled out by Town two copies of separate drawing No.cuts Est-Patch Sizes sf `.�.^.- E.,st. Pvt-Thickness in. I f Est. Patch_Unit Price$_. /sf Est,Patch Cost$ EfA.Curb Replacement _,ft I Est.Curb Unit Price Est.Curb Cast$ Est.Sidewalk Replacement sf Est.Sidewalk Unit Price$ tsf Est.Sidewalk Cost$ E'st.Traffic Hours hr Est.Traffic Unit Cost$ /hr E t.Traffic Control$ Amt.of Deposit$ Total Due$ ( }Case ( )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 j AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH J 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 DY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINt7SOfi'S REET�UTRMIT MAtJUAL. ,--� C// / Si nod: Print Name 4L4Gln i 5S t/W er`tj;/,/Date_.-4 g Street Fxc3vaticn Permit 20f4 MONDAY 1: 30 c BOUTIN & SONS PAVING COMPANY, INC. 121 Windsorville Road, Broad Brook, Connecticut 06016 Tel. (860) 623-2526 Consumer Protection Reg.#500258 Date of Call: 4/9/14_ Scheduled Work Date: Date of Estimate: 4/14/14 Completion Date: Date of Acceptance: i a1 h S aron Bergeron Name: 49 Elm Street Address:: — South Windsor i Tel: 644-2329 i i �+ 1 r Job Location: ,� I '�� °=f Description: d Pt-n Try a Quote Good for 60 Days. , . `e e^• -s Special Attention: 1 2 Payment Upon Martin Balance Upon Completio Spe / y p 9� Contract ` / Permit H �` '1 AA10 VCAQ 91-11AOANITCC f1N1 1A1n0VAAAAI4ZI4IP 1L IUTATFRIAI $_ Pres.