HomeMy WebLinkAboutStreet Cut Permits 24 Fox Hill Road (2) 1400116 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 05/15/2014
GIS ID: 33900024 FEE: 25.00
MUNIS APPLICATION# 201400575 EXPIRATION DATE: 05/15/2015
APPLICANT LOCATION
NAME: BOUTIN&SONS ADDRESS: 20 HILL ROAD
ADDRESS: 121 WINDSORVILL#ROAD OWNER: DUNN MICHAEL S&JENNIFER S
BROAD BROOK, CT 0 -016 - - 24 FO ;HILL ROAD
SOUTH WINDSOR, CT 06074
PHONE 860-623-2526
WORK DESCRIPTION: DRl-VI WAY--
APPLICANT AGREES TO FURNISH THO OWN OF so-u-Ta WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANV�kkNSES INCURRED BY THE TOWN FOR"MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPLICANT IS FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TO WN OF SOUTH WINDSR'S STREET-CUT PERMIT MANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
5/15/2014 12:07 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: lqob I CONTRACTOR: & jn
LOCATION:Tak �1/I
TYPE OF WORK: (�J�
DATE INSP NEEDED: DATE INSP: i/,29//s
INSPECTED BY: �3 7
WORK IN
PROGRESS: _ ;� o J ) c� ,c_ �.� .� 4
09
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: I � DATE: A- 5
S/2014 Town of South Windsor INPSECTION REPORT 14
04-14-514 06:45 FROM— T-118 POOOI/0001 F-280
AFFLIUA I 1UN t-UK 5 1 KLL I tXUAVA I IUN P.LKMI I
4pl. No, TOWN OF SOUTH WINDSOR PU13LIC WOR0 DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR- CT 06074 FEE $25.00
Name of Firm BOUT I NAND _5 Q12,1; CON=Uf,Tjo.n_phone N�), 860 623 2526
Address of Firm 121 WINDSORVILLF ROAD BROAD BR-OOK GT _____Xip Code
Location of proposed work2_4 FOX HILL ROAD
Describe fully nature of permit requested REMOVE AND REPLACE EXISTING DRIVEWAY FROM S11':
STREET TO GARAGE
Starting date 5/15/14 Call Beforo You Dig No20142000632
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURR REPLACEMENT IS A PRELIMINARY ESTIMATE— THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH 18
TYPICALLY COMPLETED WITHIN A YEAR--OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable, 0 No Pavement,Curb or Sidewalk Cut 0 Pavement Cut El Curb Cut 0 Sidewalk Cut
[I Existing Driveway,No Changes 0 Proposed Driveway Widening X Proposed Now Driveway
Water Supply: 0 Public Water M Well Sewage Service: [I Public Sewer El Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing No.cuts
EM.Patch Size(s)_,__8f
Est.Pvt.'rhickrit*s in.
F-4. Patch Unit Price
Ent, Patch Cost
Ent,Curb Replacement ft
Est.Curb Unit Price
Est.Curb Cost$
E.A.Sidewalk Replacement sf
&A,Sidewalk Unit Price
Est.Sidewalk Cost$
f,*,sk,Traffic Hours iu
Est.Traffic Unit Cost$ hr
Eut.TraffiG Control
Amt.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
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 CONNECTION WITH THIS PERMIT AND
THAT I AM FAMILIAR WITH AND WILL ASIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR'S ST 'T CUT PERMI'f-1VIANVAL/ , -1 1 z I )
Signed:7=1 ��er�e���,
Street Excavation Permit 2014
MONDAY 9 :00
BOUTIN & SONS PAVING COMPANY, INC. �/2?
121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526 Consumer Protection Reg.#500258
Date of Call: 4/8/14 Scheduled Work Date: 1 / ,�1 ,tVeAwr Z D&4
Date of Estimate: 4/.14/14 Completion Date:
Date of Acceptance: -
Mick' .Dunn
Name:
Address:: 24 Fox Hill Road
South Windsor
-0727
Tel: 644 e
54) - 141e4 ee-z- z-
Off Nevers Rd, Wood Pond Rd
Job Location:
iar i `
i Description: � A
C.' C11 I'7�-?
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Quote Good for 60 Days. - .. . cum
Special Attention: 1/2 Payment Upon Starting, Balanc(Upon Comp etion. l 0�
IContract 2 < Permit
ONE YEAR GUARANTEE ON WORKMANSHIP & MATERIALS. Pres.
} 30 "-- /
CBUD 1-,�C I aC�CC Date