HomeMy WebLinkAboutStreet Cut Permits 99 Joseph Lane (2) 1400268 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 09/04/2014
GIS ID:48000099 FEE: 25.00
MUNIS APPLICATION# 201401243 EXPIRATION DATE: 09/04/2015
APPLICANT LOCATION
NAME: BOUTIN&SONS ADDRESS: 9R 30§KPH LANE
ADDRESS: 121 WINDSORVILi ROAD OWN1 R MARCIIESSEAULT JOANNE C&DONALD J
BROAD BROOK, C 9- 3'H LANE
SOUTPI WINDSOR,CT 06074
PHONE 860-623-2526 =
WORK DESCRIPTION: DR1VEW,4Y /
APPLICANT AGREES TO FURNISH THIf TOWN Of SOUTH WINDSOR THE AMOUNT OF BnND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY< XPENSES-INCURRED BY THE TOWII FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TEE APPLICANT IS FAMILIAR WITH ANI3 WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TO WN�C)F SOUTH WINDSOR''S STREET CUT PERMIT MANUAL.
ISSUED BY DATE INSPECTED INS�TDY
9/4/2014 9:29 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR: ,bDUt'l
LOCATION:
TYPE OF WORK: 04 C..
DATE INSP NEEDED: DATE INSP: 9_(41161
INSPECTED BY: ell>
WORK IN
PROGRESS: 4 ��°u.I-�.�
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: C vv\ DATE:
S/molloy/forms 2014 Town of South Windsor INPSECTION REPORT 14
�"�'4-14—'14 �06 e s5 FRO I �, —
AF FL IUA R IVN I-UK �5 9 Kitt I tXUAVA fl 0UP1 F1 KMi,
�Appl: No, TOWN OF SOUTH WINDSOR P�1�i,,C O!i=�0 DEPA�Tlt ENT Permit No.
TOWN HALL. 1540 SULLIVAN AVENU ,.330 iTi="1ffiImDS0 R CT 06074 FEE $25.00
623 2526
Name of Firrn BOUTIN AND SONS CONSTa _� �� y m a�w,Phone ._
�121 WINDSORVILLE R __C_T_ �,., ip Gcde06016
Address of firm ,-�,�-.
Location of proposed work JOSEPH LANE _
Describe fullyTneure R Permit
C
it requested REMOVE AND REPLA�,F S FXT TTNG�IALE A FR-G �T n T
Starting date, 9 4 14 u_.� Call Sefcro You Dig (~ 02 IA-3-5r34�
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURD R€PLACEMEN-r IS A PRELIMINARY ESTIMATC.', THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND TWF TOWN'S CONTRACT CO:�T S. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR:OF THE TEMPORARY PATCH BUT IT COULD ISE LATER Till N A YEAR.
Check Applicable' ❑ No Paverrieiit,Curb or Sidewalk Cut.: ❑ Paven,er�6 Cut C7 rtiu€t�C+_€t ❑ Sidewalk Cut
existing Driveway,No Changes ❑ Proposed[Mvemav Widening :1 Proposed New Drivvlvay
Water Supply; ❑ Public Water ❑ Well Sewage SteMc�.; ❑ I>ubHo Sewer ❑ Sepuc
work or furnish Indicate North his section to be filled out Ljy Tovk i '
Show sketch of proposed f
two copies of separate drawing
f F _ N t,Guts
E,,,L Patch Size(s)
E.;t. Pvt.Thickness in.
F:,f, Patch Unit Price �sf
Er-A.Patch Cast
E.A.Curs;Replacetnent -ft
EM.Curb Unit Price$ /ft
Est.Curb Coat$ -- e
EtA,Sidewalk Re.placoment sf
i •t,Sidewalk Unit Price /sfi
Est,Sidewalk Cost
E<t.Traffic Hours hr.
Er3t.Traffic Unit Cost$ /hr
E_,h,Traffic Control 11
Arnat.of Deposit.�
Total Due
Cash ( )Check#
Applicant is responsible for contacting the Police Dept:and C.E.Y.D Paid B
PERMIT SMALL BE KEPT ON JOBSITI AT ALL TIMLS y
I AGREE TO rURNISH To THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH
WINDSOR FOR ANY EXPENSI=S INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN'CONNECTION WITH THIS PERMIT AND
THAT I AM FANILiAR WITH AND WILL ABIDE BY THE RULES AND RF-GULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR'"lHikIREET UT p�MITM NUAL•
�148 fn�;,, Date: 8Signed: Print Name tT <�1 ✓: -
Street,Excavation Permit 2014
" THURSDAY 1130AM
BOUTIN & SONS PAVING COMPANY, INC.
121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526 Consumer Protection Reg.#500258
Date of Call: 7/14/14 Scheduled Work Date:
Date of Estimate: 7/17/14 Completion Date:
Date of Acceptance: ' �' 7
Name: JOANNE MARCHESSEAULT
Address::
_ 99 JOSEPH LANE
SOUTH WINDSOR
Tel:
OFF OF GRAHAM ROAD �,,� � 0
Job Location:
Description: Ah.,0L
Fr
QV
Rom. �� .�' � e•W'
a � l �
ZI r
Quote Good for 60 Days.
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
- Contract / / Permit
ONE YEAR GUARANTEE ON WORKMANSHIP & MATERIALS. q Pres.
CBUD Date-