HomeMy WebLinkAboutStreet Cut Permits 4 Tumble Brook Drive (2) 1400167 TOWN OF SOUTH`WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 06/16/2014 _
GIS ID: 90600004 FEE: 25.00
MUNIS APPLICATION# 201400763 �� = EXPIRATION DATE: 06/16/2015
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APPLICA LOCATION
NAME: BOUTIN&SONS ADDRI } 713LB BROOK DRIVE
ADDRESS: 121 WINDSORVILLii&]K I / 1IAKS MIUK PAMELA C&BOHDAN W
BROAD BROOK, C1 % 4ILE BROOK DRIV
- � MU P.. INDSOR, CT 06074
PHONE 860-623-2526
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WORK DESCRIPTION: DRf-VFA
j APPLICANT AGREES TO FURNISH THI VO Of 30LfI L" ANII1 ? BAND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AY P) 1Ii I HE �3WOIvIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TF AP LAIt1T I VA V L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN S( 1ttl1 W �? IITT1TF IIT MANUAL.
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ISSUED BY D `TOTED INSPECTED BY
6/16/2014 10:34 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: / 00/ 7 CONTRACTOR: &Ltl; ty
LOCATION:
TYPE OF WORK: r
DATE INSP NEEDED: DATE INSP: >t s
INSPECTED BY: h
WORK IN
PROGRESS:_ _
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: i' DATE:
S/2014 Town of South Windsor INPSEMON REPORT 14
WEDNESDAY 9: 30
BOUTIN & SONS PAVING COMPANY, INC.
121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526 Consumer Protection Reg.#500258
Date of Call: 5/27/14 Scheduled Work Date:
Date of Estimate: 5/28/14 1 Completion Date:
Date of Acceptance:
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Name: Bohdan Maksymiuk
.06
Address:: 4 Tumblebrook Drive
South Windsor tea
644-1819
Tel: 1 '
Off Rt. 74, Fairview D c
Job Location: f
Description: ✓ 1
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2 g%
,FO f
41
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Quote Good fo'f Ab Days.
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
Contract Permit r� 1 �
ONE YEAR GUARANTEE ON WORKMANSHIP & MATERIALS. }} ` Pres.
CBUD � 44D A0 Date l of 4 ` A
V4-14—
AVVL1L;A I 1QN I-U�� 6 1 1 1 V Pk ! PK-)N r�.A
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
TOWN HALL 1640 SULLIVAN AVENUE -:)OUT'"�Fv`tNMSOF C7, 080"74 FEE .0
Name of Firm BOUTIN AND SONS _EAVING- AND pj:a,, 623 2526
06016
Address of Firm 121 WINbsORVILLE RD EAST WTNDSOg CT _ _.__7-ip Code
Location of proposed work BLE BROOK DR
Describe fully nature.of permit requested REMOVE AND REPLACE EXISTING
—DRIVEWAY FROM STREET TO GARAGE
Starting date 6/14/14— Call Beforo YOU Dig No— 20142402320
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB(.�PLA(,E1`01511-! 18 A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANEN F PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCReASES IN.PATCH AREA,CURB LENGTH,TRAPFICOONTROI.AND TI-15 CO -18. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEA1--cOF THE TEMPORARY PATCH BUT IT ',0U'LD-*3E;.,'\TE F Thai N A YEAR.
Check Applicable: 0 No Pavement,Curb or Sidewalk cut El Paven'en'Cut C.1 Curb Cut 0 Sidewalk Cut
El Existing Driveway,No Changes 0 Proposed I)rivew,-iy INidening :R Proposed Now Driveway
WatorSupply: 0 Public Water El Woll Ei PuNioSewer 0 Sepfif;
Show sketch of proposed work or furnish Iffilicato Nwilh -his section to be filled out bke T ow-'ri
two copies of separate drawing
N:.,,cuts
E Patch
E.j. Pvt.Thlc.knEss in.
E-L Patch Unit Price
E-A. Patch Cost$
E.-;'L.Curb Replaceinerit eft
E:;t-Curia,Uni,Price
Er,.t.Curb Cost
P.:it. Sidewalk Replacement sf
tz:t.Sidewalk Unit Price$ isf
E-;t.swowalk Cost's
Traffic Hours hr
Traffic Unit Cost$ /hr
Traffic,Control$
0. of Deposiii:
Total DwQ$
( .!Cash Check ft
Applicant is responsible for contacting the Police Dept.*and C,B;Y.D
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES P-aid By
f AGREE TO rURNISH 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 FA 'ILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITSAS OUTLINED IN THE TOWN Z �SQ O UTH
VVJJNO�_'OR, EFT
'UT PE MAN(JAL.
Signed: Print
Street,Excavation Permit 2014