HomeMy WebLinkAboutStreet Cut Permits 20 Rockledge Drive (2) 1400249 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 08/20/2014
GIS ID: 76800020 - FEE: 25.00
42 EXPIRATION DATE: 08/20/2015
MUNIS APPLICATION# 2014011
APPLICANT = = LOCATION
NAME: BOUTIN&SONS ADDRESS; 2�RO&K DGE DRIVE
ADDRESS: 121 WINDSORVILLl R0AI = OWNER { WEN fICHARD J&JOAN D
BROAD BROOK, C06016 " 925- YTONE WAY
NIA WPO T NEWS,VA 23602
PHONE 860-623-2526
WORK DESCRIPTION: DR rVVEWA
APPLICANT AGREES TO FURNISH THE O OF SOUpi(m�RIDSOR THI AMOUNT 01 BFJND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AI Y 7 PEN ES INCtTJ2REI3jYTIIE T�}WPC F R�-'AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TIC APPLICANT IS FAMfLIAR WIC H AI* WL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OT OUTH WINDSOR S STREET CUT PERMIT MANUAL.
1-7
ISSUED BY DATE INSPECTED INSPECT�TED DBY BY
8/20/2014 10:45 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTIRACTOR:
LOCATION: = - , --- � 2-
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: Z117 %i�
INSPECTED BY: '�
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: - DATE: '
S/2014 Town of South Windsor DMEMON REPORT 14
AVVLIUA I 1UN I-UK 35 I
Permit No.
Appl. No, T=N OF SOUTH WIND&OR T 110 E T
TOWN HALL 1540 SULLIVAN AVENUE CT 0-601A FEIEZ --25,00,
BOUTIN AND SONS CONST.
Name of Firrn.— 'P 1 lore iv 860 623 2526
Address of Firm -W&W CT zir)coo
-. -1-21 WINDSORVILLE RD BROAD e06016
LoQation of proposed wor�---��O ROCKLEDGE DRIVE
Describe fully nature of.permit requested REMOVE--AND REPLACE EXISTING DRIVEWAY FROM
STREET TO GARAGE --'----
-- 2
Starting da Call Bc-foro)/-ou Dig 1`-101--
=207 1
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CUR183 tz.**P1-AC.`Iv1r-.N11 'IS A PRELIMINARY ESTINIATE'. THE
-P' C APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANEN F PATCH AND, LACE CURB F;�� MENT,INCLUDING ANY
INCREASES IN PATCH AREA,CiJRB LENGTH,TRAPFIC CONTRf
1.AND T t-1 rz Ti'VV NYRP,C C 0,':1& T[I E PERMANENT P C H 18
TYPICALLY COMPLETED WITHIN A YEA 0 F THE T E M;P C)RAP Y PATCH BU'r IT 0 U'L D 3;.:LATE TH N A YEA R.
Check Applicable: 0 No Paverhent,Curb or Sidewafk Cut 0 IPavdiT en E] CQ'rb C:A E] Sidewalk Cut
Existing DriveW2iy,No Ct)anges 0 Proposed[I)rivewgy%lidening Proposed flow Drive,ma
y
WatorSupply: 0 PublicWziter D Well
Show sketch of proposed work or furnish 1,4o,,-;.h his sectioe-i to be filled Out bv'r
two copies of separate drawing
iI
N:,,cuts
Patch Sf
Pv i0,ncss
'(.Th in.
E:a, Pa
tch Unit Pric E, Patch Cost
E.-:L Cure)Replacernent ft
E!;"-Curb Unit Price
E: Curb Cost
E.A.Sidewalk Replacement sl
E:•f.Sidewalk Unit Price$ /Sf
sidr�walk COS"
E",TF@ffic Hour;
i.Traffic Unit Cost$ ihr
as
,0:-nt,CA Deposit
$
Check g-
Applicant is responsible for contacting the Police Dept.'and C,B,Y.D
PERMIT SHALL BE KEPT ON JOSSITE AT ALL TIMES PI-tid By
I AGREE TO rUIRNISH TO THE T OWN OF SOUTH WINDSOR THE AMOUNT OP 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 A FA WITH AND WILL ABIDE By,rHE RULES AND REGULATIONS FOR IDERIAITS AS? QIJTLINED IN! THE TOWN OF SOUTH
AND rr�P-��--T MANUAL,
,`EFT C'� .%...LIAR L
W1 '��EtR-CUTT M
8/12/14
Signed: P rint N.9m.Y4/Z ",-�za4 -:—i� - -
Street Excavation Permit 20f4
THURSDAY 10:00
BOUTIN & SONS PAVING COMPANY, INC.
121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526 Consumer Protection Reg.#500258
Date of Call: 4/5/14 Scheduled Work Date:
Date of Estimate. 4/10/14 Completion Date:
Date of Acceptance:
Name: Grant &' Janeen' Sampson Name:
Equ
Address:: 20 Rockledge Drive
South Windsor
Bits,
Tei: �j.c_J07-6571
No.
Pric I —
Off Nevers Rd, Wood Pond Rd +
Job Location:
Description: /
j - u a s
� dl
� J 0 A J
fi
Quote Good for 60 Days. • • ' . .
e
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completi .
Contract 7 -1 7 - / Y Permit �� �\ A
ONE YEAR GUARANTEE ON WORKMANSHIP & MATERIALS. Pres.
CBUD . `q Date " li q