HomeMy WebLinkAboutStreet Cut Permits 222 Tumble Brook Driv (2) 1400267 TOWN OF SOUTH WINDSOR, CT
PENT NUMBER STREET CUT PERMIT
DATE: 09/04/2014
GIS ID: 90600222 FEE: 25.00
MUNIS APPLICATION# 201401242 EXPIRATION DATE: 09/04/2015
APPLICANT _ LOCATION
NAME: BOUTIN&SONS I - ADDREgS: 2±2-TOMBLE BROOK DRIVE
ADDRESS: 121 WINDSORVILL R4A " " OWNER. CO-HEI .JAYNE&LAURENCE S
BROAD BROOK, C (016. 222 BLE BROOK DR
50UTI=WINDSOR,CT 06074
PHONE 860-623-2526 =
WORK DESCRIPTION: DRIVE,
APPLICANT AGREES TO FURNISH THE T01 OF SOUTH WINDSOR THE AMOitNT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR X EXPENSES INCURRED BY
A�I F-TTTIOWI*LFOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPLICANT IS FAMILIAR WITH AND WI"LL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN 4F SOUTH WIN DSO '-S STREET GUT PI ItMIT MANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
9/4/20 1 4 9:26AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.:-] CONTRACTOR: Zoutl N
LOCATION:. a, _ &no,_ L')I'l V-e
TYPE OF WORK: '7�),'i v P u 7 a
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: �
WORK IN
PROGRESS: _)
1�
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED -] YES ❑ NO
AS-BUILT:
INPUT: L DATE: 1
S/molloy/forms 2014 Town of South Windsor INPSECTION REPORT 14
4-14-914 06 e 45 FROM—
AFFLIL;A 11t.�N 1-U t> I Ktt I t Xa UA.VA 0 PU 'i iLop_ &ii ;
lAppl. No. TOWN OF SOUTH WINDSOR PUB LiC WOR}$ I3; PAFFTWIEf' T Pen-nit No.
TOWN HALL 1540 SULLIVAN AVENUE, ::a 1,8 T F;}WMIDSO CT 063074 FEE $25,00
(Name of Jinn BOUTIN AND.. SONS. CUM: �� ��� a� ,4'l�on¢ €'s�. 623 2526
Address of Firm 121 WINDSORVILLE RDRROAD BRooK CT __ Cede 0601.6.
Location of proposed work 222 TUMBLEBROOK DRIVE _
Describe fully nl8e�fAl An�iEequested RENOVE AND REPLACE EXISTING DRIVEWAY FROM STREET
Starting ciat Call Before YOU Dig
43504140 y—
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB IS A PRELIMINARY ESTIMATE, THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL,AND THr-TOWN'S CONTRACT(,O ZTS, THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR:OF THE TEMPORARY PATCH BUT iT COULD BE 1 V•rER TH/N A YEAR.
Check Appticaf le: ❑`Nts PaVe'mei�t Curb or'Sidewd(k Cut ElJ'avein i'Crrt C7 Curb Cut113 Sidewalk Cut
IX)Existing Driveway,No Changes ❑ Proposed Driveway Widening :1 Proposed N(T.,uv Driveway
Water Supply: ❑ Public Water ❑ Well Sewago St?rvicG: ❑ I public"Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate:Noi th hip section to be filled out by Town
two copies of.separate drawing
No,cuts
Ei,,L Patch Sizes sf
�. E.t. Pvt.Thickness in.
E. Patch Unit Price$ lsf
'E AL Patch Cost$
Er-)L Curb Replacement ft
E:;t.Curti Unit Price
E it,Cram Cost$ -
E Sidewalk Replacement sf
Es-.t..Sidewalk Unit Price$ /sf
Est.Sidewalk Cost�
,t.Traffic Hours hr.
i
Eft.Traffic Unit Cost$ Ihr
E,t. frfiic Control a
Aint.of Deposit$
Total Due$
( )Cayf1 ( }Check#
Appilaint is responsible for contacting the Police Dept;and C.B.Y.D
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIDES 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 EXPENSFS INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND
THAT I AM FAX ILIAR WITH AND WILL ASIDE 13Y THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSUF�'S `i1�Et T CUT P RMIT M NUAL. 8/2 9/14
Signed., -- Print Name (.�E t/ lE . G%cl�✓ .Date-.
StreQit Excavation Permit 2014
TUESDAY 11AM
BOUTIN & SONS PAVING COMPANY, INC.
121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526 Consumer Protection Reg.#500258
Date of Call 8/1/.14 Scheduled Work Date:
Date of Estimate: 8/5/14 Completion Date:
Date of Acceptance: -
Name: LARRY COHEN
+CrAddress:: 222 TUMBLE.�r.ROOK DRIF7E
SOUTH WINDSOR
Tel: 644 3615
Job Location: OFFOF KENT LANE r - ----- - -- • ��J/,
Description: .( ' , C t
1
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- 10 4�w,
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Quote Good fo�Days.
L
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
Contract ` G Permit Y,
ONE YEAR GUARANTEE ON WORKMANSHIP & MATERIALS. Pres.
CBUD �l j�'�-� 3's �.._.> LA Date tt' I