HomeMy WebLinkAboutStreet Cut Permits 700 Governors highway (2) ---------------------------------- --------
1500015 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 04/08/2015
GIS ID: 36900700 FEE: 25.00
MUNIS APPLICATION# 201500286 EXPIRATION DATE: 04/07/2016
APPLICANT = = LOCATION
NAME: BOUTIN&SONS ADDRESS: 700 GVRNORS HIGHWAY
ADDRESS: 121 WINDSORVILLE ROAD OWNER: PRUNEAU ANDRE R
BROAD BROOK, CT 060-16 700 O{}VRNORS HWY
SOUTH WINDSOR, CT 06074
PHONE 860-623-2526
WORK DESCRIPTION: DRIVEWAY "
APPLICANT AGREES TO FURNISH THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY-EX PENSES 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 TOWN OF SOUTH WIND OR'S STREET CUT PERMIT MANUAL.
ISSUED BY 0 DATE N PECTED INSPECTED BY
4/8/2015 9:58 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: I.5_000es CONTRACTOR: iaU7-j lU
LOCATION: 700 Eaii`PK00C s //tib �a y
TYPE OF WORK: D y-e C'Jx C4
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: �
WORK IN
PROGRESS: �1 t %L--�- �� S~, � 'im s` 3
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: C' > DATE: a `
S/molloy/forms 2014 Town of South Windsor INPSECTION REPORT 14
04-14-'14 06:45 FRONI-
AF A.FILIU I IVN I-UK Z5 I Ktt I tAUAVA 1AUN rrLKM1 I
Applz No, — TOWN OF SOUTH WINDSOR PIJOLtOWORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE,' 3)OUTH"N.11-NDSOR CT 06074 FEE $25,00
Name of Firrn 0z) `mot 61 Phane irl 3, F&,g
— --
Address of Firm /Z cl __�G17-: Zip Code z9 6
Location of proposed work -7 o 4)
Describe fully nature of permit requested A?lnaze 11 W
DI'.".V eA✓'z 4!
Call 138fore You Dig No
Starting date -/-1,5--1.5-
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURR r-:EPLACrMrT\11 IS A PRELIMINARY ESTIMATE. THE
APPLICANT Is RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PKI"GH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT 00::T& THE PERMANENT PATCH 18
TYPICALLY COMPLETED WITHIN A YEAR:OF THE TEMPORARY PATCH BUT IT C-OULD BE LATER THI/N A YEAR.
Check Applicable. 0 No Pavement,Curb or Sidewalk Cut 0 Pavement Cut El Curb Cut El Sidewalk Cut
RA. EXisling Driveway,No Changes 0 Proposed Driveway Widening :1 PrQpospd Ncw Driveway
'A
Water Supply: 0 Public Water Cl Well sc-,Aj@geSf3m!oz,: Cl PublicGewor Cl Septic
Show sketch of proposed work or furnish Indicate Norlh 1'his section to be filled out bjf12jy-r-1
two copies of separate drawing
fr Nr).GLItS
Es't patch Size(s)__sf
Et. Pvt.Thickness in.
Fit, Patch Unit Price
Est Patch Cost$
E.A.Curb Replacement_ft
E!-,t.Curb Unit Price$
E!.,t.Curb Cost$
E;4.Sidewalk Replacement sf
ESA,Sidewalk Unit Price
E':;t Sidewalk Cost S
F-oilk,Traffic,Hours hr
E�,t.Traffic Unit Cost$_/hr
E-A,Traffic Control
Rust.of Deposit
Total Duo$—
Capj, Check ft
Applicant is responsible for contacting the Police Dept.and C.B.Y-D
PERMIT SHALL BE KEPT ON JOSSITE AT ALL TIMES Paid By
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 EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND
THAT I AM FA,MILIAR WITH AND WILL ASIDE BY THE RULES AND REGULATIONS FOR PERMITS A�3 OUTLINED IN THE TOWN OF SOUTH
WINDS,O Date,: Is-
Sione6. Print Name�
Street Fxcavatian Pert-nit 2014
MONDAY 1PM i '
BOUTIN & SONS PAVING COMPANY, INC.
121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2 526 Consumer Protection Reg.#500258
Date of Call: 9/2§/14 Scheduled Work Date:
Date of Estimate: 9/29/14 Completion Date:
Date of Acceptance: Id% .
Name: ANDRE PRUNEAU Gr _
r �J Ec _
Address:: GOVERNORS HIGHWAY
SOUTH WINDSOR Bi.
Tel: 860-508-0255 Nc _
Pr
Job Location:
OFF OF RT 30
Description:
I s
I� a
Apx J/UAY "Z-�"5, C
Quote Good for,B> s. '
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
Contract " Permit
ONE YEAR GUARANTEE ON WORKMANSHIP & MATERIALS. Pres.
Date
CBUD : .-� C ✓ °j