HomeMy WebLinkAboutStreet Cut Permits 27 Jonathan Lane (2) 1500074 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 05/15/2015
GIS ID:47800027 FEE: 25.00
MUNIS APPLICATION# 201500533 EXPIRATION DATE: 05/14/2016
APPLICANT LOCATION
NAME: BOUTIN&SONS ADDRESS: 27 3QIATHAN LANE
ADDRESS: 121 WINDSORVILLE GOAD OWNER: MARTIN=LISA B TRUSTEE
BROAD BROOK, CT 0016 - 27 O AT- AN LANE
SOUTH W3NDSOR, 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 ANC'E ES INCURRED BY THE TOWN FpR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THI~APPLICANT IS FAMILIAR WITH AND WILL"ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF-SOUTH WINDSOR'S STREET CUT P-- - MANUAL.
f
ISSUED BY DATE INSPECTED INSPECTED BYJ
5/15/2015 10:47 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
-- ----- -
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 1_,c�rotp 7 CONTRACTOR: &u j�DU
LOCATION: ? zs-o�� n
TYPE OF WORK:_ ,_ 'o a Q
DATE INSP NEEDED: DATE INSP: l4
INSPECTED BY: 31)
WORK IN
PROGRESS: a/i_-
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: -^�"�' DATE: 1 I
S/molloy/forms 2014 Town of South Windsor INPSEMON REPORT 14
04-14-'14 06:45 FRONI- I-( io
AFFLIL;A I WN t-UR Z5 I Ktt � tAUAVA If PLJP�11`p�-JIMTH I
Appl: No. TOWN OF SOUTH WINDSOR PUU-LIC .WORt�� [)!-ZPAF,-T[ViEt4T Permit No.
TOWN HALL IM SULLIVAN AVENUE '30UT111"5NMIDSOR, CT 06074 FEE $26.00
860 623 2526
NameofFirrn BOUTIN ANJ)Z-01IZ--CjaNZT---------
Address of Firm j 21
Location of proposed work 27 J ONATHAN LANE,
Describe fully nature of permit requested ]REMOVE ANTI-RZP-LACF--E-X-1S
FROM STREET 9L
Starting date 51 Call Beforo You Dig NoZQ,15
4-944-5-- � -j9k2-9-1G------
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURD R'E✓ PLACRMrN-I IS A PRELIMINARY ESTIMATr;z. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPUkCEMENT,INCLUDING ANY
INCReASE-S IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT(,O:*.TS. THE P5RIVIANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAROF THE TEMPORARY PATCH BUT IT 0,OULD BE LATER Till N A YEAR.
Check Applicable,. C1 No Pavement,Garb or Sidewalk Cut 0 PavemenCLI'L El Curb Gut E3 Sidewalk Cut
xxaEAslinq Driveway,No Changes 0 PrQposed Driveway Widening :3 Proposed New Driveway
Water Supply: El Public Water F1 Woll SeIq,39-, El PubiloSewor 0, Septic
Show sketch of proposed work or furnish Indicate North �'IIEs section to be,,fjIte(--------i out by Town
------------------------ -
two copies of separate drawing
M.),cuts
E.;t.Patch Size(s)-sf
Est. Pvt.Thickness in.
Eat. Patch Unit Price$-./sf
&A. Patch CQSt
E-;'L.Curb Replacement-fl
E,:;t.Curb Unit Price,
E!.,L.Curb Cost$
E�it.Sidewalk Replacement sf
E---,t,Sidewalk Unit Price$ /sf
E A.Sidewalk Cost
E-il%.'rage Hours --hr.
E�I't.Traffic Unit Cost$ /hr
Est.Traffic Control
Ant.of Deposit$
Total Duo$-
( '%Cash ( )Check#_
Applicant is responsible for contacting the Police Dept.'and C,B.Y.D Paid By
PERMIT SHALL BE KEPT ON JOSSITE AT ALL TIMES
I AGREE To ruINISH 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 RULES AND RLGIJ�ATIONS FOR PER[AITS AS OUTLINED IN THE TOWN OF SOUTHWINO
-0
Signed: Print Namez!-�-ex z� - 2Lnl-11�-11:� �Lz Date
Street.Excavation Permit 2014
I Lle-5 U
BOUTIN & SONS PAVING COMPANY, INC. J
6
121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526 consumer Protection Reg.#500258
Date of Call: r' 13 Scheduled Work Date:
Date of Estimate: 4-/ J Completion Date:
Date of Acceptance: z
Name: � Gr
Ec
Address::
Bi
Tel: '� d 2 VF 7 N
P
Job Location: f >
Description: 4 _
IreV �
av
1
i
Quote Good for k®Days. coo
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
Contract_ Permit g'
ONE YEAR GUARANTEE ON WORKMANSHIP &MATERIALS. Pres.
CBUD J ��y"t t��'� Jf� Date 1;