HomeMy WebLinkAboutStreet Cut Permits 15 Barbara Road (2) 150009,
PERMIT NUMBER TOWN
. OWN OF
SOUTH WINDSOR CT .
DATE: 05/28/2015 STREET CUT PER
GIS ID: 07500015 MIT
MUNIS APPLICATION# 201500612
FEE:
EXPIRATION DATE: 25.00
NAME: BOUTIN&SONIS ANT 05/27/2016
ADDRESS: 121 WINDSORVILLE ROAD LOCATION ADDRESS;. 15 BARgA
BROAD BROOK, CT 06016 OWNER: BOLDUC RUSSELIIq&JOAN
PHONE 860-623-2526 15 BARBARA ROAD NA I
SOUTH WINDSOR, CT 06074
WORK DESCRIPTION:
DRIVEWAY
APPLICANT AGREES TO FURNISH THE TO
THE TOWN OF SOUTH WINDSOR FOR ANY EXPENSES OF N
CONNECTION WITH THIS PEWINDSOR THE AMOUNT OF BOND
FOR PERMITS ASOUTLINEDHPERMIT TOWN APPLICANT IS FEED BY THE TO WN FOR MAINTENANCE OR AND AI REIMBURSE
WN OF SOUTH WINDS AMILIAR WITH AND WILL BY THE RULES AND REG IN
ULATIONS
OR'S STREET CUT PERMIT MANUAL.
ISSUED By
5/28/2015 3:42 PM DATE INSPECTED
INSPECTED BY
*** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.; l-5-09�V 9l CONTRACTOR:���Ut 7 A-)
LOCATION: /S 6c 42,ca, leqaa�
TYPE OF WORK: v-P
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS:
9�ors cl
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE:
S/molloy/forms 2014 Town of South Windsor INPSECrION REPORT 14
04-14—'14 06:45 FROP1J— IAI U - t V ui—i
AFILL; 1N1UK Z5 I -Ktl tXU.AAA ' e Applz No, TOWN OF SOUTH WINDSOR PU$tJ'C W10 R PAR TIVI ENT Permit No.
TOWN HALL 1$40 SULLIVAN AVENUE CT 0630741 FEE $25.00
o n e i M" 860 623 2526
Name of Fin-n
Address af Firm 12 R—:R 0 A P R GK--C-T---- Zip Code 06 0 1-6-
Location of proposed work�.ta--8ARBARA .RD
Describe fully nature of permit requested- REMOVE ANT) RF.PTACE--EXI-STIING—ZRIAT-r�--
FROM STREET TO GARAGE
Starting date, Call Beforo You Dig 301
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURD r,,.E 1PLACRMFN11 IS A PRELIMINARY ESTIMAT5. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN.PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT CW�Tj S. THE PERMANENT PATCH is
TYPICALLY COMPLETED WITHIN A YEAP:OF THE TEMPOFJ�RY PATCH BUT IT:COULD BE LITER THP N A YEAR.
Check Applicable, Flo Pavemei.it,Curb or Sidewalk Cut 0 Paver-nen'Cut 0 Curb Cut 0 Sidewalk Cut
XF-Asting Driveway,No Changes b Proposed DrivpwavlAlidening 'I Pmpo$Pd N(,Iw D&e.'Way
Water Supply; 0 public Water F] Well PuNioSewor F1 Septic
Show sketch of proposed work or furnish Indicate North
section to be filled otit I�ly Town
two copies of separate drawing
Ni-i, cuts
'ch Size(s)E� Pat
E!-.,(. Pvt.Thickness in.
Patch Unit Price
Est, PaWh Cost
E_A.Curb Replacement Ott
V:,- I ,
—;L Curb Unit Price
Est.Curb Cost
F,;;t.Sidewalk RepIacernentsf
r-,A
t Sidewalk Unit Price$_/sf
-Ridewalk GOSK
Traffic Hours hr.
EeA,Traffic Unit Cost$ Air
Trafflo C011ti-01
Annt.of Deposit$
Total 0(j.0$-
(;heck ft
Applicant is responsible for contacting the Police Dept and C.&Y—D
PERMIT SHALL BE KEPT ON JOSSITE AT ALL TIMES Paid By
I AGREE To FURNISH TO THE 1 OWN 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 FAMILIAR WITH AND WILL ASIDE BY THE RULES
AND REC-U1-ATIONS FOR PERMITS AS OUTLINED IN THETOWN OF SOUTH
WINDSOR'SAOREF.-r OUT Pr,-RMIT M NVAL. 5 13
/7 Signed: I Print Name
—
Street Excavation Permit 20f4
THURSDAY
2: 00PJ30UTIN & SONS PAVING COMPANY, INC. /
121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526
Date of Call: 4/9/1 - Scheduled Work Date:
Date of Estimate: 4/1 6/1 5 Completion Date:
Date of Acceptance: 2 cJ
Name: RUSS BOLDUC -,j C
' E _
Address: 1 s BARBARA ROAT D —
%r,
r
SOUTH WINDSOR B
Tel:x*** 860-982-2609 N
P1 JO
Job Location: OFF OF EDGEWOOD -- -
Description:
i L
Quote Good forDays.
Special Attention: 112 Payment Upon Starting, Balance Upon Completion.
Contract /-/ - '3'0 —f J' Permit 1 f I
ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. Pros.
CBUD ��,t_�� �c���: �jC;�� ®ate t`