HomeMy WebLinkAboutStreet Cut Permits 32 Sele Drive (2) 1500125 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 06/23/2015
GIS ID: 81800032 FEE: 25.00
MUNIS APPLICATION# 201500773 EXPIRATION DATE: 06/22/2016
APPLICANT, LOCATION
NAME: BOUTIN&SONS ADDRESS. 32 S- LaDRIVE
ADDRESS: 121 WINDSORVILLE ROB; OWNER MARGIC T PAUL R&VICTORIA A M
BROAD BROOK, CT 06016 = 32LE DR
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 EXPENSES INCURRED BY THE TOWN FOR"1IAINTENANCE 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 WINDSO/R'S STREET CUT PERMIT MANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
6/23/2015 9:00 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
-
------------
- ---- -----------
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: /N`00 Id S— CONTRACTOR: 15 /
LOCATION: �e e 1,11
TYPE OF WORK: a1 I u,,
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS: S r . L«�
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT-
INPUT: DATE: e� V
S/molloy/forms 2014 Town of South Windsor INPSEMON REPORT 14
'14 06:45 FRONI— ij
A FeL I UP,I I L)N
App_IN_o TOWN OF so UT H WiNDSOR B�_:-P FVZ 1;11, Pi-rinit No.
TOWN HALL 1540 SULLIVAN AVENUE -3 C.-t Z
NameofFirnn BOUTIN 860 623 2526
-
Address ofFinn
Location of proposed work-3—SE E
Describe fully riattIre Of permit request-d
REmOVE AND REpLA.C_F_.-E_Y_I(_::LT-I� DRT�IF(n1AV-ER-OM-�T-REFT
Starting date A /1 r Call Beforo (("u f)k, NI".
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVr=NIENI'PATCH ANl CURr�r.,�PLAGEMrfll 1SAFRELIMINAV E:SIHMATL. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANEN F PATCH AND CURB FE-PLAClEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURS LENGTH,TRAFFIC CONTROL AND T!AI;TOWN'S C01
NTR,A('T0)' TrS. THE PERMANENT PATCH 13
, P
TYPICALLY COMPLETED WITHIN A YEAR:OF THE TEMPORARY PATCH BUT iT'_1'OULD'3E L.'VF_P. - TH, "-'ki AYEAR.
Check Applicable: , 0 NO Paverrent,Curb or Sidewalk Cut 0 Pavei-rexit-Culi J Curb it U,Gjdewalk Cut
XX4_�,xistinq Driveway,No Changes 0 ProposeE'orivewa--t Widen.;n.- -I P,Qposed INI-ev,Drivqu,.�y
Watc�r 1`3mpmy: '5i
Show sketch of proposed work or furnish Indicate!Nori.h ov-
1wo copies of separate drawing,
"N 3,outs
Patch Sf
Iz-zl_ t Thicknoss in.
E Patch Unit Prig; __
P;aich Cost
E'.:L Curb Replacernent
Curb Unit Price 1;
Curb Cost
fE.:f. Sidewalk Repla.cerrcunt
Ii E Siclewalk Unit Pnee
Sidewelk Cost;S
v-urz�
1L Tim ffli c Unit C,a s t$ /hr
�i_7ra 1,flia conti-c"i
A-nt,of,-Q e P o s i t
C a s th
Applicant is responsible for contacting flie Police Deptand C,8,Y_D
PERMIT SHALL BE KEPT ON JOSSITE AT ALL 71WES I P<iid By
I AGREE TO FURNISH TO THE-I OV01 OF SOUTH WINDSOR T:-1E ArjjOtjNT OF'3O',1JD REOUIRED A-i-ND TOREIMBURSE:THE TOV%IN OF SOUTH
'7' -A'
WIN DS OR FOR ANY CXPENSES INCURRED BY THE TOWN FOR I'vitAINTENANCE OR P EPAI R1NORK it'CONNECTIO N VVITH THIS PERMIT AND
THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND RE(3U1_AT'0NS 1:0R PETRjNJ1ITG'P,.,1.', OUTLINED IN. TI 4E TOVjN OF SOUTH
WINDS OR'SVf�EET CUT Pr-PIV11IT MANUAL.
_6
Signed: lbata:
Print Name_-
Street Exc@vzition Permit 2014
ANYTIME
BOUTIN & SONS PAVIN
121 Windsorville Road, Broad Br
Tel. (860) 623-
5/1 /1 5
Date of Call: Sch
Date of Estimate: Anytime Con
Date of Acceptance:
t
Name: Paul & Vicky Margiott
E
Address: 32 Sele Drive
South Windsor v
Tel:
.00
Job Location: '' � � "� �
Description:
i
e, 4;
o —
TUJI
. 1 t
85
Quote Good forDays. .------� ° - • - - • ° -. -•
Special Attention: 112 Payment Upon Starting, Balance Upon Completion. t1
Contract r t Permit
ONE YEAs-R� GUARANTEE ON WORKMANSHIP&MATERIALS. p Pres.
CBUD1 � - ( �—�l� j°`-� Date