HomeMy WebLinkAboutStreet Cut Permits 155 Hilton Drive (2) 1500115 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
STREET CUT PERMIT
DATE: 06/22/2015
GIS ID:44100155
MUNIS APPLICATION# 201500758 FEE: 25.00
EXPIRATION DATE: 06/21/2016 APPLICANT,---LOCATION ATION
NAME: BOUTIN&SONS ADDRESS: 155 HILTON DRIVE
ADDRESS: 121 WINDSORVILLE ZtQ�� OWNER: ,BROWN THOMAS C JR&PAMELA J
BROAD BROOK, CT 06016
155IILT0N DRIVE
PHONE 860-623-2526 SOUTl V INDSOR, CT 06074
WORK DESCRIPTION: DRIV$WAY"
Al
APPLICANT AGREES TO FURNISH THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPLICANT IS FAMILIAR WITH AN
FOR PERMITS AS OUTLINED IN THE TOWN OF-, D WILL'ABIDE BY THE RULES AND REGULATIONS
SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
ISSUED BY -110,00
DATE INSPECTED INSPECTED BY
6/22/2015 12:52 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
------ ------ ---
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT No..: �,5� CONTRACTOR:
1P
LOCATION: I� r-v
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: �a3/l�
INSPECTED BY: f p
WORK IN
PROGRESS: Vim,. - ,cx �k
Na s` -
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE: �Q
S/molloy/forms 2014 Town of South Windsor INPSECTION REPORT 14
04-14-'14 06:45 F ROM-
1QN
App_f No. TOWN OF SOUTH WINDSOR PUE- ;-,'A?O,T.l D=_Pfl"=7,Na7--ttiT P(,.mi it No.
_.ND -,0 1-7-0673V4 FEE
TOWN HALL IMSULLIVANAVENUF :3,09"
Name of Fir,-q I30UTIN AND SONS QQNST_A__ 2 5 2 6
Address of Firm 121 �RQAD�RPOD
_K1NZSQRVZ_T -K--CT--- Zip Code ()6()1
Location of proposed work 155 HILTON DR
Describe fully nature of permit reqvest-dgFm0y-F. ANDREpjAC
-E
STREET TO
Starting date__E,�18_/1 Call BeF-ro Y Dig n-2 Q1-5-2-5001.8—
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVP-MEN PATCH AN'D CU-F?$R5PLACENir!-Ti IS A PRELIMINARY;E:S 110.A TII�. THE n -
APFLICANT IS RESPONSIBLE FOP THE FULL FINAL COST OF THE PERMANEN F P,'�TCH AND CURB FEPLACE:MENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWNS CONTRACT Cc)"To, THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAROF THE TEMPORARY PATCH BUT IT'.'OULD3E T?*-'N A YEAR.
Check Applicable: No Pavement,Curb or Sidewalk Cut El Paverrent Cut IFJJ Curb Cult 0 Sidewalk Cut
XW,xisiinq Driveway,No Changes 0 Proposer'l)rivevljar',,VVidening :1 DIiu,vvay;
Water Supply: 01 PubliQWzter F1 Well e 8 f3 ni i 'PubiicS-ewcr El. Se,7,tic
Show sketch of proposed work or furnish Indicate Noi h h,5v section to be filled Out bl'f 4
two copies of separate drawing
N-1.GLItS,
&t. Patch Size(s)
..J.. Pvt.Thickness in.
U,r, Patch Unit PFicc 1P /Sf
Curb Replacement
E_-'it Curb Unit Price
M!;". Curb Cost
E.;,:J,Sidewalk Re-placerrient sf
Sidewalk Unit Price /si II
E Sidewalk GoSf.
F_"',Traffic Hnurs hr
'E"J,T:-E is Unit Cost filf
11
Trafflia Controf
of Qeposilq-1$'
Taal �u-
C-6gh -heck,9
Applicant is responsible for contacting tile Police Dept.and C-8.Y-D I
i I
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES P;id Py
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE ANIOU'NT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH
WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTEWNICE OR REPAIR.VVOPKI IN CONNECTION WITH THIS PERMIT AND
THAT I ATVI FAMILIAR WITH AND WILL ABIDE BY-THE RULES AND REGUI-ATIONS FOR PERN11TS AS OUTLINED IN THE TOWN OF SOUTH
VVINDSMS§T�,EET CUT PERMIT MANUAL.
j, ate: 6/15/1 r5
signed: i_'y1<1 Print Name—-
Street Excavation Pen-nit 2014
SATURDAY 9:00
BOUTIN & SONS PAVING ,COMPANY, INC.
• 121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526
Date of Call: 4/8/1 5 Scheduled Work Date:
Date of Estimate 4/1 1 /1 5 Completion Date:
Date of Acceptance:
Name: Pamela Brown Grav(
Equip
Address: 155 Hilton Drive
South Windsor
Bitumi
833-5678
Tel: No. of
Price'`
j°
Job Eocat-is - s ;,. I I` s �� i- 1� ie j
Description:
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wow
F� a � � � 1~ i _ ✓ C
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�` 0LT le l` D 6/1 a r.
Quote Good for 60 Days. d:1� � e _ _ . . -. -,
Special Attention: 1/2 Payment Upon Starting, B nce Upon Comtion.
Contract Permits /'
ONE YEAR GUARANTEE ON.WORKMANSHIP&MATERIALS. Pres.
., � �� r,
CBUD /�. Date _ / /