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HomeMy WebLinkAboutStreet Cut Permits 184 Woodland Drive (2) 1500178 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 08/12/2015 GIS ID: 96900184 MUNIS APPLICATION# 201501087 FEE: 25.00 EXPIRATION DATE: 08/11/2016 APPLICANT LOCATION NAME: BOUTIN&SONS ADDRESS: 184 WOODLAND DRIVE ADDRESS: 121 WINDSORVILLEROAD OWNER: SANGIOVANNI CRAIG J&LYNDA BROAD BROOK, CT 06016 184 WOO LAND DRIVE PHONE 860-623-2526 SOUTH WINDSOR,CT 06074 , 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 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 WINDSOR'S STREET CUT PERMIT MANUAL. ISSUED KY DATE INSPECTED INSPECTED BY 8/12/20151:19PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO:; f 5©0 CONTRACTOR: '-�-7�"1�U LOCATION: 1 0' Wcoct I. V-. TYPE OF WORK: _D L I f wla U DATE INSP NEEDED: DATE INSP: r INSPECTED BY: s� WORK IN PROGRESS: � _ -I -S SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT:" DATE: t?\ C\\U S/molloy/forms 2014 Town of South Windsor INPSEMON REPORT 14 ' 07-1 ti;-'15 12:34 FROM- T-586 P0001/0001 F-436 Appl, No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1640 SULLIVAN AVENUE SOUTH WINDSOR,CT 06014 FEE $26.00 Name of Firm BOUTINS AND SONS. CONST Phone No. 860 623 2526 Address of Firm BROAD BROOK CT Zip Code 0 6 016 Location of proposed work XT�7'�Nrz DRTVFt�TAY FROM STRF.F7 Describe fully nature of permit requested R'mov-P GARAGE Starting date - 1,/1 /1 S Call Before You Dig No 2 01 '1 2 n 4 5 11 PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURS REPLACPMENT IS A PRELIMINARY ESTIMATE, THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS, THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Out Existing Lriveway',Nr7 i^i�artges ❑ Proposed Driveway Widening 0 Propol•ed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service, ElPublic Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North 'This section to be filled out by Town two copies of separate drawing No.CUtS Est-Patch$ize(s) --sf Est.Pvt.Thickness in. Est,Patch Unit Price Est.Patch Cost$ Est.Curb Replacement Est.Curb Unit Price$ !ft Est.Curb Cost$ Est.Sidewalk Replacement Est.Sidewalk Unit Price Est.1511dPtyalk Cost Est.Traffic Hours ___—hr Est.Traffic Unit Cost$ /hr Est.Traffic Control$ Amt.of Deposit$ DRIVEWAYS must be 3ft or more from the property line per Total Duo$ section 2.17 of the zoning reguiations ( )Cash ( )Check# Applicant is responsible for contacting the Police Dept.and C.S.Y.D Paid By PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES URSE THE TOWN OF UT I AGREE FURNISH PE THE TOWN OF NSES NCURREDOUTH BY THENDSOR TOWN FOyE AMOUNT OF BOND REQUIRFD AND TO R MAINTENANCE OR REPAIR WORK IN CONNECTION OON WITH THIS PERMIT FOR ANY EXPENSES WINDSOR F THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SC7U WINDSORS S BEET CUT PERMIT MANUAL, , 8/1 2/1 5 f s �f � eGf,r�r� ;_.,� >t,+.�7�;•-Date Signed, `�' � "` Print Name. Street Excavation Permit 2014 baONDA*Y BOUTIN & SONS PAVING COMPANY, INC. 11 -OOAM 121 Windsorville Road, Broad Brook, Connecticut 06016 - Tel. (860) 623-2526 Date of Call: 6/6/1 5 Scheduled Work Date: Date of Estimate: 7/6/1 5 Completion Date: Date of Acceptance: / Name: CRAIG' SANGIOVANNI Address: 184 WOODLAND DR SOUTH WINDSOR Tel: 860 882 3658 Job Location: OFF OF AVERY STREET Description: jk911 �' of P1 14 T d f4 «-� r Quote Good for 60 Days. t . _ • I • -• Special Attention: 1--/-27Payment Upon Starting, Balance Upon Completion. / Contract - '7 - /-� Permit ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. Pres. i �^ CBUD CASE C) LA vJ \� Date L