HomeMy WebLinkAboutStreet Cut Permits 9 Stephanie Lane (3) 1500242 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 10/15/2015
GIS ID: 85800009 FEE: 25.00
MUNIS APPLICATION# 201501459 EXPIRATION DATE: 10/14/2016
APPLICANT LOCATION
NAME: BOUTIN&SONS ADDRESS: 9 STEPHANIE LANE
ADDRESS: 121 WINDSORVILLE ROAD - OWNER: MOUNT JAMES A&BONNIE J
BROAD BROOK, CT 66016 9 STEPHANIE LANE
SOUTH WINDSOR, CT 06074
PHONE 860-623-2526
WORK DESCRIPTION: DRIVEWAY
APPLICANT AGREES TO FURNISH THE TOWN QF 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 BY DATE INSPECTED INSPECTED BYE
10/15/20159:41 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:: 1'0o 0?L1 a CONTRACTOR: 3O d-;A)
LOCATION:
TYPE OF WORK: Pr
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS: nPr -,
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED 0 YES ❑ NO
AS-BUILT:
INPUT: L` _ DATE: ��
S/molloy/forms 2014 Town of South Windsor INPSECTION REPORT 14
Appl. No, TOWN OF SOUTH IWINIDSOR PMU-C,INOIRK{' 0 1 E-P A I-1,M41 E i T P e rm it No-
TOWN HALL 1540 SULLIVAN AVENU31:` -107 VC,74 W
FEE:-: 025,00
BOUTIN AND SONS CONST 860 623 2526
Name of Firnn Phone N i,—
AddressafFirm 121 WINDSORVILLE ROAD BROAD BROOK CT_________ZiI:)&3dQ.6016
Location of proposed work 9 STEPHANIE LANE
describe fully nature of permit requested. REMOVE AND REPLACE EXISTING DRIVEWAY
FROM STREET TO GARAGE
Starting date L0 1.8.L1 5 Call Befor,�Y ou Dig No 2 015 410,0544
PLEASE NOTE: THE DEPOSIT FOR THE PERMANP-NT PAVEMENT PA TCH AND CUR} N.EPLIACFMr7JTI ISAPF\EL[fV,.INAF\Y;-=S'TlfAATG. Tl-{5
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB FiEPLACEMENT,INCLUDING ANY
INCReASES IN.PATCH ARt&CURS LENGTH,TRAFFIC CONTROL AND TI-15 1'r WN'SCONYRACT(',0,' 18, TI-IE PERRi]ANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAI:'<:OF THE TEMPORARY PATCH BU-7 IT",0i JLDSE Lr'VFERTHJN A YEAR.
Check Applicable: 0 No Pavement,Curb orSidewafk Cut [I PaVerf-enCut Ej Curb Cut 0 Sidewalk Cut
4 Exj%tjhq DriveWay,N6 Ch&ngas f-1 Propc)sed11)rive.vjQy INI(Jening -D PI--Qposed 1,4(�nr.,,Drivovvay�
Water Supply. 0 Public Water D Well qcv@ge EI P'Libiic,13ewer M Septic
Show sketch of proposed Work or furnish Indicate Norih '-'his segfion to br-filled out by Town
two copies of separate drawing
Nr),GLItS
Patch Sizes sf
E..'(. Pvt.Thickness in.
E-J, Patch Unit Price
Er:AR., Patch Cost
Fs;' Cu
rb Replacement St
E,-;,.Curb Unit Price
Ent.Curb Cost$
E-4.Sidewalk Replacement SI
Eil-t,Sidewalk Unit Price$' /sf
E;;,L 5idewalk Cost S
F_,-='(,Traffic Hours hr
Eckt.Traffic Unit Cost _/hr
64_Trafft Control
Amt.of Deposit
Total Due$
Cash Check
Applicant is responsible for contacting the Police Dept,*and C.S.Y.D
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMF-S Paid By
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOONT OF BOND REQUIRED AND 10 REIN48URSE THE TOWN OF SOUTH
F_WINDSOR FOR ANY EXPF_N3F8 INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND
THAT I AM FAMILIAR WITH AND WILL ABIDE 13Y THE RULES AND REGUI-ATIONS FOR PPRIAITO AS OUTLINED IN THR TOWN OF SOUTH
WINOGOR'S PTEET CUT PERMIT MANUAL.
1 0/5/1 5
1'
Signed:— JJ Print Name--
StreoA Excavation Pert-nit 2014
MONDAY
13OUTIN & SONS PAVING COMPANY, INC.
4:oOPM 121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526
Date of Call: 8/27/1 5 Scheduled Work Date:
Date of Estimate: 8/31 /1 5 Completion Date:
Date of Acceptance: z 1.5-
Name: BONNIE MOUNT
Address: 9- STEPHANIE LANE
SOUTH WINDSOR
Tel: 860 648 0847
-.00
as �0
OFF DEBBIE DRIVE
Job Location:
Description: �rL
t
�vp
f
Quote Good for 60 Days. ' - • - • ' '• '•
Special Attention: 112 Payment Upon Starting, Balance Upon Completion.
Contract Permit
ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. { Pres.
CBUD30\' L-4 4 C)Q),T4 Date I,( 1 ,