HomeMy WebLinkAboutStreet Cut Permits 92 Windy Hill Dr (2) 1500236 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 10/14/2015
GIS ID: 95400092 FEE: 25.00
MUNIS APPLICATION# 201501450 EXPIRATION DATE: 10/13/2016
APPLICANT LOCATION
NAME: BOUTIN&SONS ADDRESS: 92-WINDY HILL DRIVE
ADDRESS: 121 WINDSORVILLE ROAD OWNER: MORIARTY THOMAS P
BROAD BROOK, CT*16 92 WINDY HILL DRIVE
SO
PHONE 860-623-2526 UTH 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 FAIuIILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR.'S STREET CUT PERMIT MANUAL.
C /19
ISSUED BY DATE NSPECTED INSPECTED BY
10/14/201511:41AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
- - - - ------- ---------------- ----
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:: 1,f D CONTRACTOR:
LOCATION: la? W i i,e N /o/% I)-) .
TYPE OF WORK:_
DATE INSP NEEDED: DATE INSP: y��
INSPECTED BY:
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑YES ❑ NO
AS-BUILT:
INPUT: ( `r^ DATE: r
S/molloy/forms 2014 Town of South Windsor INPSEC71ON REPORT 14
IU4-14-- 14 U0:4!D
AV FLIL;A, I IUD
Appl. No, TOWN OF SOUTH WINDSOR Permit No.
'CUT, W1.)NDSOR.- CT 68014 FETE $26.00 TOWN HALL 1640 SULLIVAN AVENU1E --3 5-r 0
860 623 2526
NameofFirn, BOUTIN AND SONS CONST.
:Ofle- i
Address of F!rM--12_1 .WJNDSDILV TJL E ROAD BROAD BROOK CT Zip Code 0601
- -
Location of proposed work,92 WINDY HILL DRIVE
Describe fully nature of permit requested REMOVE AND REPLACE EXISTING DRIVEWAY FROM
STREET TO GARAGE
Starting date2__J.j0j 1j 1 5__Call Beforo YOU Dig No 2015 3 9 0 4 8 2 7
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURIE R[�PLAC1 I,\ArN-f IS A PRELIMINARY ESI-IfAATr;;, THE
I
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN.PA`rCHARrzA,CURB LENGTH, THE PERMANENT PATCHIS
TYPICALLY COMPLETED WITHIN A YEAl--cOF T HE TEMPORARY PATCH BUT IT-Oi 1LD!3E-I.-ATER TH/N A YEAR.
Check Applicable: 0 No Pavemei.it,Curb or Sidewalk Cut 0 Paven--eni.Cut L0 Curb Cut 0 Sidewalk CUII-
EJExisting Driveway,No Changes 0 Proposed,')rivewgi/Utii,'jc.,f-fing :1 Proposed Nc.,wDriveway
Wator Supply: F1 PubikWater i� �Nell S st�5147:-': F-" 1:qlkl)c
Show sketch of proposed work or furnish Indicate No)i,h "'hls section to be filled out bke
two copies of separate drawing
N:,,cufs
E:11-Patch
E.1t. Pvt.Thickness in.
F,', Patch Unit Price$1
E!A. Patch Cost
E-:'.Curb Replacement ft
Ei;,,-Curb Unit Price
D4.Curb Cost$
Sidewalk Replacement Sf
L Sidewalk Unit Price$ /sf
&_t.Sidewalk Qos'k
h E-'C Traffic Unit Cost
E-Ik.Traf iG Cont, .1
&nt. of Deposit
1 ToWl Duv$
J Cash ( )Check#
A,piicanl is responsible for contacting Ile Police Dept.'and C B,Y.D
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Paid By
I AGREE TO FURNISH TO 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
THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PER[AITS A.23 OIJTLINL-:D IN THE TOWN OF SOUTH
VVINDSOKS STREET CUT PERMIT MANUAL,
Signed, Print Dole: 9 2 8 15
Street Excavation Permit 20f 4
ANYTIME
BOU7"IN & SONS PAVING !COMPANY, INC. ('
121 Windsorville Road, Broad Brook, Connecticut 06016
1
Tel. (860) 623-2526
Date of Call: 614 1714 1 F, Scheduled Work Date:
den "�
Date of Estimate: ANYTIME d� Completion Date:
Date of Acceptance:
Name: Gre _
is
Eqi _
Address: 92 WINDY HILL I;ANE r
i
SOUTH WINDSOR Bltl PIZ'
Tel: 860 713 3034 `+ '%'37t- ele;4et— No. _
Job Location: off of rt 74 , ;�,�
Description: lf
fG
41
Quote Good for 60 Days. ��,SA and Mastercard Accepted,�
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
Contract - Permit f 4
ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. Pres.
CBUD � � 1 s Date "Yk-Y>l
-.2 C> 1'1