HomeMy WebLinkAboutStreet Cut Permits 45 Bourbon Street (4) 1600105 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 06/20/2016
GIS ID: 12300045 FEE: 25.00
MUNIS APPLICATION# 201600822 EXPIRATION DATE: 06/20/2017
APPLICANT , LOCATION
NAME: BOUTIN&SONS ADDRESS: 45 BOURBON STREET
ADDRESS: 121 WINDSORVILLE ROAD OWNER: SIMAO FRANK A&KAREN-ROSE
BROAD BROOK, CT 06016 45_BOURBON STREET
SOUTH WINDSOR,CT 06074
PHONE 860-623-2526
WORK DESCRIPTION: DRIVEWAY
APPLICANT AGREES TO FURNISH THR TOWN OF SOUTH WINDSOR-THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANYEXPENSES 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.
I -SUEDPBYJ!� DATE INSPECTED
INSPE
CTED BY "
6/20/2016 10:31 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.; A / CONTRACTOR:_d���L,�'
i
LOCATION: &jtl" hinn dyne
TYPE OF WORK: /7)� l vecoa
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: 12
WORK IN
PROGRESS:
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SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: C.' DATE: q 1
S/molloy/forms 2014 Town of South Windsor INPSECTION REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENGE SOUTH WINDSOR, CT 06074 FEE $25.00
Name of Firm BOUTIN AND SONS CONST Phone No.
Address of Firm 121 WTNDSORVTT 1,ER�D -BROAD BRGoiu�— Zip Code060
Location of proposed work 4� RCITTRB()N STREET
Describe fully nature of permit requested RP.M017F. 1ND REPLACE EX -S-TIT^ DRIVEWAY
FROM STREET TO GARAGE
Starting date 6/2/1 6 Call Before You Dig No2.Gj_,6_.21.0 4611
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
)ER Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
i
Show sketch of proposed work or furnish Indicate North This section to be filled out bV Town
two copies of separate drawing
No.cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price$ /sf
j Est,Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
Est,Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price
i
Est.Sidewalk Cost$
Est.Traffic Hours _hr
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
Amt.of Deposit$
DRIVEWAYS must be aft or more from the property line per Total Due$
section 2.17 of the zoning regulations
( )Cash ( ) Check#
Applicant is responsible for contacting the 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 PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR'S TREET CUT PE MIT MANUAL.
Date::_
Signed: �t- , C i Print Name e.--1.,'aj ., )I
Street Excavation Permit 2014 t C