HomeMy WebLinkAboutStreet Cut Permits 114 Dogwood Lane (2) 1600065 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 05/12/2016
GIS ID: 28500114 FEE: 25.00
MUNIS APPLICATION# 201600597 EXPIRATION DATE: 05/12/2017
APPLICANT LOCATION
NAME: BOUTIN&SONS ADDRESS: 114 DOGWOOD LANE
ADDRESS: 121 WINDSORVILLE ROAD OWNER: SACKETT DEBORAH
BROAD BROOK, CT 06016 114 DOGWOOD LANE
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 WIN R'S STREET CUT PERMIT MANUAL.
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INSPECTED INSPECTED BY
5/12/2016 2:28 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO CONTRACTOR: 4o u �s N
LOCATION: G�
e
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: ��
WORK IN
PROGRESS: =��� -€ c
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑YES ❑ NO
AS-BUILT:
INPUT: -' DATE:
S/molioy/forms 2014 Town of South Windsor INPSEMON REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00
Name of Firm BOUTIN AND SONS CONST Phone No$6 0 6123 2526
Address of Firm 121 WTNDSnRVTT T F ROAD BROAD BROOK CT Zip Code 0601
Location of proposed work 1 1 4 DOGWOOD T ANF
Describe fully nature of permit requested REMOVE AND REPLACE FXTSTTNG DRIVEWAY FROM
STREET TO GARAGE
Starting date 5/1 1 /1 6 Call Before You Dig Now 01 6�R 0 4 3 1 0
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk!Cut ❑;Pavement Cut; q Curb,Cut_ 0 Sidewalk,Cut
PExisting Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
0 No.cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price$ /sf
Est. Patch Cost$
Est. Curb Replacement ft
Est.Curb Unit Price$ /ft
Est. Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price
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 BEET CUT P IRMIT MANUAL. 5/9/1 6
i Signed: L — Print Name -=U�f �rrc' rat "',Date:
Street i
Street Excavation Permit 2014
THURSDAY BOUTIN & SONS PAVING COMPANY, INC.
•
1 0 :30am 121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526
Date of Call: 3/2 6/1 6 Scheduled Work Date:
Date of EstimAg:31 /1 6 Completion Date:
Date of Acceptance:
Name: DEBORAH SACKETT
Ok
114 DOGWOOD LANE
Address:
SOUTH WINDSOR
Tel: 860 644 3675
OFF AVERY STREET
Job Location:
Description:
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Quote Good forXDays. - - • ' • '• '•
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Special Attention: 1/2'Payment Upon Starting, Balance Upon Completion.
Contract //-/ f _ /� Permit
ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. Pres.
CBUD QC)
�$— L��1 1 D Date