HomeMy WebLinkAboutStreet Cut Permits 35 Stoughton Drive (2) 1600059 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 05/09/2016
GIS ID: 86900035 FEE:MUNIS APPLICATION# 201600571 -. EXPIRATION DATE: 25.00
OS/0925.00
/2017
APPLICANT LOCATION
NAME: BOUTIN& SONS ADDRESS: 35TQUGHTON DRIVE
ADDRESS: 121 WINDSORVILLE ROAD OWNER: MUSGRAVE PAULA C
BROAD BROOK, CT 06(}16 �5 PAPER CHASE
SOUTH WINDSOR, CT 06074
PHONE 860-623-2526
WORK DESCRIPTION: DBY-VEWA.
APPLICANT AGREES TO FURNISH THE=TOWN OF SOUTH WINDSQR 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 ACID WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
M /6
ISSUED BY DATE SPECTED INSPECTED BY
5/9/2016 10:26 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:: CONTRACTOR:
LOCATION:
TYPE OF WORK: 4
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN .
PROGRESS: >-t---t 4r, S' l_
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES [:] NO
AS-BUILT:
INPUT: CNN"-'-_ DATE: ' 3
S/molloy/forms 2014 Town of South Windsor INPSECT ON 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 $25.00
5 3,, O'
Name of Firm 3 C Phone No.
Address of Firm I Zip Codee-)rb(."`V`,.e�
Location of proposed work e
Describe fully nature of permit requested
Starting d'ate Call Before You Dig No �4-4—.
PLEASE NOTE- THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: El No Pavement,curb or Sidewalk Cut [I Pavement Cut El Curb Cut El Sidewalk Cut
__-rExisting Driveway,No Changes El Proposed Driveway Widening F-1 Proposed New Driveway
Water Supply: El Public Water 0 Well Sewage Service: [I Public Sewer 10 Septic
Show sketch of proposed work or furnish Indicate North I This section to be filled out by Town
two copies of separate drawing
No.cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price
Est. Patch Cost
Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
Est.Curb Cost
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price$ /sf
Est.Sidewalk Cost
I Est.Traffic Flours hr
i
Est.Traffic Unit Cost$ -/hr
Est.Traffic Control
Amt.of Deposit$
DRIVEWAYS must be 3ft 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 STREET CUT PE MIT MANUAL.
® 11 : Print Signed: -C—Date:
Street Excavation Permit 2014
BOUTIN & SONS PAVING COMPANY, INC.
121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526
Date of Call: Scheduled Work Date:
Date of Estimate: `� Completion Date:
t
Date of Acceptance:
Name:
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Address:
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Tel: -J- Zf"'I, �' ° �� r N
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Job Location AfY54�
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Description:
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0011,
Quote Good foDays. _ _ , . _• _.
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
Contract Permit
ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. Pres.
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CBUD f ,0 k(Cl A'_)_)Cj' ��t j.�� Date