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Home My WebLink AboutStreet Cut Permits 187 Quarry Brook Driv (2) 1600033 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 04/21/2016 GIS ID: 74100187 FEE: 25.00 MUNIS APPLICATION# 201600455 EXPIRATION DATE: 04/21/2017 APPLICANT LOCATION NAME: BOUTIN&SONS ADDRESS: 187''QUARRY BROOK DRIVE ADDRESS: 121 WINDSORVILLE ROAD OWNER: CARLSON BENJAMIN M&DEBRA R BROAD BROOK, CT 060I6 187 QUARRY BROOK DR SOUTH WINDSOR,CT 06074 PHONE 860-623-2526 WORK DESCRIPTION: DRIVEWAY APPLICANT AGREES TO FURNISH THE TOWN OF SOUTH WINDSOR THE AM 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 BY 4/21/2016 9:53 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT r PERMIT NO.: CONTRACTOR: J 7 / LOCATION: 19 -7 QjAt-v-w 46A619k TYPE OF WORK: D Y 1 v0Gl- DATE INSP NEEDED: DATE INSP: INSPECTED BY: ��n WORK IN PROGRESS: --� s c, SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: ilgllT")L S/moiloy/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. 860 623 2526 Address of Firm 121 wTNT)SO,RVIbI,E ROAD BROAD—ER )E)K .•m Zip Code0601 Location of proposed work 18 7 QUARRY BROOK DR T` P, Describe fully nature of permit requested RFMnVF ANT) RFnr.nr g EXT2TIVG DRIVEWAY FROM STREET TO GARAGE LEFT STDR T,AwN DTC' prim Starting date 4/2 5/1 6 Call Before You Dig No2O 1 C,1 r�9 4 2 C,F 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 $$Existing 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 bV Town two copies of separate drawing 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$ /sf 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 O 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''SS STREET CUT PE MIT MANUAL. Signed: f�C C Print Name /�� ' `✓"''"' �` Date: Street Excavation Permit 2014 t RAY FRIDAY `4 :00pm BOUTIN & SONS PAVING COMPANY, INC. 121 Windsorville Road, Broad Brook, Connecticut 06016 Tel. (860) 623-2526 Date of Call: 3/14/1 6 Scheduled Work Date: Date of Estimate: 3/2 5/16 Completion Date: Date of Acceptance: § Name: BEN CARLSON Gi Ec Address: 187 QUARRY BROOK DRIVE SOUTH WINDSOR ` ng Bi V i Tel: 860 324 7075 I N P Job Location: OFF ELLINGTON ROAD Description: �'c �•�� CIO— ------------ i DNul Quote Good for 60 Days. and Mastercard -. -. Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion. Contract - S / Permit ONE YEAR GUARANTEE ON WORKMANSHIP&MATE'5h4s. Pres. CBUDf� = ��' Date a