HomeMy WebLinkAboutStreet Cut Permits 57 Farnham Road (2) 1600063 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 05/12/2016
GIS ID: 32100057 FEE: 25.00
MUNIS APPLICATION# 201600595 EXPIRATION DATE: 05/12/2017
APPLICANT LOCATION
NAME: BOUTIN&SONS ADDRESS: 57 FARNHAM ROAD
ADDRESS: 121 WINDSORVILLE ROAD OWNER: CYR EDWIN A&KATHLEEN M
BROAD BROOK, CT 06016 57 FARNHAM ROAD
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 WINDSOR'S STREET CUT PERMIT MANUAL.
1101 Al
ISSUED BY DATE INSPECTED INSPECTED BY
5/12/20162:24PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
- - --
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR:
LOCATION: /Z iU�I /r) Z)a
TYPE OF WORK: Y I U.eGjCt
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS:
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 $25.00
Name of Firm BOUTIN AND GnnTS "'-G9Na
Phone No. 860 623 25.26
Address of Firm 121 WINDSORVTT.T.F Rc-)-A--n BRnAD—BRggK._c—T _ Zip Code 06016
Location of proposed work 57 FARNHAM ROAD
Describe fully nature of permit requested REMOVE AND REPLACE EXISTING DRTVFWAY FROM STRFF:I'
TO GARAGE
Starting date 5/1 1/1 6 Call Before You Dig Not 120422
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check`Applicable: ❑ No Pavement, Curb or Sidewalk Cut ❑.Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
q Existing Driveway,No Changes 0 Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Wal! Scwage Service: n Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price$ /sf
Est. Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ fit
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price$ /sf
Est.Sidewalk Cost$
Est.Traffic Hours _ ___hr
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.
5/9/16
Signed: -- C Print NameGjP!�: `a�f°=
Street Excavation Permit 2014
THURSDAY
9: 00a, BOUTIN & SONS PAVING COMPANY, INC.
121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526
Date of Call/21 /1 6 d Scheduled Work Date:
Date of Estimate: 3/31 /1 6 Completion Date:
Date of Acceptance: � -
r� /
ED CYR
Name: =
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Address:
F RNHAM ROAD
_
SOUTH WINDSOR
Tel: 860 289 0109
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OFF RYE STREET .�.` --.- —
Job Location: r Z 1r
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Description: ����� �'��_._ �� °.'�1/',r� GA✓ �. �'.
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Quote Good for Days.
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Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
Contract `% - f� 4, Permits > 1
ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. Pres.
CBUD ) P ''� �L� Date f