HomeMy WebLinkAboutStreet Cut Permits 38 Beechwood Lane (2) 1600196 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 10/03/2016
GIS ID: 08700038 FEE: 25.00
MUNIS APPLICATION# 201601434 EXPIRATION DATE: 10/03/2017
APPLICANT LOCATION
NAME: BOUTIN&SONS ADDRESS: 38 BERCHWOOD LANE
ADDRESS: 121 WINDSORVILLE ROAD OWNER: VENISCOFSKY ALAN J&ANN MARIE
BROAD BROOK, CT 06016 38 B1E6-HWOOD LANE
-SOUTH WINDSOR, CT 06074
PHONE 860-623-2526
WORK DESCRIPTION: DRNEWAY
APPLICANT AGREES TO FURNISH THE-TOWN OF SOUTH WINDS�R,THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY-EXPENSES INCURRED.:BY THE TON W FOR _ Q 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 CUTI'ERNIIT MANUAL.
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ISSUED BY DATE INSPECTED INSPECTED BY
1 0/3/201 6 3:33PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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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 $25.00
Name of Firm BOUTIN AND SONS CONST Phone No 60 623 2526
Address of Firm 121 WINDSORVILLE ROAD BROAD BROOK CT 0601 6 Zip Code
Location of proposed work 3 8 BEECHWOOD LANE
Describe fully nature of permit requested REMOVE AND REPLACE EXISTING DRIVEWAY FROM
STREET TO GARAGE
Starting date 9/24/1 6 Call Before You Dig No 2 01 63802538
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: [__I Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North I This section to be filled out by Town
two copies of separate drawing i
No.cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
i
Est. Patch Unit Price$_ /sf
� 1
Est.Patco Cost$
j Est.Curb Replacement ft
i
Est.Curb Unit Price$ /ft
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price$ /sf
i
i
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 i
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Paid By
1 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 S REET CUT PE IT MANUAL. -
9/21 /1 6 /-''
Signed .,,; �� .,� - PrintName (. -41�ri .r.ic` � �'" s��r-F.. '1h�Date:
:
Street Excavation Permit 2014