HomeMy WebLinkAboutStreet Cut Permits 43 Hilton Drive (2) 1500246 TOWN OF SOUTH WINDSOR, CT
PENT NUMBER STREET CUT PERMIT
DATE: 10/16/2015
GIS ID: 44100043 FEE: 25.00
MUNIS APPLICATION# 201501483 EXPIRATION DATE: 10/15/2016
APPLICANT LOCATION
NAME: BOUTIN&SONS ADDRESS: 43 HILTON DRIVE
ADDRESS: 121 WINDSORVILLE ROAD OWNER: REIS DORA
BROAD BROOK, CT 06016 43 .HILTON DRIVE
SOUTH VVINDSOR,CT 06074
PHONE 860-623-2526
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.
G Yho I I o - 113 !7 .�
ISSUED BY DATE INSPECTED INSPECTED BY
10/16/2015 12:37 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:: Old W CONTRACTOR: A.)
LOCATION: Y3 Zj 17aA,) 1,17 1.-
TYPE OF WORK: ye A'k u
DATE INSP NEEDED: DATE INSP: b1117
INSPECTED BY: !�
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑YES ❑ NO
AS-BUILT:
INPUT: N DATE:
S/molloy/forms 2014 Town of South Windsor INPSEMON REPORT 14
L•"i—IY IY VV eY•J 1I1VI' — __ _ _.. - _-
AE'VLK;A I JUN I-'Ud,� Z5 9 'ALL 19 t4''a-;Rk A r r;1 "a ��,lR-fl,.I
Appl. No. • rOWN OF SOUTH WINDSOR Permit No.
TOWN H.AL,L. 11�40 SULLIVAN AVENUE R 107 016074 FEE $25.00
Name of Pirin,� BOUTIN AND SONS CONST m lafto 11-, :,860 623 2526
Address of Firm 121 WINDSORVILLE ROAD BROAD BROOK CT �T Zip CodeQ6_QL
Location of proposed work 43 HILTON DRIVE
Describe fully nature of permit requested R-Fm0 N7F. AND REPLACE RXISIZ'_ ..G DRIVEWAY FROM
STREET TO GARAGE
Starting date 1 0/1 5./1 5 Call Befor�r You Dig P?e+-201 541.04536.,_
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB i.EPLACEMF;I`4T 1S A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANEN r PATCH AND CURB FEPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROI.,AND TI-1r;:TGWN'S CC7I.4'r P CT C O .T,S, T I iE PERf,4ANENT PINCH IS
TYPICALLY COMPLETED WITHIN A YFAR:OF THE TEMPORARY PATCH LOUT 1-i' IOULD 3E;. TER TH/N A YEAR.
Check Applicable:, 0 No Pavement,Curl)or Sidevruik Cut ❑ Pavan en Cut ❑ CUrb CUt ❑ Sidewalk Cut-
CF Existing Driveway,No Changes ❑ Proposed[)rivew-iy Widening :1 Prcpospd Now Drive'r"ay
Wator Supply: ❑ Public Water Q Weil Sewage Somic.a; ❑ i PuNic Newer ❑ Septic
Show sketch of proposed work or furnish Indicate North I `'his section to by filled out feu T2wln
two copies of separate drawing �
NI-), cuts
I Est_Patch Size(s)w:�
I E-Ju Pvt.Thickness in,
E.,I., Patch Unit Price
4
I E.A..Patch Cost$_
E A.Curb Replacement ft
E:,t_Cure Unit Pricy:v_ -- ./ft
Er,t.Curb Cost -
E{,t.Sidewalk Replacement sf
1 E^t,Sidewalk Unit Price$ /sf
ESA.Sidewalk Cost -
Traffic
E.=t. Hours hr
I
E`S:.Traffic Unit Cost iinr
1
Est.Traffic Control
:Al pt.of Deposit
Total Due
Cgsh ( )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 P2RIInITS AS OUTLINED IN THI TOWN OF SOUTH
WINDSOR'S VPEET CUT PERMIT MANUAL.
,�,bti- /m-s C_(,, rZf/2 z' i'jate: 1 0/9/1 5
Signed: .iZ G -^--L — Print Name—..� _..._ - , - --.
Street Excravition Permit 20f4
WEDNESDAY 1 :00
BOUTIN & SONS PAVING COMPANY, INC.
121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526
Date of Call: 9/1 /1 5 Scheduled Work Date:
Date of Estimate: 9/2/1 5 Completion Date:
Date of Acceptance:
Name: Dora Reis
Address: 43 Hilton Drive
Pf
South Windsor
V'� 436-4344
Tel:
00
Job Location : �` ^ lip
Description:
17,
14
�•' n - t r
C
5 s
�t
Quote Good for 60 Days. _ . - . . -. -•
;Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
Contract le , ' Permit
ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. Pres.
C B U D 0 S L4 I S ;}L Date : l