HomeMy WebLinkAboutStreet Cut Permits 82 Deerfield Lane (2) 1600205 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 10/27/2016
GIS ID:27300082 FEE: 25.00
MUNIS APPLICATION# 201601577 EXPIRATION DATE: 10/27/2017
APPLICANT LOCATION
NAME: BOUTIN&SONS
ADDRESS: 82 DEERFIELD LANE
ADDRESS: 121 WINDSORVILLE ROAD OWNER: DAVIS LOREN A&KAREN L
BROAD BROOK, CT 06016 82 DEERFIELD LANE
SOUTH WINDSOR,CT 06074
PHONE 860-623-2526
WORK DESCRIPTION: DRIVEWAY
APPLICANT AGREES TO FURNISH THE"TOWN OF SOUTH WINDS
OR 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 WIIL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUTPERMIT MANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
10/27/2016 9:45 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:: f1 ,1 CONTRACTOR: ,i?(;-t
LOCATION: f
TYPE OF WORK: t>,( w4.Lk)a a.
DATE INSP NEEDED: DATE INSP: a 3Ii7
INSPECTED BY:
WORK IN
PROGRESS:
SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑YES ❑ NO
INPUT: / DATE: a
S/malloy/f WM 2014 Town of South Windsor INPSECMN REPORT 14
_ p APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORDS DEPARTMENT Permit No.
_ TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00
BOUTIN AND .SONS CONST Phone No.
860 623 2526
Name of Firm
Address of Firm 121 WINDSORVILLE ROAD BROAD BROOK CT 06016 Zip Code.
Location of proposed work 82 DEERFIELD LANE
Describe fully nature of permit requested REMOVE AND REPLACE EXISTING DRIVFWAY FROM 2MR Lim
TO
Starting date 1 0/2 7/1 6 Call Before You DigNo 2 01 6 4 3 0 0 4 4 2
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER(THAN A YEAR.PERMANENT PATCH IS
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price$ /sf
Est.Patch Cost$
Est. Curb Replacement ft
Est.Curb Unit Price$ /ft
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 aft or more from the property line per Total Due$
section 2.17 of the zoning regulations O Cash O Check#
Applicant is responsible for contacting the Police Dept.and C.B.Y.D Paid By
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
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 fiREET CUT PER MI MANUAL.
r
f �.
Signed: . L=.:�«- f.� a_ _
Print Name L-/3f1��-`'`�� �-�'6 � •� --Date.
Street Excavation Permit 2014
TUESDAY
l-�
BOUTIN & SONS PAVING COMPANY, INC.
3 ;Oopm 121 Wmdsorville Road Broad Brook Connecticut 06016
Tel. (860) 623-2526
Date of Call: 4/2 9/1 6 Scheduled Work Date: :y
Date of Estimate: 5/3/1 6 Completion Date:
Date of Acceptance:
Name: ` L KAREN DAVIS � +�
LC
Address: 82 DEERFIELD LANE - `
SOUTH WINDSOR
E
G'ell -5" 13-
Tel:
OFF FELT ROAD
Job Location:
Description:
t�� r
da
9 "
a .�.
Quote Good foDays. ` - - • '• `•
`Special Attention: 112 Payment Upon Starting, Balance Upon Completion.
" Contract
Permit
ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. Pres.
CBUD 0 L4 Date I