HomeMy WebLinkAboutStreet Cut Permits 40 Palmer Drive (2) 1600215 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 11/17/2016
GIS ID: 68400040 FEE: 25.00
MUNIS APPLICATION# 201601720 . EXPIRATION DATE: 11/17/2017
APPLICANT LOCATION
NAME: BOUTIN&SONS ADDRESS: 40=PALMER DRIVE
ADDRESS: 121 WINDSORVILLE ROAD OWN BR: PARSONS LINDA&
BROAD BROOK, CT 06016 40 PAIMER DRIVE
SOUTH WINDSOR,CT 06074
PHONE 860-623-2526 =
WORK DESCRIPTION: DRIVEWAY
APPLICANT AGREES TO FURNISH THE TOWN - 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 WI-DSOR'S STREET CUT PERMIT MANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
I1/1 7/201 6 2:39PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
---------------.
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO;: JS CONTRACTOR: Z9a'fI k)
LOCATION: ? � � _
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: %3I
INSPECTED BY: 03
WORK IN
PROGRESS: 3
SEPTIC TANK PUMPED,-SMASHED, FILLED WITNESSED ❑YES ❑ NO
AS-BUILT:
INPUT: DATE:
S/molloy/forms 2014 Town of South Windsor INPSECTION"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 $25.00
Name of Firm
BOUTIN AND SONS CONST Phone No.860 623 2526
Address of Firm 121 WINDSORVILLE ROAD BROAD BROOK CT 06016 Zip Code
Location of proposed work 40quPALMER DRIVE
Describe
idly nature of
permit
GARAGEREMOVE AND REPLACE EXISTING DRIVEWAY
Starting date 1 1 /8/1 6 Call Before You Dig No ,70 /G 41Sa e)
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
V Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out bV Town
two copies of separate drawing
No.cuts
Est. Patch Size(s) sf
Nj Est. Pvt.Thickness in.
Est. Patch Unit Price$ !sf
Est.Patch Cost$
Z1
0 Est,Curb Replacement ft
Est.Curb Unit Price$ /ft
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price
i
Est.Sidewalk Cost$
Est.Traffic Hours hr
Z Z j 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
( ) 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 7REET CUT PE MIT MANUAL.
Signed: i --�.- Print Name_ '�-�'//' ���` era"a- Gf Date:
Street Excavation Permit 2014
ANYTIME BOUTIN & SONS PAVING COMPANY, INC.
121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526
Date of Call: 9/1 7/1 6 Scheduled Work Date:
Date of Estimate: ANYTIME Completion Date:'22h
Date of Acceptance:
Name: JOHN PARSONS Grp �
L
Eq —
Address:40 PALMER DRIVE \\,
SOUTH WINDSOR
Bit
Tel. 860 648 1275 Nc
Pr
Job Location : OFF FOSTER STREET
Description:
I
it
X C
1
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Quote Good for t Days. ' - ` - _ • ' -• '•
Special Attention: 112 Payment Upon/Starting, Balance Upon Completion.
Contract �� Permit
ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. / Pres.
CBUD 3 C• (0 7 �0 O 7 g I Date