HomeMy WebLinkAboutStreet Cut Permits 399 Foster Street (2) 1700061 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 04/04/2017
GIS ID: 33600399 FEE: 25.00
MUNIS APPLICATION# 201700328 EXPIRATION DATE: 04/04/2018
APPLICANT LOCATION
NAME: BOUTIN&SONS ADDRESS 399 FOSTER STREET
ADDRESS: 121 WINDSORVILLE ROAD OWNER: ENDRE MIKE
BROAD BROOK, CT 06016 57 LOVELAND HILL RD
PHONE 860-623-2526 VERNON,CT 06066
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.
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ISSUED BY DATE INSPECTED INSPECTED BY
4/4/2017 10:10 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:: .1'700LW CONTRACTOR: T U
LOCATION: 312 Fv s te(L s r Ce ET
TYPE OF WORK.'--.. irO � --
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: b
WORK IN
PROGRESS:
SEPTIC TANK.PUMPED;SMASHED,FILLED WITNESSED ❑YES ❑NO
AS-BUILT:
INPUT: DATE: 117
S/molloy/forms 2014 Town of South Windsor I 0SECtIOiV`WOU 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 $25.00
Name of Firm
BOUTIN AND SONS CONST Phone No.860 623 2526
Address of Firm 121 WINDSORVILLE ROAD BROAD BROOK CT 06016 Zip Code
Location of proposed work 399 FOSTER STREET
Describe fully nature of ermit requested REMOVE AND REPLACE EXISTING DRIVEWAY
FROM STREET TO GARAGE
Starting date 4/1 /1 7 Call Before You Dig No 2 01 71 3 0 213 8
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
V Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Pi1b:iC Na er ❑ `A10 Sevt.,age Service: ❑ Pui:lic Sewer ❑ Septic _
Show sketch of proposed work or furnish Indicate North This section to be filled out bV Town
two copies of separate drawing
0 No.cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price$ /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 3ft 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
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 IT MANUAL.
�_ f?A ,X' �lr' .>F,�«>FI`ADate:
Signed: f Print Name
Street Excavation Permit 2014
THURSDAY BOU T'IN & SONS PAVING COMPANY, INC.
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8:00am 121 VVindsorville Road, Broad Brook, Connecticut 06016
. = Tel. (360) 623-2526
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Date of Call: 7/6/1 6 Scheduled Work Date:
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Date of Estimate: 7/14 J 16 /� Completion Date:
Date of Acceptance: � (
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Name: EN4RE MIKE Gr
E��. fro-�
Ad 399 FOSTER STREET
SOUTH WINSOR z
Bit
Tel: 860 713 9346 Nc ;
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OFF ELLINGTON ROAD r �
,Job Location: _ r,
Description: r* `~
41
Quote Good foDays. `
Special Attention: 112 Payment Upon Starting, Balance Upon Completion.
Contract Permit .
ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. Pres.
CBUD �)0 a1 - �"��� `�, �� ��� Date