HomeMy WebLinkAboutStreet Cut Permits 87 Jessica Drive (2) 1700172 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 08/18/2017 5 4
GIS ID:47400087 AZ41 FEE: 25.00
MUNIS APPLICATION# 201701105 "y EXPIRATION DATE: 0$/18/2018
1.
APPLICANT w a ' , LOCATION
NAME: BOUTIN&SONS r ADDRESS 17 JESICA DRIVE
ADDRESS: 121 WINDSORVILLE R+ AD Q NER BIFOL K JOHN M&DEBORAH F
BROAD BROOK,C �36i11 8'� ESS CA DRIVE
SOUTHNDSOR, CT 06074
PHONE 860-623-2526 t
WORK DESCRIPTION: DRIV x
it d
APPLICANT AGREES TO FURNISH TH TOWIII�5F SOUTH WII�IDSOR T AMOUI IT�QF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FORA XP1;1xiSFS INCCIRRED;I3Y FiE WI!�FOR_MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND ThE APPLICANT IS`1~AMITIAR WI1'H AND WALL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF 5C5Y7 II WINDSQR'.-S STRttT.UT PERMIT MANUAL.
ISSUED BY ,f DATE INSPECTED INSPECTED BY
8/18/2017 2:33 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: [700l 79 CONTRACTOR: 60U jl-)/U
LOCATION: `9 �5 l `►`� "r i�2.
TYPE OF WORK: �-� �\^p �
DATE INSP NEEDED: DATE INSP: 3/ $
INSPECTED BY:
WORK IN
PROGRESS: a S icy�cti. c.., is ��i.vt
,
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: C'..k1►`— DATE: L A l- I
S/molloy/forms 2014 Town of South Windsor INPSECrION REPORT 14
APPLICATION FOR STREET EXCAVAT�ON PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVERUE SOUTH WINDSOR,CT 06074 FETE $25.00
Name of Firm BOUTIN AND SONS CONST phone No. 860 623 2526
Address of Firm 121 WINDSORVILLE ROAD Zip Code
Location of proposed work 87 JESSICA DRIVE
Describe fully nature of permit requested REMOVE AND REPLACE EXISIT,ING DRIVEWAY
FROM STREET TO ARA P
Starting date 8/15/1 7 Call Before You Dig No:2Q 1 7 3 C 3 5 5 F
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curh Gut ❑ Sidewalk Cut'
Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness
Est.Patch Unit Price$ /sf
iEst.Patch Cost$
Est.Curb Replacement it
Est.Curb Unit Price$ /tt
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price
Est.Sidewalk Cost
Est.Traffic Flours 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
( )Gash ( )Check#
Applicant is responsible for contacting the Police Dept.and C.B.Y.D
PERMIT SMALL 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 Tz--
MANUAL. o t.• _ 8/1 1 /1 7
Signed: .�.-��-�^-� Print Nam e1�1'Y%'I'P'%C, -.� // Date:
Street Excavation Permit 2014
TUESDAY BOUTIN & sous PAVING COMPANY, INC.
*8.00am 121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526
7/1 7/1 7
Date of Call: Scheduled Work Date:
7/18/17
Date of Estimate: Completion Date:
Date of Acceptance:
JOHN BiFOLC
+ Name: G
E _ _
Address: 87 JESSICA DRIVE
SOUTH WINDSOR
E-" ,�-
860 277 '9677 WORK `
Tel:
860 644 0874 HOME -- J
Job Location: OFF DEBBIE DRIVE
Description: C7
1.P
Quote Good for- Days. ' • • • • ` '• '•
Special Attention: 112 Payment Upon Starting, Balance Upon Completion.
Contract '7 ' 1 Permit
ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. Pres.
CRUD 2 v/ 7 3 20 5-. !o Hate