HomeMy WebLinkAboutStreet Cut Permits 192 Hilton Drive (2) 1700165 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 08/14/2017
GIS ID:44100192
FEE:MUNIS APPLICATION 4 201701072 A- 2S.OQ
EXPIRATION DATE: 08/1425.08
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APPLICANdif
NAME: BOUTIN& SONS �' r LOCATION
ADDRESS: 121 WINDSORVILL ROA7 ADDRESS I92 HYI TON DRIVE
OWNER FORNli JAMES H&ELIZABETH W
BROAD BROOK,CT 9 0. NJ` I�2 FHIIJI ON DRIVE
PHONE M
4 ' SOUTH W NDSOR CT 06074
860-623-2426 " '
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WORK DESCRIPTION: DREp;
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APPLICANT AGREES TO FURNISH THATOWN�F SOyUTH UPI 1DSb xHE t M0 1*T I JND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR A jY` 3£P "T I TOj, PpRtMAINTENANCE OR REPAIR WORK 1N
CONNECTION WITH THIS PERMIT AND T T; Ai7P,LI�ANT,IS iQMT AA-W H�I�ID W,II L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN 0�S�0`ul'T'TV(7FAIDSOR' TR1J T L T FRMIT MANUAL,
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ISSUED BY DAm INSPECTED INSPECTED BY
8/14/20172:50PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 11 o 16 5' CONTRACTOR: tl. 12
LOCATION: i 9 J 140 A) 1)r i V e
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: L18
INSPECTED BY: 6 D
WORK IN
PROGRESS: -,ZV
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: �' DATE: I "
S/molloy/forms 2014 Town of South Windsor INPSEMON REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appi. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 ' FEE $25.00
Name of Firm BOUTIN AND SONS CONST Phone No. 623 2526
'Address of Firm 121 WINDSORVILLE ROAD BROAD BROOK CT 06016 Zip Code
Location of proposed work 192 HILTON DRIVE
Describe fully nature of permit requested REMOVE AND REPLACE EXISTING DRIVEWAY
FROM STREET TO GARAGE
Starting date 8 9 1 7 Call Before You Dig No 2 01 73104623
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL.AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYP.LCALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR
Check;Applicable: ElNo Pavement,Curb or Sidewalk Cut ElPavement Cut ❑ Curb Cut ❑ Sidewalk Cut
9k Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑, Proposed New Driveway
Water Supply: CI Public Water ❑ Well Sewage Service: CJ Public Sewer ❑ Septic
Show sketch'of proposed work or furnish Indicate North This section to be tilled out by Town
two copies of separate drawing
No.cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price
Est.Patch Cost$
i
Est.Curb Replacement ft
Est.Curb Unit Price
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
{ )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
1 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 TiREET CUT.PE MIT MANUAL. I.
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Signed: �:��-�� t
Print Name /�/�vai/JC if�i Date: .
Street Excavation Permit 2014
7
TUESTUESDA ,
Y BOUTIN & SONS PAVING COMPANY, INC. i4l/
121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526
Date of Call: 6 2 7 Scheduled Work Date:
Date of Estimate: 6 2 7 1 Completion Date:
Date of Acceptance:
JAM FORNEY
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Nameu %i: A
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192 HILTON DRIVE
Address:
SOUTH WINDSOR
49
1;
71
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860 528 2624
Tel: ;
£
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T
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OFF PLEASANT VALLEY DR
Job Location'.
Description; f
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Quote Good fo Days. �' `�
Special Attention: 112 Payment Upon Starting, Balance Upon Completion.
Contract J ' L' - / 7 Permit '
ONE YEAR GUARANTEE ON WORKMANSHIP 8:MATERIALS. Pres.
CBUD 310 - HCOQ Date �� r1