HomeMy WebLinkAboutStreet Cut Permits 173 Natsisky Farm Roa (2) 1700155 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 07/2I/2017
GIS ID: 62300173 F f FEE: 25.00
MUNIS APPLICATION# 201700960 4s f s,��2BPIRATION DATE: 07/21/2018
F
APPLICANT _ 4 _ =Y LOCATION
z
NAME: BOUTIN&SONS s' ADDRESS 17N� TSISKY FARM ROAD
ADDRESS: 121 WINDSORVILL RAID 4,�'.` t} 1EIZ " RU�PEVIAURICE&JEANNE
Q BROAD BROOK, C >6 16 ` 3731 fA1-SISKY DRIVE
SOUTHWINDSOR,CT 06074
PHONE 860-623-2526
WORK DESCRIPTION: DR�aVFWAI �M�
APPLICANT AGREES TO FURNISH THF�TO OP SOUTH' 11�DStJT€I°HE�AMOL�NTxOF B[JND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AY 'Ei�FS$�S INCII3Y TiE TgVbR 3�1AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE I'pIzICA1�1T IS FAIWIILIAR WIT ET ID WII L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN S( 'H W1NDSq .'S STI ET CIIT 1')12MIT MANUAL.
ISSUED BY 15 INSPP; TED INSPECTED BY
7/2 1/2017 1 1:59AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
r
k
60 "i• re %
�:y..
1r(TA is M „fir 5
a
42
40
AT
L`ti F
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: ) 70,/) ISS� CONTRACTOR:_ 11U` J/L
LOCATION: r '
TYPE OF WORK: ve�_Ja
DATE INSP NEEDED: DATE INSP: j5'��S
INSPECTED BY: ��
WORK IN
PROGRESS:
Levu � G`1�i
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 FETE $25.00
BOUTIN AND SONS CONST 860 623 2526
Name of Firm Phone No.
Address of Firm 121 WINDSORVILLE ROAD BROAD BROOK CT 06016 Zip Code
Location of proposed work 173
Describe fully nature of permit re nested REMOVE AND REPLACE EXISTING _I�]3I���'rn7n V E! ON _STREET
TO GARAGE
Starting date 7/1 5/17 Call Before You Dig No �n�o Cl 20():7
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE, THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
LAP Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: L7 Public Sewer 0 Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
Est.Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price$ /sf
Est. Patch Cost
Est.Curb Replacement ft
Est.Curb Unit Price
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price$ /sf
Est.Sidewalk Cost$
I
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
( ) Cash ( )Check#
Applicant is responsible for contacting the Police Dept.and C.8.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 S REET CUT PE M1T MANUAL. �]
Signed: Print Name t f:�'frae'
Street Excavation Permit 2014
Ju1,.14.2017 10:05 AM Town of Manchester Public 8606473140 PAGE. 4/ 4
ANYTIME BOUTIN A SCANS PAVING COMPANY, INC.
121 Windsorville Road, Broad Brook, Connectic
Tel. (860)623w2526 fr
Date of Call: ' 5/ 7 Scheduled Work Date:
ANYTIME .� t..,
Data of Estimate; Completion Date:
Date of Acceptance;
' Nah7e: ."3�AN .HUPP
Address:
173 NA,TTSKY FARM ROAD
�� r: ` �::: •:•.::• k;
SOUTH WINDSO :f
860 644 2787
OFF DART HILL
Job LoQatiQn;
Description:
�. '
�J►
r1 Y, ..ram �. •� ��}��;2 -�`�'•-+. � ti-1:;?•� � ����
Quote Good fo }Days.
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
Contract "P / Permit
ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. Pres.
CRUD •���� � �,�C�•- ZA101 Gate