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HomeMy WebLinkAboutStreet Cut Permits 169 Quarry Brook Driv (2) 1700200 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 09/14/2017 } GIS ID: 74100169 2 = s FEE: 50.00 MUNIS APPLICATION# 201701236 � PIRATION DATE: 09/14/2018 � a 40%- APPLICANT ?. LOCATION NAME: BOUTIN&SONS. r ADDR); �69'"QUIRRY BROOK DRIVE ADDRESS: 121 WINDSORVILLE R,A.Ig f OW1ER 1 [AL O1VE KARMELA K BROAD BROOK, Ci 411 ( 19 �J 1RRY BROOK DR dY st s S©UT'HVINDSOR,CT 06074 PHONE 860-623-2526 y u K, i WORK DESCRIPTION: DRIB 1,,WA APPLICANT AGREES TO FURNISH THL'I OWI OFOiITH SOIt TIi{AMOIT OF T�OND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY EXPNES.INCURII BY SI ITE TFOI ;�VIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND Tft M'i I ICAI`iT IS FAMILIAR 17l ITfI AND ?.I.I L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN(1T 90,�ITH V1IIVDSOI ':S STIjEET CUB PERMIT MANUAL. to ; F ISSUED BY bXTP�MW WCTED INSPECTED BY 9/14/2017 3:19 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** t -------- gO ` v ' y SEg v 55 L j 't,x5 . S 7 44 go j y( y 1 2 S s V J y,y z, tiAs. %A., ," t k �; Or gy I TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: CONTRACTOR: &2(2 7`i l0 LOCATION: ZL, U TYPE OF WORK:_ i u�P�f�C 4iI DATE INSP NEEDED: DATE INSP: � 3 INSPECTED BY: 6_D WORK IN PROGRESS' ��_,�,-_ -- SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: �'° ' } DATE: ^ S/molloy/forms 2014 Town of South Windsor INPSEC ION REPORT 14 APPLICATION FOR STREET EXQX AT1QN PERMIT Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT, Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074, FEE $50.00 Name of Firm Phone liic�. BOUTIN AND SONS CONST 860 623 2526 - Address of Firm 121 WIND,SQRK11,1,EROAD RnAn �BR©OY,-_C._-0- 4J-6.-..-.®-Zip Cc)de Location of proposed Work_. 16 9 QUARRY BROOK DRJ_V�E�-_.•_.____�_ _ Describe fully nature of permit requested REMOVE AND—REPLACE EYTA, G ]DRIVEWAY____ _ FROM STREET TO GARAGE STRIP BIT _ Starting date 9/13/1 7 Call Before You Dig No 2 017 3 6 0 4 0 3 4 PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMIrdARY ESTI10ATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB RE-PLACEMENT.,INCLUDING ANY INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPQRARYi�.PATCH B'`T IT,CGSY Lb BE TE,3 THAf�i A YEAR , f __`p' i Check Applicable: © No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑Curti Cut ❑Sidewalk Cut JD Existing Driveway,No Changes ❑ Proposed Driveway Widening 111 Proposed New Driveway Water Supply: ❑Public Water ❑Well Sewage Service: ❑ Public;Sewer I-]Septic Show sketch of proposed work or furnish Indicate North This section to be filled out,"Town two copies of separate drawing I No.cuts Eat.Patch Sizes) sf r^st.PA...Thickness in. Fist.Patch Unit Price$ lsf Est.P;.Ftch Cost Est.Curb Replacement fl Est, Curb Unit Price$ fft Est.Curb Cost$ Est.Sidewalk Replacement sf Est.Sidewalk Unit Price$ /sf Est.Sidewalk Cost Est Traffic Hours _ _._hs Est.Traffic Unit Cost$ fhr Est.Traffic Control$ Amt.of Deposit$ DRIVEWAYS must be Sit or more from the property line per Total Due$ section 2.17 of the zoning regulations I ( )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 I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BONO 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 ST ET CUT PERMIT ANUAL• l• C Signed; Print Name •Date: - Engineering/permits/Street Excavation Permit 2017 ANYTIME BOUTIN & SONS PAVING COMPANY9 INC. 121 Windsorville Road, Broad Brook, Connecticut 06016 Tel. (860) 623-2526 Date of Call: 5/31 /1 6 Scheduled Work Date: Date of Estimate: An time Completion Date: Date of Acceptance: 61" Name: Karmela Maloney 31 169 Quarry Brook Drive Address: _ — - ._ --__ South Windsor -,,►�. 670-1034Ij Tel: , 5.00 . ..... ... . " Job Location: s ' 14 Description: ..,'' + COP fi C� �Ior, . i Quote Good fo# l�Days. Special Attention: 112 Payment Upon Starting, Balance Upon Completion. Contract �' -? y Permit `f ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. Pres. CBUDCy '--10 3 � Date