HomeMy WebLinkAboutStreet Cut Permits 73 Cliffwood Drive (2) 1800066 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
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DATE: 06/07/2018
GIS ID:21000073 el, FEE: 50.00
10 MUNIS APPLICATION# 201800895 t s ` Y lyXPIRATION DATE: 06/07/2019
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APPLICANT A,���� �� < � ' � '�v r. � � 2�� LOCATION
NAME: BOUTIN&SONS a ADDRES ;, F3G�7,I WOOD DRIVE
ADDRESS: 121 WINDSORVILLE Ii e l {� Ts h `i a�Vi`IE ?1`iAN I0 RICHARD&PATRICIA
BROAD BROOI{ C7r0� U16i k 5 k k' r 5 1 �''3 73 ;WOOD DRIVE
k5 ipomtt x� �,5(�UTH - INDSOR,CT 06074
PHONE 860-623-2526 =' n
WORK DESCRIPTION: DRI & Ay
APPLICANT AGREES TO FURNISH THE vet SOI 1~ki 4 R 13 E AIVIQLI T BbND REQUIREb AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AI . 13lAP 1�`NS_$1,4 1 $ TFIE t�lUvIxI OR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND T AS ICAIT IS iAiT 1AR VA rRJ L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN 0t$OI�J 1 YI�UI�NDSO '.S�STR T CIkI PE MIT MANUAL.
IS gUED BY D „r E INI�ETED INSPECTED BY
6/7/2018 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.: ADD s�JD #
CONTRACTOR._ �1 r
LOCATION: 73 c,)(.:4T 0D0r71
TYPE OF WORK:
DATE INSP NEEDED. DATE INSP: 9 / S'
INSPECTED BY:
WORK IN
PROGRESS:
,SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑YES ❑ NO
AS-BUILT: L
INPUT: DATE: �nl
S/molioy/Porms 2014 Town of South Windsor INPSEMON REPORT 14
APPLICATION FOR STREET EXCA 'ATM PERMT
Appl. No. TOWN OF SOUTH WIND SOR Gon.pBLIC WORKS U.'IF-PARTAMENT Permit No.
f , 11141030R,(' f OrMM FEETO U -ALL °a Q SULLIVANSJ Qi �A la �
BOUTIN AND SONS CONST Pho:1e�I�Ir,t3b0 623 2526
Name of Firm — -- -M-�.
Address of Firm 121 WINDSQR TTJ,F.RQAT) R— ��QIDI% "'--_. 1-� a-�- ip Code_�___�__�_�-
Location of proposed work 73 CLIFFORD DRIVE
Describe fully nature of permit requested REMOVE AND REPLACE EXISTING DRIVEWAY ,
FROM STREET TO GARAGE STRIP BIT
Starting date 6/5/1 8 'Nall lbe ore'�ou Dic; tit _201 82203331
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PA I CH AND CURES PEPLACEMEN T IS A PRELIi1RINARY ESTEI><iATE. THE
APPLICANT ES 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 PEPMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
:� I, Check f�pPlicablel;..!, ;❑l�toI?aYerrlent Cairborl ide�vall4.Cut CI.Pavem" ICui !CJt;jsFlyGExt EldewailcCut
® Existing Driveway, No Changes, ❑Proposed DrivewayWidenhg El Proposed New Driveway
Water Supply: ❑ Public Water ❑Well Sewage Service, 0 Public Sewer Cl Septic
Show sketch of proposed work or furnish indicate North !,tais section to be filled out by Town
two copies of separate drawing.
_ feio. cuts
Est.Patch Size(s)—.. __ Sf
Est. PvL Thickness in..
EV.Patch Unit Price$ __ /sf
ys't,Patch Cost:$
Est.Curb Replacement
tilt.Curb Unit Price /
EN t.Curb Cast$
Est.Sidewalk Replacement sf
E51,Sidewalk Unit Price$ 1Sf
Est.Sidewalk Cosh
Est.Traffic Hours hr .
i Est-Traffic Unit Cost
€l Est,Traffic Control$ _
Arnt,of Deposit$ I
DRIVEWAYS must be aft or more from the property line per Total Bye$ --
section 2.17 of the zoning regulations
( )cash ( )Check P
Applicant is responsible for contacting the Police Dept.and C.B.Y.D
PERMIT SHALL BE KEPT 6N JOBSITE AT ALL TIMES � Paid By
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF E"OND REQUIRE[)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�E ET CUT PERMIT ANUAL.
Print Name_ ' Date:
Engineering/permits/Street Excavation Permit 2017