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HomeMy WebLinkAboutStreet Cut Permits 49 Ash Road (2) 1900056 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 05/14/2019 GIS ID:05700049 FEE: 50.00 MUNIS APPLICATION# 201900960 EXPIRATION DATE: 05/13/2020 APPLICANT 5 LOCATION NAME: BOUTIN&SONStf ADDRESS 44 AS ROAD ADDRESS: 121 WINDSORVIL hAb OWN1R AIfLIE REHABILITATION CENTER it 3 I1✓ARSON WAY BROAD BROOK, CxI 0601�6_ j PHONE 860-623-2526 5 '` WORK DESCRIPTION: DRVEWY s w s APPLICANT AGREES TO FURNISH TH&".TO"'QF SOUjI4 WTNDSfYRTHE AMO TNT QF BbND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR A'4 =TrXPE1�JSES INCUI2ItET BY SHE TOE FORIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TE#kPPLIC�ANT IS FAMILIAR WITH ArDI1LL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN QF§6gxm WINDSOR S DEBT CLOT P1 RMIT MANUAL. D r j �. ISSUED BY TED INSPECTED BY 5/14/2019 2:19 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** i I 1 I Y S J y4 nr r + 4y 1 a r},s y �• + f t t C 3 ' � 1 • i jr QW OF SQUTN.INNDSQRINSPECTmN REPORT CONTRACTOR: f. - — PERMIT NO.. LOCATION: 1. �P TYPE OF WQRK: �' 1 DATE INSP NEEDED; DATE INSP'._7,LJLJ— INSPECrED BY: .�D WORK:IN PROGRESS. i 1lI MESSED ❑'YES Q N0 SEPtTC TANK PUMPED,:SMASHED; FILLED f - r oP South Windsor INPUT. - C DATE: E S/molio�y/tarms M4 Torun IMPS [�t?tv it Paten'14 Q E APPLICATION FOR STREET EXCAVATION PERMIT APpl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPAC f NIENT �-t� $Permit No TOWN HALL 1540 SULLIVAN AVENUE SOUTH tt�81�i�S01�, T 0607 BOUTIN AND SONS CONST Phone NoB60 623 2526 Name of Firm Address of Firth 121 p ... ZIp Code Location of proposed work_.;. 49 ASH ROAD Describe fully nature of permit requested REMOVE AND REPLACE X T R z.? drivee FROM STREET TO GARAGE .STRIP BIT RTrmT Starting date Call Before You Dic3 N.o., 2 01 ___ . 3 j - PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANEN.T PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES.IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS.'THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. ''"•'` Check`Applicable: El N6113avement,,Curb or Sidewalk Cut "i 0 Pavem,entCut ©;Curb,Cut CI Sidewalk Cut, 1R Existing Driveway,No Changes ❑Proposed Driveway Widening ❑Proposed New Driveway Water Supply: E3 Public Water 13 Well Sewage Service: © Public Sewer 0 Septic Show sketch of proposed work or furnish" Indicate North This section to be filled out by Tawn tiitr opies of separate dravving n; i / \ No.cuts 1 Size(s) sf I >AEst.:Patc h t Est.PYL Thickness Est.Patch Unit Price$ /s Est.Patch Cost� Est.Curb Replacement it Est.Curb Unit Price t.'Curb Cost Est.Sidewalk Replacement sf Est.Sidewalk Unit Price Est.Sidewalk Cost Est.Traf is Hours hr Est.Traffic Unit Cost$ 1hr Eat.Traffic Control Amt.of Deposit$ i DRIVEWAYS roust 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 r4T'.ALL"TIMES Paid By -- I I 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 I THAT I AM FAMILIAR WITH AND WILL ASIDE BY'THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S ST €ET CUT PERMIT(MA'NUAL. < 4 j'�r GL ate: Signed.' c -�, Print Name --- Engineering/perrNts/Street Excavation Permit 2017 ANYTIME'r BOUTIN & SONS PAVING COMPANY, INC. 121 Windsorville Road, Broad Brook, Connecticut 06016 Tel. (860) 623-2526 Date of Call: 5/18 r __ _ Scheduled Work Date: ANYTIME Date of Estimate: w< f Completion Date: 'G Date of Acceptance: SERGE LESSARD —'` Name: Ivt"f 49 ASH ROAD Address: _ SOUTH�WINDSOR ter, Tel: b0 982 8807 i PLEASE CALL ,.WHEN ON WAY0.00 j - �� �_ it �-f•-J:..r 1 ��„/i OFF GRACE ROADA r Job Location Description: �. ,_ d SAO l 3 { # 2/ a Quote Good fo64 Days. I SA • Mastercard A -p -d 1 Special Attention: 112 Payment Upon Starting, Balance Upon Completion. Contract Permit ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. Pres. CRUD ��` � t� S ) Date f