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HomeMy WebLinkAboutStreet Cut Permits 21 Norma Road (2) 1900033 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 04/24/2019 y ,, GIS ID: 63900021 FEE: 50.00 MUNIS APPLICATION# 201900763 EXPIRATION DATE: 04/23/2020 APPLICANT `. LOCATION NAME: BOUTIN&SONS ; 4 { ADDRESS 2+1"NZMA ROAD ADDRESS: 121 WINDSORVILLE�ROAb ,. OWN);R kZIC ONIQUE&JURO + I 1�70R`IVIA ROAD BROAD BROOK, I 06016 PHONE 860-623-2526 j 5 f WORK DESCRIPTION: DIVEVVI YZ r, 1 APPLICANT AGREES TO FURNISH THL'tTOi OF SOUTH WIND�CIR THE AM(7UIT OF HOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY EXPEN 9 IN0, -b..B . THE TOWS(FOB MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TI'IEAP-L,ICANT I� AMXL,IAR WITH Al I5 WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TO F SOY7mH VVINDSOR'S ST);EET CUT PERMIT MANUAL. ISSUED BY_j D 'T`NSPECTED INSPECTED BY 4/24/2019 3:45 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** 1 S csy ;a S 3x = S �' x rt 3• Z= YIN,11 �3 R y X I f i I TOWN OF SQU'tH.WINDSOR INSFEC'RDN REPORT PERMIT NO.. odor CONTRACTOR:. LOCATION: a CSC: TYPE OF WORK: DATE INSP NEEDED: :- DATE INSP. 7ZZ±� INSPECTED B��: . . , WORK-IN PROGRESS: 'f— © _ SEPTIC TANK PUMP�p,SMASHEDr FILLED 1lU1TNESSED [].YES C] NO AS-BUILT' (19 INPUT: G DATE: c Sp.l.y(forms 2M4Town of South Windsor•IINP5 10N IMPORT 14 i i APPLICATION FOR STREET EXCAVATION PE PT Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. "OWN HALL 1540 SULLIVAN AVENUE SOUTH 1111ANDSOR,CT 06074 FEE $50.00 Name of Firm BOUTIN AND SONS CONST Phone No860 623 2526 Address of Firm 1 21 W:UM _0 TaL� ' Rnz�n RO,T;r3 RRc I C g f<} �-•--W-dip Code�__ Location of proposed work 21 NORMA _ROAD _ --. _-.�_-- Describae frilly na .ire of parrnit requr sted_REMOVE AND REPLACE EXSI_TIN_G DRIVEWAY -_ FROM STREET TO GARAGE STRIP BIT _ Starting date__-- 4 .24.1 9 Call Before You Dig NO.2011-91-6D4:4Q6_.___-_ PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT 15 RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOINN'S CONTRACT COSTS. THE PERMANENT PATCH is TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑No Pavement,Curb or Sidewalk Cut D Pavement Cut ❑ Curb Cut L-1 Sidewalk Cut Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Vvaie;S"L.;3ul'y': ❑ PublicVAn.i�.r `P-Ji iaw@g--;C@r`dice i-. 1 L!1;lr�<?�tPf=i' ❑St.ptic I Show sketch of proposed work or furnish Indicate north This section to be filled out by Town two copies of separate drawing - No. cuts Est. Patch Sizes) sf Est. Pvt..Thickness in. Est.Patch Unit Price$_,�",-________!sf st.Patch Cost st Est. Curb Replacement f-t Est,Curb Unit Price$ I t Est.Curb Cost$ Est.Sidewalk Replacement sf Est.Sidewalk Unit Prins$ lsf Est.Sideway Cost$ i ' Est.Traffic Hours hr Est.Traffic Unit Cast$ /hr Est,Traffic Control i Arcot.of deposit$ DRIVEWAYS must be aft or more from the property line per , Tota9 D ue$ _ section 2.17 of the zoning regulations I I ( )Cash ( ?Check f - Appllcant is responsible for contacting the Police.Dept. and C.B.Y,D, PERMIT SHALL BE INEPT 6N JOBSiTE AT ALL TIMES � Paw,By I I AGFREE-TO FURNISH TO THE TOWN OF SOUTI I b'VIPJDSOR 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 ET CUT PERMIT(NiANUAL. � c. Signed; (�- �f��.� ��<•�. Print Nerve Date: Engineering/permits/Street Excavation Permit 2017 MONDAY BOUTIN & SONS PAVING COMPANY, INCE 121 Windsorville Road, Broad Brook, Connecticut 06016 " l' 1 2:30pm Tel. (860) 623-2526 Date of Call: 3/2 0/1 9 Scheduled Work Date: Date of Estimate: 3/2 5/1 9 Completion Date: Date of Acceptance: n f MONIQUE PEZIC VOR' "l*�it 's� ;w ,�ys� ; s, + Name: ky�S !G t der X rv" rs f uo x vk+,r� � tr mum 'k ?.sir i`'�'° fF' ttIn is +r� tiy� ;{u ee� tk rYi x/y �al➢ � LM-, 7'�rr rf'Pt 1h 5rF 1 r c k -Y f 5fj 4, is � a rtN ar✓ �s C���a�' °6 5.-�f r+fi- F re�-�a'F 2 y'� •a;4i r�L�. � E, y Ors wn+ Ry §kA `n"5wt' i'r!' 21 NORMA ROAD + r t' ,z�v � at�s ,�e + +3s, /� L y, fir, r,{ !A r�'/ L 1 et h ,� Y\ddre..S.�'7: sy 7 i4}1rl ��Ar k�f +ri IP7y1,f a w I M;iY#Y ;yi b�r[t !f ; �k e4 C{J' �,�+t�`"-a•F`' ,� a y� [1f,3S SOUTH WINDSOR aiq°K z ,✓ 860 372 8138: ry , riy Tel: `-I 1 *� t`€�TtAi} 5,4 a i{ Ir>'itljrj ;r 531�-r�h'+I+il j al, NU ! Ikya.vr �3�1}k'tkrn`r j.,sP 'rE l T r 1�e�5�6 '° s ]t'P`. ,�.•x'.I(Lb y4 r x� r�'S+P OFFi: FARMSTEA1 ROAD Job Location Description: /X," / l ate\. •7 Zj l r•, y� I Quote Good forbF�O� ,Days. t Special Attention: 112 Payment Upon Starting, Balance Upon Completion. Contract Permit ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. Pres. CBUD 1 � " f '� Date '9t