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HomeMy WebLinkAboutStreet Cut Permits 105 Deepwood Drive 1700221 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 10/16/2017 . GIS ID:27000105 FEE: 50.00 MUNIS APPLICATION# 201701455 ., EXPIRATION DATE: 10/16/2018 APPLICANT 4 LOCATION NAME: BOUTIN&SONS ADDRESS,.,., 410`D9EPWOOD DRIVE ADDRESS: 121 WINDSORVILLX R00D OWNER s 11USSOXATHLEEN A BROAD BROOK,CT 0601t 105.'DEEPWOOD DRIVE SOUL'HAMDSOR,CT 06074 PHONE 860-623-25264 ' g. WORK DESCRIPTION: DRLVEWAY n ' v y. rw s APPLICANT AGREES TO FURNISH THITOyN OF SOUTH WINDSOR THE AMpU>QTlQF BAND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR A`I f,9kPENSES INCGIRREI $Y THE TOWItiT FO1 :MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TEE APPI.IOA NT IS FAIV�II;IAR W1TFI AiD WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN` F'SG[JTH WINDSdW, STREET CUT PBRMIT MANUAL. ISSUED BY DATE IN=SPECTED INSPECTED BY 1 0/1 6/201 7 2:32PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** J y 1 t " r- L ti 3, 2 al f � 4 S _ l2 t �1 t s } Y a ..e �l t x F t by n. C TOWN OF SOUTH WINDSOR INSPECTION REPORT - PERMIT NO.: CONTRACTOR: A) LOCATION: 1 c).� bPpp Ut_as l ter 4 ic- - TYPE OF WORK: , c. DATE INSP NEEDED: DATE INSP: INSPECTED BY: BD WORK IN PROGRESS: SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: �, , _ DATE: = S/molloy/forms 2014 Town of South Windsor INPSEMON REPORT 14 APPLICATION FOR STREET EXCAVATION PERMIT Appl, No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPAR'NMENT Permit No. TOWN HALL 1540 SULLIVAN"( NUN SOUTH WINDSOR,(.7 06074 iFEE $50.00 Name of Fir BOUTIN AND SONS CONST Phone No.860 623 2526 m Address of Firm 121 WINDSOR7SLLF Rf)A1-) RRf1AT) Zip Code Location of proposed work 105 nEEPWOOD DRIVE - ---- - Describe fully nature of permit requested, REMOVE AND R"P G DUMP.-x7A Y-'R9.M STREET TO GARAGE STRIP BIT Starting date 1 0 14 17 Call Before You Haig No�7 PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE, THE APPLICANT 15 RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TO',NN'S CONTRACT COSTS, THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT-COULD BE LATER THAN A YEAR. Check Applicable: EI No Pavement,Curti or Sidewalk Cut ' © Pavement Cut' [j Curb;Cut '©Sidewalk Cui.' '7 i ®existing Driveway,No Changes- EJ Proposed Driveway Widening El Proposed New Driveway Water Supply: ©Public Water ❑Well Sewage Service: a Public Sewer 0 Septic i Show sketch of proposed work or furnish Indicate North This section to be filled out btr IM two copies of separate drawing No.cuts / Est.Patch Size(s) sf Est.Pvt.Thickness in. Est.Patch Unit Price i fcet,Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price$ Ift Est.Curb Cost Est,Sidewalk Replacement sf Est.Sidewalk Unit Price$ !sf Est.Sidewalk Cost$ Est.Traffic Hours _ hr Est.Traffic Unit Cost$ /hr Est.Traffic Control Amt.of Deposit$ DRIVEWAYS must ibo aft or more from the property lute 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 SMALL BE KEPT ON JOBSITE AT ALL TIMES Paid By f 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'7ST ET CUT PERMIT ANUAL.fL� 1, �N Print NameSigned: . - - Engineering/permits/Street Excavation Permit 2017 TUESDAY BOUTIN & SONS PAVING COMPANY, INC. 8:00am 121 Windsorville Road, Broad Brook, Connecticut 06016 Tel. (860) 623-2526 Jate of Call: 8/31 /1 7 Scheduled Work Date: Date of Estima 5/1 7 Completion Date: Date of Acceptance: ' 4�, /7 Name: JOHN RUSSO G Ei Address: 105 DEEPWOOD DRIVE SOUTH WINDSOR Bi `" _ 860 205 5841 Tel: N _ Pi Job Location: OFF PALMER DRIVE , 4escription: 'l l f Quote Good foiDays. r Speciat Attention: 1/2 Payment Upon Starting, Balance Upon Completion. :ontract '9"11' 7 Permit 10 ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. t , Pros. CBUD Lj 1 0 - . Date �i