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HomeMy WebLinkAboutStreet Cut Permits 110 Sweet Meadow Driv 1800105 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT — DATE: 08/01/2018 r .max 4y GIS ID: 88700110 FEE: 50.00 MUNIS APPLICATION# 201801385 {�t� { �` h �PIRATION DATE: 08/0I/2019 r�r 4 s"�Y ft.?'% f]k�Y�'• r T Sv APPLICANT`' , �� w LOCATION NAME: BOUTIN& SONS i ADDREs lv ET MEADOW DRIVE ADDRESS: 121 WINDSORVILLI#-, =hL� Y r p TER' S, N T FFREY T&MARLENE A fi ' •~4 e\nary y h T MEADOW DRIVE BROAD BROOK,C'I� y\ PHONE 860-623-2526 x �} � t WORK DESCRIPTION: DRIJ WAY'uF tii �€� 4 «�ti ,�f,•cc�,�3 rZ J a\r���-.�si<'v� } .'- �r ,� � F� ! APPLICANT AGREES TO FURNISH THEOI(FU 1I 4�'� E AMOU flFBfND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANs. IPEIIESRED II ICE T(� Q MAINgy TENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TA1I� ICN�T ISM ?iLR VC�II�T ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN O 5�11 THI ftbWR7t STREE F J7T P vIIT MANUAL. 01, t�r' ..� v ISSLIED Ht DAT,ErIN TED INSPECTED BY 8/1/20183:03PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** Y SAS fX U b / 5C wjp 40 if o 1 } i cii }, tt+n,iY�,..• i�is' .`W'} z„ `'e .�,i yyFxa";kAF I,",- ,(# Irk24-1 �yg �y TOWN OF SOUTH WINDSOR INSPEC UON REPORT PERMIT NO.: / ® /Z� CONTRACTOR; uLnJ LOCATION: gead.440 TYPE OF WORK: DATE INSP NEEDED. DATE INSP. N by INSPECTED BY;_ -aD WORK IN PROGRESS; SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑YES [] NO INPUT; DATE: 5/mdioyporms 2m Town or south Windsor•mpswri6w REPORT 14 APPLICATION FOR STREET EXCAVATION PERMP if _ Appi. No. TOWN OF SOUTH WINDSOR PUBLIC!ifORKS 01a'iPA TI MENT � Permit No. TOWN HALL 1640 SULLIVAN AVENUE E SOUTH WINDSOR,GT O6074 FEE $50.00 Name of Firm BOUTIN AND SONS CONST P 0 860 623 2526 Address of Firm 121 WIN $fi t, r�+�an pO � T —Zip Code Location of proposed work_ 1 1 R s3aaFt ---- Describe fully nature of permit requested remove a�c , p.�.Ce_ x Gtri iD_b-j t Starting date 8/1 /18 C ail Before You brig PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PA T CH AND CURB REPLACFMEI IT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CUR13 Rk-PLAGEMENT,INCLUDING ANY INCREASES-IN PATCH AREA,CURS LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHINA YEAR OF THE TEMPORARY PATCH BUT IT GOrULD BE LATER THAN A YEAR, Check Applicable. []No Pavement,Curb or Sidewalk Cut ❑ Ptavernaiil:Cut Q Curl)Cixt ❑Sidewalk Cut 13 Existing Driveway, Flo Changes- i] Proposed Drive)NnyVIridenirag ©Proposed New Drive>nrav Water Supply: ❑ Public Water Cl Weli Sewage Service: ❑ Public Sekuer ❑Septic Show sketch of proposed work or furnish Indicate North I his section to be filled out by Town two copies of separate drawing No.cuts . Es' Patch Sizes) ,f Est. PvI:.Thickness in. Est,Patch Unit Price .Jsi F to Rau h Cost _ Est.Curb Replacement I'1 Est.Curb Unit Price /fit Est.Curb Cost� Est. Sidewalk Replacement _sf 1st.Sidewalk Unit Price$ Isf that.Ticnaysralk`s:�asb Est.Traffic Hours hr Est.Traffic Unit Cost T fhr Est.Traffic Control Amt.of Deposit$ DRIVEWAYS must be aft or more from the property lime per TORI Due S section 2.17 of the Zoning regulations ( { ) Applicant is responsible for contacting the Police Dept. )Cash Check and C.B.Y.D PERMIT HALL BE KEPT 6N J01331TE AT ALL TIMES Paid By I AGREE TO FURI+tISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF vOND 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 1 AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S ST EET CUT PERMITANUAL, Signed: iftr=:+'la yr'�� z..!'': �t {' ✓'re €. _ _ Print Name gate Engineering/pera its/Street Excavation Permit 2017 EDUEAnxZOhlT1N & S ,, NY9 ANC. v 'Y '016 WEDNESDAY 121 Windsc, : Jr 8:0 0 aill6/11 /18 / Date of Call: Date of Estimate 6/2 0/1 8 , Date of Acceptance: MARLENE SWAN Name: - 3'3�1y9; f ' I 110 SWEET MEADOW DRIVE Address: .....,,.. SOUTH WINDSOR f; Te. 860 402 4124 _. . 00 OFF TALCOTT RIDGE ROAD Job Location Description: ✓7.. T 1 '�. i; /~ �`•. a' _.'Z+•�c+(y.�r�uc-�-r--N..n��c�'. ..vim_ _ __ R 1 11 �j :.» R)�/�• ... Quote Good for6,6 Days. Special Attention: 112 Payment Upon Starting, Balance Upon Completion. Contract -/ -/ _2-/ L7 Permit v' ` ONE YEAR GUARANTEE ON WORKMANSHIP 8t MATERIALS. Pres. CBUD .( 1` �' �i Date _ b