HomeMy WebLinkAboutStreet Cut Permits 13 Norma Road 1800127 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 08/3 1/2018
GIS ID: 63900013ft PEE: 50.00
MUNIS APPLICATION# 201801586
r EXPIRATION DATE: 08/31/2019
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APPLICA LOCATION
NAME: BOUTIN&SONS , ADDRIaSN03RMA ROAD
ADDRESS: 121 WINDSORVILL RD'DDEUSEN DAVID&
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BROAD BROOK,C ,,I its A afi sr fi,� 3 RD
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PHONE 860-623-2526 k
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WORK DESCRIPTION: DRI�YF� p�v' ak^ 4, {F� z `t ` x � r s k N
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APPLICANT AGREES TO FURNISH THE O *J SQUTTII W I1DSb: 10> T OI#BAND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AC E�KRIVSS I1�iT7iIYI�3I$TQVyI+3gOR>] IAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND Tft AP q�ANC I�PA�v1ILIAR WITTY W L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS�OUTLINED IN THE TOWN 1~Sp 7x ,W " ORrS STT7E_ G'�UT MIT MANUAL.
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ISSUED BY DATE TATSP; TED INSPECTED BY
1/31/20191029AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF-SOUTN-WINNOR INSPEC'NON REPORT
RERMTT NO,; ' L� CON W. CTOR; �d A / �
LOCATION;
TYPE OF WORK: o�
DATE INSP NEEDED; DATE INSP: ��
INSPECTED-BY; _ 4:
WORK IN'
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED [I YES E] NO-
AS-BUILT;
INPUT. DATE: 7
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5/m6llaY/f =2014 Tm of South WindsorMpsk wN kP6UI4
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APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPART T Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH ta��9f�i SOS,CT®6Q�7� I. E .00
Name of Firm BOUTIN AND SONS CONST � __.._Phone NoP 6 0 623 2526
Address of Firm 121 WINDEQEVILLE R08T7 RRnAD T�IannX_CT .0, _j_&_,Zip Code
Location of proposed work 13 NORMA RCIAIn _
Describe fully nature of permit requested REMOVE AND RU ACE EXTgTTNG nRIj7RW y RRgs
STREET TO GARAGE STRIP BIT
Starting date_-- R/ 1 Cali Before:You Dig Nq
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 PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES.IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TONN'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 ❑ Pavement Cut ❑Curb Cut ❑Sidewalk Gut
Z Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑Proposed New Driveway
Water Supply: ❑ Public'JVater ❑Well Sewage:Service: ❑ Public Sovwor 17 Septic
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 Size(s) of
Est.Pvt..Thickness-in.
Est.Patch Unit Price
fa't.Patch Cost$
Est.Curb Replacement ft
Est. Curb Unit Price /ft
Est.Curb Cost$
Est. Sidewalk Replacement sf
Est. Sidewalk knit Price
Est.Sidewalk Cost$
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Est.Traffic Hours hr
Est,Traffic Unit Cost$ /hr
Est.Traffic Control$�
Amt.of Deposit$ i
DRIVEWAYS must be aft or more from the property line per Total Due$
j section 2.17 of the zoning regulations
II { Cash ( )Check 9.
Applicant is responsible for contacting the Police Dept.and C.S.Y.D
l PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Paid By
€AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH I
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�
EETCUTPERMIT ANUAL.
Si ned: !i ^;., ,� 44,•c _�. Print Name Bate:
Engineering/permits/Street Excavation Permit 2017
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Friday °-;00
SOUTIN & SONS PAVING COMPANY, INC.
121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526
Date of Call: 7/3/1 8 Scheduled Work Date:
7/6/18
Date of Estimate: Completion Date:
Date of Acceptance:
Name: „ :David Van Deusen G
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13 Norma Road
Address: t
South Windsor
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Tel: r .. `�.• t
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Of fFarmstead Road
._... Job Location:
Description:
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Quote Good for�60 Days. - - -• -•
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
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Contract ! ,> , i V f Permit
ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. Pres.
CRUD �-' - >. �"� - 1 ..� it Date