HomeMy WebLinkAboutStreet Cut Permits 133 Greenwood Drive 1700162 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 08/08/2017
GIS ID:38700133 1 FEE: 25.00
MUNIS APPLICATION# 201701043 {` IXPIRATION DATE: 08/08/20I 8
APPLICANT sx! r _,
a LOCATION
NAME: BOUTIN&SONSokADDRESS ]33'GEENWOOD DRIVE
ADDRESS: 121 WINDSORVILLr3A15 JOWI�TER1�IURPY LAWERENCE M&JOAN L
BROAD BROOK,C 'Id01:6 4 13"tENWOOD DRIVE
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Ni"' SOU'TH INDSOR,CT 06074
PHONE 860-623-2526
WORK DESCRIPTION: REWW�'AN1 IEPLiACE EXISTING T)RIVEWQ FROIVI STREET TO GARAGE
APPLICANT AGREES TO FURNISH TH&T03#�TbOP OUTII WL1�DS�0RTHE"AM01 1T OF BAN REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FORA19
f� PEi ;sE ING'URRFIY THE TO W1�7 PE01h1vIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TI=JEPCAIw1T_IS F,4il) It�RTH A1DiWIT L ABIDE BY THE RULES AND REGULATIONS
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FOR PERMITS AS OUTLINED IN THE TOWN OF 11 SC)1JTH WINDS'R'S STREET CUT PERMIT MANUAL.
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ISSUED BY--- - DATE%'INSPECTED 19SPECT5D BY
8/8/2017 10:40 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR: Iy.
LOCATION:.. . 1 : �-�,��° rz.t,i&)jzk
TYPE OF WORK: 'D c`�,j P i.A)CA-
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: =�
WORK IN
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PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE:
S/molloy/forms 2014 Town of South Windsor INPSEC71ON REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
A_ppl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00
Name of Firm BOUTIN AND SONS CONST Phone No. 860 623 2526
Address of Firm 191 wT Zip Code
Location of proposed work
Describe fully nature of permit requested REM017E AND REPLACE EXISTTMa DRIVEWAY FROM
STREET TO GARAGE WIDEN RIGHT SIDE
Starting date 7/2 9/1 7 Call Before You Dig No 20173002530
PLEASE NOTE`. THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Gut ❑•Curb'Cui ❑ Sidewalk Cut:
IR Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Suppl;•: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch'of proposed work or furnish indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
Est.Patch Size(s) Sf
Est.Pvt.Thickness in.
Est.Patch Unit Price$ /sf
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price
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 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 dOBSITE AT ALL TIMES Paid By
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'S STREET CUT PET MANUAL.
Signed: G, , i7 ,� , _ Print Name
Street Excavation Permit 2014
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WEDNESDAY ..�
BOU T`IN & SONS PAV
8:30am. 121 Windsorville Road, Brow. .. %`
Tel. (860) E I
6/19/17
Date of Call:
6/21 /1 7
Date of Estimate: -
Date of Acceptance: eq - 1 -7
MRS, MURPHY
Name:. MAO
AARRY
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Address.
133 GREENWOOD DRIVE
SOUTH WINDSOR y
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Tel: 860 644 8622
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Job Location:
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Description:
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Quote Good forDays.
Special Attention: 112 Payment Upon Starting, Balance Upon Completion.
Contract Z 7 Permit
ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. Pres
CBUD Zo / 1 3 6,C) ,, 5 S 0 Date