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HomeMy WebLinkAboutStreet Cut Permits 169 Quarry Brook Driv 1700200 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 09/14/2017 GIS ID: 74100169 = FEE: 50.00 MUNIS APPLICATION# 201701236 PIRATION DATE: 09/14/2018 r4 a APPLICANT ?. LOCATION NAME: BOUTIN&SONS. J ffr ADDR); �69QUARRY BROOK DRIVE ADDRESS: 121 WINDSORVILLE RC5A.1P OW�1ER 1 [AL O1VE KARMELA K BROAD BROOK, CT Q60 ,RRY BROOK DR st s olum, INDSOR,CT 06074 PHONE 860-623-2526 u yi WORK DESCRIPTION: DRI� FVu�A APPLICANT AGREES TO FURNISH THL TOW I OF OiITHw I DSOIt T.41;AMOIj*IT OF 13OND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY 1;XPNES.IN�URI;E1 BY THE TFOR;�VIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND Tfll;APPI;IC�#I`iT�IS FAMITAR 1 I'I'I4 AND III L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN 6F SO, JTI I V1 IlVDS01 'S 5T ET{xUT PERMIT MANUAL. ISSUED BY DATE°F1'TS' `CTED INSPECTED BY 9/14/2017 3:19 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** all isl Yt '1 b 1 v �P t N> > ti y TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: CONTRACTOR: &2f.1 7`i l0 LOCATION: U TYPE OF WORK:_ i u�P�f�C 4iI DATE INSP NEEDED: DATE INSP: � 3 INSPECTED BY: 6_D WORK IN PROGRESS' -- SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: �'° • } DATE: S/molloy/forms 2014 Town of South Windsor INPSEC ION REPORT 14 € 1jj APPLICATION FOR STREET EXQAMATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT, Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074, FEE $50.00 Name of Firm BOUTIN AND SONS CONST Phor€e liic�.860 623 2526 ' Address of Firm 121 WIND,SQRK11,1,EROD RnAD -BR©pK—C-_.44 -----Zip Cc)de Location of proposed Work_. 169 QUARRY BROOK Describe fully nature of permit requested REMOVE AND—REPLACE EYTA, G DRTV—FWAy____ _ FROM STREET TO GARAGE STRIP BIT _ Starting date 9/13/1 7 Call Before., ,(ou Dig No-20173 6 0 403 4 PLEASE NOTE: THE DEPOSIT FOR THE.PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB RI=PLACEMENT,INCLUDING ANY INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS ;TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPQRARY PATCH B T IT,GQ 1Lb BE 10 E,3 THA�i A YEAR Check Applicable: © No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑Curb Cut ❑Sidewalk Cut :I Existing Driveway,No Changes ❑ Proposed Driveway Widening 0 Proposed New Driveway Water Supply: ❑Public Water ❑Well Sewage Service: ❑ Public;Sewer I-]Septic Show sketch of proposed work or furnish Indicate North This section to be filled out GY Town two copies of separate drawing No.cuts Eat.Patch S;ze(s) sf Fst-PA.Thickness in. Est.Patch Unit Price$ lsf Est,Mitch Cost Est.Curb Replacement tL Est, Curb Unit Price$ fft Est.Curb Cost$ Est.Sidewalk Replacement sf Est.Sidewalk Unit Price$ /sf Est.Sidewalk Cost Est.Traffic Hours _—hr Est.Traffic Unit Cost$ fhr Est.Traffic Control$ Amt.of Deposit$ DRIVEWAYS must be Sit or more from the property line per Total Due$ section 2.17 of the zoning regulations I ( )Cash ( )Check# Applicant is responsible for contacting the Police Dept.and C.B.Y.D PERMIT SHALL BE KEPT ON JOSSITE AT ALL TIMES � Paid By i I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BONI)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 ST ET CUT PERMIT ANUAL, l f - Signed; l :- - _-1 Print Name 'Date: - Engineering/permits/Street Excavation Permit 2017 ANYTIME BOUTIN & SONS PAVING COMPANY9 INC. 121 Windsorville Road, Broad Brook, Connecticut 06016 Tel. (860) 623-2526 Date of Call: 5/31 /1 6 Scheduled Work Date: Date of Estimate: An time Completion Date: Date of Acceptance: 611 Name: Karmela Maloney i F 169 Quarry Brook Drive Address: South Windsor 670-1034 Tel: , 5.00 . ..... ... . " Job Location Description:.., jar, K + fi 71 - ` i Sty Quote Good fo# l�Days. Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion. Contract �' t-? Permit "f ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. Pres. CBUD )� Cy�J �"" �" Date