HomeMy WebLinkAboutStreet Cut Permits 184 Hilton Drive 1700216 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 10/03/2017
GIS ID:44100184 FEE: 50.00
MUNIS APPLICATION# 201701368 EXPIRATION DATE: 10/03/2018
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APPLICANKT �' LOCATION
NAME: BOUTIN&SONS 4 ADDRiJSS lg4'HILTON DRIVE
ADDRESS: 121 WINDSORVILLE ROAD OiNNER e AAUEAFRED d&MARY L
BROAD BROOK,CT 06016 14 TIIL'ION DRIVE
r SQVIH WINDSOR,CT 06074
PHONE 860-623-2526 `
WORK DESCRIPTION: DRIVEWAY "
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APPLICANT AGREES TO FURNISH TH19'TOWN QF QUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY XEEhiS1;S INCUI 1 BY TH> TpWi i I OR,MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPLICAIVT:IS FAI4IILIAR WIT i AMID WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTL El)IN THE TOWN b�F SQTJTH WTNDSOI '.::. STREE f GUT PI?IZMIT MANUAL,
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ISSUED BY DATE'INSPCTED INSPECTED BY
10/312017 4:04 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: / 7 0 0'� 1 (a CONTRACTOR: IQ(A -s Ij
LOCATION: br j
TYPE OF WORK• )r'i 0 e-Lj-)!a j -- -'--
DATE INSP NEEDED: DATE INSP: �1a3 J�8
INSPECTED BY:
WORK IN
PROGRESS
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES [-] NO
AS-BUILT:
INPUT: DATE: 1 ' 1 \ 1�
S/molloy/forms 2014 Town of South Windsor INPSECIION REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS(:DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT Q5074 FEE $50.00
BOUTIN AND SONS CONST Phone No.
623 2526
Name of Firm —Phone
Address of Firm 121 WIN SQRVITIE ROAD BROAD BR700K _rT�_�n16 - Zip Code
Location of proposed work 184 HILTON_DRTVP
Describe fully nature of permit requested REMOVE AND REPLACE EXTS'PTNGJIRT 7E A Ay
FROM STREET TO .GARAGE STRIP
Starting date___. 9 27 1 7 Call Before You Dig No
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT.,INCLUDING ANY
INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑Sidewalk Cut
Ii5xExisting Driveway,No Changes C1 Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑pul-Nie Wator 0`n=ell ❑ Publie Sev'Jer El Se'ptlo
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
Est. Patch Size(s) — sf.
Est.Pvt.Thickness in.
Est.Patch Unit Price$ Isf
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ /tt
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 aft or more from the property line per Total Due$
section 2.17 of the zoning regulations
( )Cash { )Check fD
Applicant is responsible for contacting the Police Dept.and C.B.Y.D
PERMIT SHALL.BE KEPT ON JOBSITE 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 ST ET CUT PERMIT ANUAL. Jn A
Signed: ���t �-- ___ Print Name
Engirseering/permits/Street Excavation Permit 2017
THURSDAY., 1 :30
BOUTINI & SONS PAVING COMPANY, INC.
P0
121 Windsorville Road, Broad Brook, Connecticut 06016L �
Tel. (860) 623-2526
6/14/17 14�ree-OCR
Date of Call: Scheduled Work Date: '
Date of Estimate: 6/15/1 7 Completion Date: e
Date of Acceptance: 7
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iNa' me: Ntary Sauer Grav,
Equil
184 Hilton Drive
Address: _
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i South Windsor
Bitur _
289-8154
Tel: No. t _
Pricf _
Job Location: '14-
Description:
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Quote Good for— Days. •�t� ��' �t'` - • -•
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
Contract G "` Permit ® "
ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. Pres.
CRUD 2d 3 S7 Q Date