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HomeMy WebLinkAboutStreet Cut Permits 235 Orchard Hill Driv 1900104 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT „t M DATE: 07/17/2019 s GIS ID:66900235 FEE; 50.00 MUNIS APPLICATION 4 201901445 1?;XPIRATION DATE: 07/16/2020 40, APPLICANT t � f4 VF LOCATION NAME: BOUTIN& SONS }�+ ADDRESS 235 ORCHARD HILL DRIVE ADDRESS: 121 WINDSORVILL)~R AIJ PLUMMER PETER A&DARIA M 23�5 CYtHARD HILL DRIVE 7 BROAD BROOK,C3 Qb116' J s k ' PHONE 860-623-2526 WORK DESCRIPTION: DRtVA T + APPLICANT AGREES TO FURNISH THEE, OT(�F SOUIIlSQIi THE 6W, QFl$tND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR A PEhJ ES INC JR]ZEDSBY SHE Tft) FQR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERRMIT AND Tk APPLItAI T IS AMIL AR WITH ADD WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSQ013STRE t�UT PERMIT MANUAL. ISSUED BY DA`I'EIN•SPECTED INSPECTED BY 7/17/2019 11:44 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** Al Ui yz 2 1 y- a � t 4 f< 11 s f ri 5} in < r t f 4y; i y E TOWN or SQUTN:WINDSQR I�ISP}EC�N REPI?RT PERMIT NO.; / CDNTRACT R; LOCATIOiV; l� TYPE OF WORK: _-,-!)IC �,O,(A)CA C4 DATE INSP NEEDED: _ DALE INSP:,. INSPECTED BY: WORK:IN PRO < a . SEPTIC TANK PUMPEDr WHNESSED ❑•YES [ NO AS-BUILT:' . INPUT: DATE: � ` S/milloArms ZOf.4 Town of South Windsor MPSWMN RlEFbWT 14 O S k,I : . � APPLICATION FOR STREET EXCAVATION IF RMIT Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH tIli�NIDSOR,CT 0607' FEE $50-00 � BOUTIN AND SONS CONST Phone �Ir 860 623 2526 Name of Firm -- Address of Firm 121 p_1_6_Zip Cade Location of proposed work 935 Or hard tl C r�✓ _�_ - O ribe fully nature of permit re estetl1iec S 1 Starting date f Call Before You Dig N �Q j 9. PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES.IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOINN'S CONTRACT COSTS.'THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement;Curb or Sidewalk Cut © Pavement Cut ❑Curb Cut ❑Sidewalk Cut Existing Driveway,No Changes ❑ Proposed Driveway Widening ©Proposed New Driveway Water Supply: ❑Public Water ❑Well Sewage Service: ©Public Sewer ❑Se,ptic f Show sketch of proposed work or furnish Indicate North This section to be filled auttay_3 orn two copies of separate drawing „ No.cuts Est. Patch Size(s) sf Est.Pvt.Thickness in. I Est,Patch Unit Price$ !sf Est.Patch Cost Est.Curb Replacement � ft Est.Curb Unit Price Est.'Curb Cost$ Est.Sidewalk Replacement sf Est.Sidewalk Unit Price$ Jsf 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 ( }Checlt# Applicant is responsible for contacting the Police Dept.and C.B,Y.D Ij PERMIT SHALL BE KEPT Ohl JOB5ITE AT ALL TIDES Paid By I. 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 SY'THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S ST EET CUT PERMIT(MANUAL. Signe Print Name •`yf Date: EngineenngJperrniWStreet Excavation Permit 2017. MONDAY BOUTIN & SONS PAVING COMPANY, INC. 121 Windsorville Road, Broad Brook, Connecticut 06016 1 '00Pm Tel. (860) 623-2526 Date of Call: 5 16/19 Scheduled Work Date: Date of Estimate: 5 2 19 r Completion Date: �'r}; f / k h Date of Acceptance: PETER & DARIA PLUMMERf 6-IT Name: 235 ORCHARD HILL DRIVE Address: ` SOUTH WINDSOR Tel: 860 432 8403 .00 ( OFFc� 1�,J Job•Location: j 4 Description: -it L y� l 0Tl �- . 14®r r ff O ! � Quote Good faDays. Special Attention: 112 Payment Upon Starting, Balance Upon Completion. Contract 's q Permit ONE YEAR GUARANTEE ON WORKMANSHIP`'&MATERIALS. pros,_ .w CBUD t Date ��