HomeMy WebLinkAboutStreet Cut Permits 429 Griffin Road 1600102 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 06/20/2016
GIS ID:39000429 r"=
z ,. x FEE: 25.00
MUNIS APPLICATION# 201600821 z "t n EXPIRATION DATE: 06/20/2017
PA
APPLICAlf-I
zj LOCATION
NAME: BOUTIN&SONS S 34r4 ADDRRSS4Iy9 GIFFIN ROAD
ADDRESS: 121 WINDSORVILI}EAJ , f Lr CWNR� VITTNER PATRICIA S
BROAD BROOK,C' 66016 l 4 s 4i Y`42 yRIFFIN ROAD
tr r UTI WINDSOR,CT 06074
PHONE 860-623-2526 k h x}} :
Y ` rid
F�*WY Y
WORK DESCRIPTION: DRf�V
APPLICANT AGREES TO FURNISH TH TORN OFOC7TIIND THE't1�VIG TNT OFyOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR Al' III )$ ICE T OWF7OI'1VIAINTENANCE OR REPAIR WORK nv
a
CONNECTION WITH THIS PERMIT AND 1 I I ApI ICANT I5 FAifI IAR WTTH,A^D L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF`Sf3U,TH IT MANUAL.
ISSUED BV T?A��SPECTED INSPECTED BY
6/20/2016 10:05 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
:
j
ct m
$
g
4 v6 v � ,
Na
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:: /6 L00/Qi-l- CONTRACTOR:_ &zt/
r�-J
LOCATION:
TYPE OF WORK:
Z
DATE INSP NEEDED: DATE INSP: Zl zlz
INSPECTED BY: da 0
WORK IN
PROGRESS:
SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE:,_ /
S/molloy/forms 2014 Town of South Windsor INPSECI•ION REPORT 14
,
APPLICATION FOR STREET EXCA1NATION PERMIT
Appl.No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00
Nara 09TIN AND SONS. CONST phone N060 623 2526
inni
Address of Firm1 21 WINDSORVILL ROAD B Zip Code
Location of proposed work
Describe fully nature of permit requested RFMQVF. ANT) REPLACE EXISTING D_R
FROM STREET TO GARAGE
Starting date 6/2/1 6 Call Before You Dig Now 2 10 4 6 07 _
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED,WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check''Applicable. ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb'Cut ❑ Sidewalk Cut'
RI,,Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water 0 Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch'of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
Est. Patch Size(s) sf
Est.Pvt.Thickness in
Est.Patch Unit Price
Est,Patch Cost$
Est.Curb Replacement ft
Est. Curb Unit Price$ /ft
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est_Sidewalk Unit Price
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 JOBS.ITE 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
WIND SOaTREETCUTPE i+AIT MANUALSigned: C
Print Name ~i1/1 .�?c: 5
ae28/16
Street Excavation Permit 2014
F.?RIDAY
9; o0am BOUTIN -& SONS: PAVING COMPANY, INC.
121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526
Date of Call: 9/1 /15 Scheduled Work Date:
Date of Estimate:9/4/15 Completion Date:
Date of Acceptance:
,. NamIKE :VITTNER, Gray ,,..
Equq
Address: 429 GRIFFIN ROAD
SOUTH WINDSOR Bitun
Tel: 860 6449722 No
Price
OFF WINDSORVILLE ROAD
Job Location:
Description:
i - .
Quote Good for 60 Days. • - • -• -•
Special Attention: 112 Payment Upon Starting, Balance Upon Completion. ;
Contract S' V / Permit a Of
ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. Pres.
CBUD , Date �._