HomeMy WebLinkAboutStreet Cut Permits 495 Niederwerfer Road 1600103, TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
STREET CUT PERMIT
DATE: 06/20/2016 GIS ID: 63600495 J 5 5 t
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MUNIS APPLICATION# 201600819
FEE:
' 25.00
#yr ,j 4 EXPIRATION DATE: 06/20/2017
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APPLICAIIT f ` LOCATION
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NAME: BOUTIN&SON
r � {n ADDRS 45 NEDERWE R ROAD
OAD
ADDRESS: 121 WINDSORVII,I{i <RAIVISI�ELL EDWARD A&AMANNDA
BROAD BROOK,CST �m
OF
5591IEDERWERFER ROAD
" ' f S1�JUTII WINDSOR, CT 06074
PHONE 860-623-2526 `k y }
WORK DESCRIPTION: DRIVW ry` t l
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APPLICANT AGREES TO FURNISH TT y TOWN) 3° c � '�a x T (
, OF,OU Hr xIaTDSf I EJ$AMOL FAT yO� ;pND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR A*I EXPEL SES II*CU tREb 1,51y" "�� F� INTENANCE OR REPAIR WORK 1N
CONNECTION WITH THIS PERMIT, SHE FLICANT IS'FAM�I AR W.I. tl D�+�fLL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWNDF SS[7H WTNDSI STREETI111'LRMIT MANUAL.
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ISSUED BY DATE SPECTED INSPECTED BY
6/20/201610:24AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES—
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: f 0 e)_Ads CONTRACTOR:
LOCATION: L I 6�C Q
d
TYPE OF WORK: 1 c�
DATE INSP NEEDED: DATE INSP: r
INSPECTED BY: RD
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE: r..l
S/molloy/forms 2014 Town of South Windsor INPSECfION REPORT 14
FRIDAY
9: 00am BOUTIN & SONS PAVING COMPANY, INC.
121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526
4/1 4/1 6
Date of Call: Scheduled Work Date:
Date of Estimate: 4/22/16 Completion Date:
Date of Acceptance:
Name: � AMANDA: RAMSDELL: "
Address: 495 NEIDERWERFER ROAD
SOUTH WINDSOR 'y
315 404 7822 _.
Tel:
10
Job Location: OFF MILLER ROAD `
Description: + �'� ?
Quote Good forrAgDays, nod "� G l u,ty � ;� ' e - • —e -r
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
Contract 5 Permit 69' f 1,
ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. Pres.
CRUD Date
i
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00.
Name of Firm BOUTIN AND SONS CONST Phone No. 8 6 0 623 2526
Address of Firm 121 WINDSORVILLE ROAD BRQ L-BRQ0Z = QLD ti _Zip Code
Location of proposed work 4 9 5 NEIDERWERFER RQAQ
Describe fully nature of permit requested REMOVE AND REPLACE VXTSTTN
FROM STREET TO GARAGE
Starting date Call Before You Dig No_
PLEASE NOTE. THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A'YEAR OF'THE TEMPORARY'PATCH BUT IT COULD BE LATER THAN.A YEAR. r'
Check'Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
XXR Existing Driveway, No Changes El Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: Cl Public Sewer ❑ Septic
I
Show sketch*of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price$ /sf
i Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price$ Isf
I
Est.Side-walk Cost
Est.Traffic Hours -fir
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
Amt.of Deposit$
DRIVEWAYS must be 3ft or more from the property fine 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 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 fREET CUT Tz
T MANUAL. Il
Signed: Gt�- Print Name '=:. 'i�9r w .ga i 4Date:
Street Excavation Permit 2014