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HomeMy WebLinkAboutStreet Cut Permits 52 Gail Lane 1700161 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 08/08/2017 = :: GIS ID:34500052 FEE: 25.00 MUNIS APPLICATION# 201701042 EXPIRATION DATE: 08/08/2018 F Jt Z 4 ti S V, 1 ) APPLICANT t R. r t LOCATION NAME: BOUTIN&SONS s ADDRESS N52 GALL LANE ADDRESS: 121 WINDSORVILLE7Ab r < < ?WNI;I a IINDSAY IAN P&KRISTEN F BROAD BROOK, GT tty6b l Iii x _ , =j S2 m. t1II LANE s� l SbUTWTNDSOR, CT 06074 PHONE 860-623-2526 74Yr L wwj WORK DESCRIPTION: RdIAOME I64 ET�L );EK STII G] RIVES`NAI�FR(7 VI STREET TO GARAGE. WI IA�IN UICir ALIT a Fla APPLICANT AGREES TO FURNISH T TOWN OF'S 4I T 1I D$0 2�Ti lI-E 7 IO i1�1T OF I ND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AEXpIlISE INCURRED BY THE 1 OWF�OIIVIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT) T APl? TCANT-IS 1�A1�iITrIAR V�?3TITrA WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TO F,SQ JTH VVINDSOR.S STREET CUTT'ERMIT MANUAL. .. ISSUEt) B I '`` '`E;-IIVPETED INSPECTED BY 8/8/20I710:37AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** s - f= 55 a +ski, ' L ,s fi f 3 Cp-o wo " vl 1' Ti l e NAl �, 4 _ TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: CONTRACTOR: 1�r7 Z(;�J A-) LOCATION: 5 TYPE OF WORK: 26 Qf SL�ag _ DATE INSP NEEDED: DATE INSP: j/o b o INSPECTED BY: WORK IN PROGRESS: SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: ` DATE: 1� S/molloy/forms 2014 Town of South Windsor INPSECTION 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 06074 FEE $25.00 Name of Firm BOUTIN AND SONS CONST Phone No.860 623 2526 Address of Firm 121 WINDSORVILLE ROAD BROAD BROOK CT 06016 Zip Code Location of proposed work 52 GAIL LANE Describe fully nature of permit requested REMOVE AND REPLACE EXISTING DRIVEWAY FROM STREET TO GARAGE WIDEN LAWN DIG OUT Starting date 7 2 9 1 7 Call Before You Dig No— PLEASE i 7 3 0 0 2 5 4 5 PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut © Pavement Cut ❑ Curb but ' El Sidewalk Cut Existing Driveway,No Changes ❑ Proposed Driveway Widening © Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing No.cuts Est. Patch Size(s) sf Est. Pvt.Thickness in. Est. Patch Unit Price$ /sf Est.Patch Cost$ i Est.Curb Replacement ft Est.Curb Unit Price Est.Curb Cost$ Est.Sidewalk Replacement sf I i , 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 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 dOBSITE 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 TREET CUT PE MANUAL. Signed: �C-4.t,. 7—. Print Name ��w,� �Jc: Street Excavation Permit 2014 BOUTIN & SONS PAVING COMPANY, INC. 121 Windsorville Road, Broad Brook, Connecticut 06016 Tel. (860) 623-2526 Date of Call: Scheduled Work Date: Date of Estimate: ^, ` Completion Date: f. Date of Acceptance: Z1 ,17 t F4 { t f .. X } 1 4 5 Address: i h Tel: p� ��L f y' 2 h rd Job Location: &:!" s Description: L 4Y Mpcy FA fi 'X xr Quote Good fo Days. c.. b ' - . . • " -• -• Special Attention: 112 Payment Upon Starting, Balance Upon Completion. Contract to - Z 7 - /-7 Permit _ "" 3 1 ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. Pres. CBUD G! r .7 3 �' _ '`/J"' Date -7.- 0 cj - J O