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HomeMy WebLinkAboutStreet Cut Permits 60 Diane Drive 1900115 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 07/23/2019 GIS ID:28200060 FEE: 50.00 MUNIS APPLICATION# 201901524 EXPIRATION DATE: 07/22/2020 APPLICANT ,zr L.00ATION NAME: BOUTIN& SONS AI�DSS ,6�DIANE DRIVE ADDRESS: 121 WINDSORVILLE R0A,D` 1I P, UL F&LINDA A L/U D�t�,l DIVE Af , x t i ' r• .yi if BROAD BROOK, CT 060ij:% Jyawl PHONE 860-623-2526 ' E WORK DESCRIPTION: DRIVEWAY F st 1 sly rr �' ' , okra <:• t K At Y �yf APPLICANT AGREES TO FURNISH THE TOWN 0)~90UTH W,INDSOR THE AMOUJ�iT QF BOtN QUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY E'sXPEN$ES INCURR$D;HY TOTE.TOWN FO�i 1 NTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE AIJPLIANT,IS FAMII:IAR WITH ANI7.SIh�ILIII E BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF NUAL. -ISSU15D BY DAT INSPECTED "L' INSPECTED BY 7/23/2019 3:37 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** s.: µ tid' 1 1 .Yi� )n. 4 SFS• �Z t t y ti VY' 4 a5 vL}/ 4 5 r i TOWS©F�SOUTH.IIVINbSQR INSPEC'1Yt�N REPORT PERMIT NO.: - COMOACTQR: � LOCATION: TYPE OF WQRK: DATE INSP NEEpED: _ GATE INSP:. o ' i INSPEGTED-Br. '_�Q WORK:IN PROGRESS: SEPTIC TANK PUMPED,.SMASHED. F gb WITNESSED ❑YES [] NO- AS-BUILT: Ik INPUT: DATE: t�PORT 14 S/miltoyronms 2014 Town of South Windsor MPSECtTON APPLICATi6N FOR STREET EXCAVATION PERMIT Appi. No. TOWN OF SOUTH fit INDSOR PUBLIC WORKS DEPARTMENT MEIN 'Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $50.00 Name of Firm BOUTIN AND SONS CONST shone Np860 623 2526 Address of Firm --Zip Code Location of proposed work DeVribe fully nature of permit requested UtyLqL �- Starting date - ore You Dig I is PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL ARID THE TOWN'S CONTRACT COSTS.'THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: 0 No Pavement,Curb or Sidewalk Cut L7 Pavement Cut ❑Curb Cut 0 Sidewalk Cut XE)dstng Driveway,No Changes. ©Proposed Driveway Widening 1J Proposed[dew Driveway Water Supply: 0 Public Water ❑Well Sewage Service: ❑ Public Sewer O Septic Show,sketch of proposed work or fumish Indicate North This section to be filled out by Ta two popies of separate dravonrJ No.cuts lost.Patch Size(s) t Est.Pvt.Thickness in. . .,r:.: . .:: r• •Est Patch l:tnit P ice E Patch Cost$ " Est.Curb Replacement ,-, :• r• u: ; . Est.CrJrb Urllt Price$ �- ,. .... . . Est Curb Cost$ Est.Sidewalk Replacement Est.Sidewalk Unit Prlce , Est.Sidewalk Cost _ — Est.Traffic Hours Est.Traffic Unit Cast$ ! Est.Traffic Control$ Amt.of Deposit$. I ' DIRN WAYS must be 3ft or more from the property line per Total Due$ section 2.17 of the zoning regulations { )Cash ;( )Check Applicant Is responsible for contacting the Police Dept.and C.B.Y.D L PERMIT SHALL BE KEPT ON JOBSITIE 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 SC j WINDSOR FOR ANY EXPENSES INCURRED BY_THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT THAT,I AM FAMILIAR WITH AND WILL ABIDE SY-THE RULES-AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SC WINDSOR`S CUT PERMIDINIANUAL, �2 c .. r r�arc . Signed: �r�� Print Name f�� ate. I E_ghieerin mit$FStreet Excavation Permit 2017 i , ANYTIME BOUTIN & SONS PAVING COMPANY, INC. 121 Windsorville Road, Broad Brook, Connecticut 06016 Tel. {860) 623-2526 Date of Call: 5/23/19 Scheduled Work Date: Date of Estimate: ANYTIME Completion Date: Date of Acceptance: 6�— Name: PAUL DAVERN Address: 60 DIANE DRIVE L SOUTH WINDSOR Tel: 860 644 0197'' `j t', "; i ,,•;,,.f N ;: OFF KELLY ROAD l Job Location. Description' �^ } rf Quote Good folA Days. ( Special Attention: 112/Payment Upon Starting, Balance Upon Completion. Q Contract Permit ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. Pres. CRUD Date �� �'