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HomeMy WebLinkAboutStreet Cut Permits 64 Gilbert Lane 1700189 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 08/29/2017 GIS ID:35300064 FEE: 25.00 MUNIS APPLICATION# 201701152 /` w: UXPIRATION DATE: 08/29/2018 5 bra: APPLICANT .42'i� r LOCATION NAME: BOUTIN&SONS 5 A.,DDRE 64 CILERT LANE ADDRESS: 121 WINDSORVILLE ft'?A7 f - OWNER SING LEI& BROAD BROOK,CT 00115 64i1 BRT LANE SOI7111 WINDSOR,CT 06074 PHONE 860-623-2526 ti 7 WORK DESCRIPTION: DR VEWAY vW"I:> . APPLICANT AGREES TO FURNISH TH �TOVW�N�OF SOU H fi�NIA.C3R THE MOLhIV1'OI?BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR Al*I F3NSES IN-URR$D B, I..I IE TO)W FOI IVIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TIC AI'PLICAN P IS FAMILIAR WIT'Ii ANC?1�11T L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN'b) SO UTH WINDSOR'S STREE2 GUT PERMIT MANUAL. ISSUED BY DATt NSPECTED INSPECTED BY 8/29/2017 3:14 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** z= � - F � 4 FrS IF a� F AK t: i r 7 t �k 4 1��,�. ; "� ` f„ • y1 {S, if � � t 2 C ti ,'e,S�U TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: CONTRACTOR: LOCATION: ' . TYPE OF WORK: (� . DATE INSP NEEDED: DATE INSP: INSPECTED BY: WORK IN PROGRESS: , SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: ` S/molfoy/forms 2014 Town of South Windsor INPSECTiON REPORT 14 APPLICATION FOR,STREET EXCAVATION PERMIT _ Appl. No. TOWN OF SOUTH 9� NDSOR PUBLIC WORKS DEPARTMENT �Permit N©: TOWN HALL 1540 SULLIVAN AVENUE Sf3U`H WIMIDSOR,t,T 06074 BOUTIN AND SONS CONST Phone No.860 623 2526 Dame of Firm -- —---- Address of Firm 1 21 WI K-C p 6 rJ 6 _dip Code Location of proposed work . 64 GILBERT LANE - Describe fully nature,of permit requested REMOVE AND REPLACE_EXSITING VRIVEWAY FROM STREET TO GARAGE Starting date 9 13/1 7 _ Call Before You Glig No 201 73604052 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 PERMANENTS PATCH AND.CURB REPLACEMENT,INCLUDING ANY INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOSNN'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 C]Curb Cut ❑Sidewalk Cut 12 Existing Driveway, No Changes ❑Proposed Driveway VVidening 0 Proposed New Driveway Water Supply: C1 Public Water O Well. Sewage Service: ❑ Public Sewer 13 Septic Show sketch of proposed work or furnish Indicate North ,tai s seetiora to Ins fllla:d€aut b Touwn two copies of separate drawing No.cuts Est.Patch Size($)_-�. — sf Est. Pvt.Thickness _in. Est.Patch Unit Price !sf C"st.Patch Cost Est.Curb Replacement Est,Curb Unit Price !f4 Est.Curb Cost Est, Sidewalk Replacement sf Est.Sidewalk Unit Price !sf Cant.Sidewalk Cost —� Est.Traffic Hours __�.____hr Est.Traffic Unit Cost /hr Est.Traffic Control Ar at.of Deposit DRIVEWAYS must be 3ft or more from the property line per Total 0uG section 2.17 of the zoning regulations � { }CaNh (.)Gheck# Applicant is responsible for contacting the Police Dept.and C.B.Y.D i Paid By PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES 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 {AM FAMILIAR WITH AND WILL ABIDE BY"THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S ST ET CUT PERMIT NUAL. / ,p �,�•�fl,./ fir� ,.�f � P`���•1�•�..t/ fi�as V 7���'i Signed: Print Name !- Engineering/permits/Street Excavation Permit 2017 f ...... ; 6OUTiN & SONS PAV / 121 Windsorville Road, Brow Tel. (860) { Date of Call: Date of Estimate- Date of Acceptance: fi ` . 1 Z Name: L . Address. Tel: LS , 4 !1 0/1 e r Job Locatiin: Description: e <5 2(1 G9 i ✓� f Quote Good forte Days. Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion. �' - / Contract Permit d ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. Pres. .r CBUD c�O�a '" CL .7 LAC-) Date t 1�