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HomeMy WebLinkAboutStreet Cut Permits 79 Willow Street 1800175 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 11/14/2018 GIS ID: 94800079 x x. FEE: 50,00 MIJNIS APPLICATION# 201802245 0 liXPIRATION DATE: 11/14/2019 APPLICANT ai 1 LOCATION .. , NAME: BOUTIN&SONS }4 �DDRE`SS T79 WILD OW STREET ADDRESS: 121 WINDSORVILLE�ROAD QTEIR2iNG THOMAS J W STREET BROAD BROOK, Cf Q6Q1G k xy PHONE 860-623-2526 i 's r' WORK DESCRIPTION: DRIVIA'!i� X . APPLICANT AGREES TO FURNISH THEE I OWT�I bF SOUS 1I yt�lNDSpR I HE1M0T'(( BND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WIND SOR FOR ANY$OPENSM.TP+fCUI�I� TO4VI�k�QI��IAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE APPLICANT I5 FAMIY.IAR WIC H AIaTDI L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN b1 SOYJTH WINDS RiS S T ETsOUT PERMIT MANUAL. •,•�I�'" 4 a It ... ' ..Y j ISSU§b BY DA'I`B`'I}T'SPECTED INSPECTED BY 11/I4/201810:01AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** I f , r Lr y dfY• a I{() Y! t "P, 4k tea �4 f i c ti 1o. } SEA n� .. h 4 t5 1i1f1 V. l rt 1 t 's f:� . 'ti. i'• I T t tv v} t k K k ro 11rf S tft l TOWN OF SOtJTl MINDSOR I0pooC`WN REPORT PERMIT NO.: • 60 CONTRACTOR:...... LOCATION '7 11t�u1 e TYPE OF WORK: DptTE INSP NEEDED: DAB INSP:. " INSPECTED By: . WORK:IN. PROGRESS' ell, i SEPTIC TANK PUMPgo,.SMASHED,FILLED .• WIMESSED ❑YES FI NO' t AS-BUILT: INPUT; . DATE: ' 5e/Maloyffomts 2014 TOM Of 5ou6 Wirt -INP .TION IiWkT 14 ' R APPLICATION FOR STREET EXCAVAMNIPPERMT Appl. No. TOWN OF SOUTH WINDSOR Pfi.➢BLIC'WORKS l�EPAR'ii lRIENT F $�t}$5 No. TOWN HALL 1540 SULLIVAN AVENUE SOUTHSOUTHININ S{`, R,�;ff°f4row IFE.- .00 Name of Finn BOUTIN AND SONS CONST F'��ol�e No..860 623 2526 ._—....._.__.. Address of Firm 121 WI DSO Cade_ Location of proposed work '71 - DeWribe fully nature of permit requested, ��"r��:TJi Starting date ff �. ! Call Before You Dig € o , t PLEASE NOTE; THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COS I S.•THE PERMANENT PATCH IS TYPICALLY,CQMPLETER YVITHIN,A YEAR OF THE TEMPQ,F ARY PATCH B() IT c,pULD[3E L�.T;, THAN A YEAE3. it Check Applicable: []No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut E]Curb Cut ❑Sidewalk(Cut Et Existing Driveway, No Changes- El Proposed DrivewayWideriing El Proposed New Driveway Water Supply: ❑Public Water ©Well Sewage Service: ❑ Public Sewer ❑Septic Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing r No.cuts Est. Patch SEze(s) 6f Est.Pvt.Thickness in. Est.Patch Unit::Price$_ I fat.Patch Cost Est.Curb Replacerrient Est,Curb Unit Price$ Esl:."Curb Cast Est.Sidewalk Replacement sf i Est.Sidewalk Unit Price,$ Is, Est.Siidfevvalk Cast IL Est.Traffic Hours _ hr Est.Traffic Unit Cost$ /hr i i l Est.Traffic Control$_ Amt.of Deposit$ DRIVEWAYS mast be aft or more from the property line per Total Due$ i section 217 of the zoning regulations ( )Ca,.,h { )ChecV# Appiicant is responsible for contacting the Police Dept.and C.B,Y.D I f 1 PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES I Paid By _ I. r 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 STE ET CUT PERMINMANUAL, r i s ` date:�� � Signed: �� ;•,,,:Y < •-�-- Print Name Engineering/permits/Street Excavation permit:2017 FRI'DAY' BOUTIN & SONS PAVING COMPANY, INC. A:? 1 : o0pm 121 Windsorville Road, Broad Brook, Connecticut 06016 ` Tel. (860) 623-2526 Date of Cali: 9/3 0/1 7 Scheduled Work Date: _ Date of Estimate: 1 0/6/1 7 Completion Date: Date of Acceptance: �. -qg }7 t rG z'1 "I r {✓io�•7 r� 2),,F i TOM FRANCO i y �r�� e & � Name: -. ah J�r r� � ��ttS l ,� r r �!d��G rr•y�5 d h 5 !>,�. CG r p J7 k n f 1 N si a •S••y••� .rhs flr,� �3 1s; M �rr Address: 79 WILLOW STREETc J pa ,J F�'Y4k fi 3,� � 11 �^ : � .ati.Y �f Z K 3 SOUTH WINDSOR s5f �ffi -cHl 5_l.h-I k3�t `5b >r f 9 L7ft ♦i {ti•. /] as ��t�i 860 644 1 6$0 � �'tNO. Tel: �lt ,rrSW�e' ��}j e�• p 5l .atiYr 'H 3 p�kt ! ,lob Location OFF FELLY ROAD Description: S• I E � � � i ,, i • ��� I cis i Quote Good for 60 Days. r. 8 t. Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion. �_ I gg 6 Contract Z Permit �� � (S l ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. Pros. CBUD C) "' LA 4---10 r aol--i,33 Date