HomeMy WebLinkAboutStreet Cut Permits 90 Beldon Road (2) 1900147 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 08/22/2019
GIS ID:09300090 FEE: 50.00
MUNIS APPLICATION# 201901843 s` EXPIRATION DATE: 08/21/2020
APPLICAlT '' `' r LOCATION
NAME: BOUTIN&SONS r ADDRE,SS 90 BE MR, ROAD
ADDRESS: 121 WINDSORVILL I z {TUNER TURKIIGTON DANIEL&
r SQ BELDEN ROAD
BROAD BROOK, }I AbQlf
PHONE 860-623-2526 r 4
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WORK DESCRIPTION: DR%vI wkl.yYr <� 1 r -`5
APPLICANT AGREES TO FURNISH THkO}NN OF SOi7TH WINDSQR THE`AMOU1�1 �DF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AiYw1P1 NSE5 iNC�J17RED BY TIIE TOWN F,OR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND Tkf,41PPZ SCAN T,IS FAMILIAR WIPH t}zIDVZ L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWIV`(,1F$OCJTI WINDSOII.';S STREB:TL7TRMIT MANUAL.
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SU BY DATE ECTED INSPECTED BY
8/22/2019 12:47 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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T.OVYI0.OF SOUTH'WIMPSOR INSRiECWinn REPORT
PER NO.; �� 7 CQNTRACi'OR: 0.
LOCATION: zdz,a
TYPE OF WOl*: f.
DATE INSP NEEQED: = DATE INSP c• ,�i �I y
INSPECTED
WOM IN
PROGRtSS: 0 c)
SEPTIC TANK PUMPEQr SMASHED; FILLED wrmESSED ❑YES El NO'
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INPUT. DAT' •
Si ollay/f MS 2M4 Taws Of SouNe Windsor-iNPS�JN PEFORT L4
APPLICATION FOR STREET EXQAVATION PERMIT
Appl. No. T0WN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT MENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,OT'O6074 FEE $54.00
Name of Firm BOUTIN AND SONS CONST Rhone No860 623 2526
Address of Firm 21 1-6-Zip Code
Location of proposed work
De tribe fully nature of p rmit requested ' aviJ jaQ- �evj *C
Starting date_ Call Before You Dig No SZ21
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PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT 1S A PRELIMINARY ESTIMATE. THE I
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
1NCREASES.IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR, I
Check Applicable: []No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑5idewaik Cut
i
<E)dsting Driveway, No Changes, ❑ Proposed Driveway Widening D Proposed New Driveway
Water Supply: 0 Public Water ❑Well Sewage Service: ❑ Public Sewer ❑Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Towr
two copies of separate drawing
No.cuts
Est.Patch Size(s) sf
Est.Pvt.Thickness_in.
Est.Patch Unit Price$ Isf
Est,Patch Cost$
Est.Curb Replacement ft
Est Curb Unit Price$ /ft
Nk
EsL Curia Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price$ /sf
Est.Sidewalk Cost$
Est.Traffic Hours hr
II�
Est.Traffic Unit Cast$ /hr
f ' Est,Traffic Control$
Amt.of Deposit$
j DRIVEWAYS must be aft or more from the property line per Total Due$
section 2.17 of the zoning regulations
(
Applicant Is responsible for contacting the Police Dept.and C.B.Y.D )Cash ( )Clleck#
fi PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Paid By
1 AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTF
WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT ANC
THAT 1 AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTF
WINDSOR'S S� T ET CUT PERMIT UAL.
Signed;_. /.�j,Gr. z< / . ':6-1 L4"1
9 _. --u�--�� Print Name 'Date.
Engineering/Permits/Street Excavation Permit 2017
FRZDI Y BOUTI N & S _ - _ Y, INC,
1 OOpm 121 Windsor - 6 s
:
� �� far-
Date
of Call: 6/5/1 9 _ 70
Date of Estimate:6/14/19
Date of Acceptance:
Name: DAN TURKINGTON wt � ,
1
AddresR:0 BELDON ROAD
SOUTH WINDSOR F `
Tel: 860 808 4028
0.00
1
Job Lora#i0� F GKORE GOVERNOR, HWY
Description:
o
01 p
Quote Good for 60 Days. _
Special Attention: 112 Payment Upon Starting, Balance Upon Completion.
Contract 9 Permit 9;_ ":!)—1 9
ONE YEAR/G�UARANTEE ON WORKMANSHIP S MATERIALS. 1 Pres.
CRUD 3V`n`"i_" 3�� — Q� Date 1 to—19