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HomeMy WebLinkAboutStreet Cut Permits 95 Dawn Drive 1700156 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 07/21/2017 y ar GIS ID:26400095 3 r r FEE; 25.00 MUNIS APPLICATION# 201700961 gpF EXPIRATION DATE: jrw 07/21/2018 Y APPLICAWA `N fi g' LOCATION NAME: BOUTIN&SONS s� a ADDRESS: 121 WINDSORVILL R15D ADDRES5 J5A1V DRIVE CZWNE '• LYNCI�WAYNE P BROAD BROOK,CT'qu. 95 DAWN DRIVE t SOU H VVINDSOR,CT 06074 PHONE 860-623-2526 ' as, r WORK DESCRIPTION: DRIV QUA y r RJ APPLICANT AGREES TO FURNISH TH TOW16 4 1F SOU`IH�WJI�I�SOR 3IIE AMpUNT OF B6ND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR A1Y.E7fPNSI{S�NI7IrREI�$�C THE T QVVITOR;lIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TIC APPj�I A1g I5 I+AM T4Tt W17'IE AbjD WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN f5F SOUTH V4TIIIDSCRS STR$ Ti1T PIxRMIT MANUAL. Y ! = 5 i8suVb BY DATE I 4 PECTED INSPECTED BY 7/21/201712:03PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** 1 c, Fr. AW OWN E �34s 2 ,; 1 , ? �!;.. 3 t hY TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: I7c�a/.5� CONTRACTOR: &I2� LOCATION: IJ ` TYPE OF WORK: 1 DATE INSP NEEDED: DATE INSP: /I L INSPECTED BY: (3s, WORK IN PROGRESS: +v S�� c. �� C� - ,���'.� �,�: _ c► SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: v 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 $25.00 Name of Firm BOUTIN AND SONS CONST Phone No.860 623 2526 Address of Firm 121 WINDSORVILLE ROAD BROAD BROOK CT 06016 Zip Code Location of proposed work 95 DAWN DRIVE — — — — --- Describe fully nature of permit requested REMOVE AND REP r,rTe�_ R T14 _ STIR-E To GARAG rQUIPT.RTE DIG QUI Starting date 7 Call Before You Dig NO2RI OR 20172802902 .7 li, l 7 PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut © Pavement Out ❑ Curb Cut ❑ Sidewalk Cut Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic i Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing No.cuts Est. Patch Size(s) sf Est.Pvt.Thickness in. Est.Patch Unit Price$ /sf Est.Patch Cost$ 1 Est.Curb Replacement ft Est.Curb Unit Price$ /ft Est.Curb Cost$ Est.Sidewalk Replacement sf 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 ( )Gheck# Applicant is responsible for contacting the Police Dept.and C.B.Y.D PERMIT SHALL BE KEPT ON JOBSITE 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 BEET CUT PE MIT MANUAL. . / .$.� llf ,<�?ter.... 4 Signed: �+ Ca _ _ Print Name C G/�` /7c :.. Date: Street Excavation Permit 2014 Ju1.14,.2017 10:03 AM Town of Manchester Public 8606473140 PAGE. 2/ 4 ANYTIME Bt UTIN & SONS PAVING COMPANY, INC, 121 Windsorville Road, Broad Brook, Connectic Tel. (860) 623-2526 Date of Call: 6/8/-17 Scheduled Work Date: Date of Estimate: ANY � ✓' completion Date: Date of Acceptance: i• '+ Name: " WAYNE LYNCH • � Grav �rr vti T., "�M Equil :.•D Address: 5 DAWN DRIVE . SOUTH WINDSOR 13Iturr. �' ... Tel: 860 712 7428 No.o. «l Price Job Location: O ft fis Description: 7 ..,.�...,....,�..,,�� . - ,T•...... Arz Quote Good foWDays. 11mmARME0111mini Special Attention: 112 Payment Upon Starting, Balance Upon Completion. Contract ) "1,5 1/ 7 Permit ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS, Pros. CRUD _ �`� "" r c't�? , Date