HomeMy WebLinkAbout43 Oxbow Ln - Permit, Inspection Teport, & Application with SketchZ000040
PERMIT NUMBER
DATE: 04/20/2020
GIS ID: 67800043
MUNIS APPLICATION # 202000566
APPLICANT
NAME: BOUTIN & SONS
ADDRESS: 121 WINDSORVILLE ROAD
BROAD BROOK, CT 06016
PHONE 860-623-2526
WORK DESCRIPTION: DRIVEWAY
TOWN OF SOUTH WINDSOR, CT
STREET CUT PERMIT
FEE: 50.00
EXPIRATION DATE: 04/20/2021
LOCATION
ADDRESS: 43 OXBOW LANE
OWNER: HASWELL PETER L & LAILA MG
43 OXBOW LANE
APPLICANT AGREES TO FURNISH 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 THE APPLICANT IS FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WIND OR'S STREET CUTPERMIT MANUAL.
INSPECTED BY
4/20/202010:53 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: &= ya CONTRACTOR: & ) l ml ._.
LOCATION: Y'3 (.GE V`e
TYPE OF WORK:
DATE INSP NEEDED:
INSPECTED BY'.!30
WORK IN
PROGRESS:
4v
SEPTIC TANK PUMPED, SMASHED, FILLED
AS -BUILT:
INPUT: VV \
DATE:
DATE INSP:°d a
WITNESSED ❑ YES ❑ NO
S/molloy/forms 2020 Town of South Windsor INPSECTION REPORT 20
,ll I G�
APPLICATION FOR STREET EXCAVATION ION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS FUEPAR IVIENT
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, GT 0607d
Name of Firm
BOUTIN AND SONS CONST —_--- Phoi1e No860 623
Address of Firm 121 WINDSO.PVTT T.F RnAT) RRQAfl RRQr]j{._(`'[,-0- 4-6-..___ZIP
Location of proposed work N 3 o fC .bow n
Describe fully nature of permit requested 0e iri,jgd &arl o/a.c-
Starting date , y - / S- 2 a Call Before: You Dig
Permit No.
FEE $50.00
2526
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 Cut ❑ Curb Cut ❑ Sidewalk Cut
Existing Driveway, No Changes ❑ Proposed Driveway Widening 0 Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North
two copies of separate drawing -
40 I l�J
Lr7
/I %dLvi/L
Y
DRIVEWAYS must be aft or more from the property line per
section 2.17 of the zoning regulations
Applicant is responsible for contacting the Police Dept. and C.B.Y.D
PERMIT SHALL BE KEPT ON JOSSITE AT ALL TIMES
This section to be filled out by Town
No. cuts
Est. Patch Size(s) sf
Est. Pvt. Thickness in.
Est. Patch Unit Price $
sf
Est. Patch Cost $
Est. Curb Replacement
ft
Est. Curb Unit Price $
ft
Est. Curb Cost $
Est. Sidewalk Replacement
sf
Est. Sidewalk Unit Price $
/sf
EA. Sidewalk Cost $
Est. Traffic Hours
!hr
Est. Traffic Unit Cost $
Ihr
Est. Traffic Control $
Amt. of Deposit $
Total Due $
( ) Cash ( ) Check #
Paid By
WINDSOR FOR ANY EXPENSES INCUKKtU CY I Nt I UVVN r VK MAIN I i ' 111n,' v 1111',.. a - I i— _..... • ... - ' -• "" - . --
THAT I AM FAMILIAR WITH AND WILL ABIDE BYTHERULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR'S ST ET CUT PERMIT ANUAL.
Signed: f'G� Print Name Bate:
Engineering/permits/Street Excavation Permit 2017