HomeMy WebLinkAboutStreet Cut Permits 39 Wentworth Drive (2) 1400141 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 06/03/2014
GIS ID: 93300039 FEE: 25.00
MUNIS APPLICATION# 201400690 ` - EXPIRATION DATE: 06/03/2015
APPLICANT[ - LOCATION
NAME: BOUTIN&SONS ADDRESS: 39" VENTWORTH DRIVE
ADDRESS: 121 WINDSORVILLE R6AD OWNER: GIAMAI IS JOHNS&MARIANNA C
BROAD BROOK, C' 06I216 39 E1ITW0RTH DRIVE
SOUH IN VDSOR, CT06074
PHONE 860-623-2526
WORK DESCRIPTION: DiO
RIIWAY.
APPLICANT AGREES TO FURNISH THE 3 Ov!N OF SOUTHWINDSOR:THE AMOUNT OF$OND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR A�IY'PBNSES INCURREDBY THE TOWN:F&tIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TITE APPLICANT IS FAMILIAR WITH AND VYILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN CYF SOUTH WINDS(R'S STREET CUT PERMIT MANUAL.
an
ISSUED BY DATE INSPECTED INSPECTED BY
6/3/2014 8:38 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: I ® CONTRACTOR: '600 9t r r1
LOCATION: `� 1a1�Pia7rFI12` Y'111�
TYPE OF WORK: b v-+\�-p_w ar-ca
J
DATE INSP NEEDED: DATE INSP: 2 & 1
INSPECTED BY: (3 0
WORK IN
PROGRESS: �,,>
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE:
S/2014 Town of South Windsor INPSECTION REPORT 14
I+- P+ RV1'1- I I [�J 1 "JVV I VV',"[ 1
Appl. No, TOWN OF SOUTH WINDSOR PUBL'K;WORK,$ DEEPAFTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE 30UTH WINDSOR CT 06074 FEE $25.00
BOUTIN AND SONS PAVING CONST
860 623 2526
Name of Firrn __
Address of Firm __121 WINDSORVILLE RD BROAD BROOK CT Zip Code 06016
Location of Proposed work39 WENTWORTH DRIVE
Describe fully nature of permit requested REMOVE AND REPLACE EXISTING DRIVEWAY FROM
STREET 10 GARAGE
Starting date, 5/31/14 Call Beforo You Dig No 2QL42-2-01 71
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PAT CH AND CURr:5 R�PLACrMrfl-( IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB F EPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURn LENGTH,TRAFFIC CONTROL AND TI-11:-;TOA/N'S CONTR\ACT 0'
-I S. THE PERMANENT PATCH IS
T"' -N A VC.Pjl
TYPICALLY COMPLETED WITHIN A YEAI:'(:40E-ftlETEIV;P(7)PAR.YPIJ(�'HBLJ-FI 'COULD
Check Applicable: 0 No Pavemei.it,Curb or SideWafk'Cut El Pavement Cut if-'] Curb Cut 0 Sidevialk Cut
14)LAsting Driveway,No Changes El Proposed Driveway Widening :1 Proposed New Driveway
WatorSupply; 0 Public Water M Well Sc-,wage Sonjice: DJ Pubiic Sevier E Septic
Shaw sketch of proposed work or furnish Indicate Noilih '.'Ms section to he filled outbk,(Town,
two copies of separate drawing
N:), cuts
E:-'-tL Pitch Size(s) • 8f
Er.4. Pvt.Thickness in.
F,, Patch Unit Price`$
E!=;,Patch Cost
F--;4.Cuj,l--i Replacement ft
E::;t.Curb Unilk Price
E!,t. Curb Cost
E,=;t.Sidewalk Replacement sf
EA,Sidewalk Unit Price$ /sf
&4t.Sidewalk Cost$
F:. ,Traffic Hours hr
E,;-L-.Traffic Unit Cost$
Trafft Control$
j
A;Inft.of Deposit$
Tc-Aal Due$
Check
Applicant is responsible for contacting the Police Dept.and C.B.Y.D
PERMIT SHALL BE KEPT ON J0133ITE AT ALL TIMES Paid By
I AGREE To FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF E30ND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH
WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORE{IN CONNECTION WITH THIS PERMIT AND
THAT I A RIAITS AS OUTLINED IN THE TOWN OF; SOUTH
Of�SFAILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR P2R
WINDS R rEET CUT MIT M VAL.
Signed: C/
Print Nam
Street Excavation Permit 2014
' TUESDAY 3 PM
BOUTIN & SONS PAVING COMPANY, INC.
121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526 Consumer Protection Reg.#500258
B =
Date of Call: 04/2.1/14 -
Scheduled Work Date:
Date of Estimate: 04/22/14 Completion Date:
Date of Acceptance: - '
JOHN GIAMALIS
Nome:.
Address::
39 WENTWORTH DRIVE
SOUTH WINDSOR
Tel.. 860 644 7440
TROY and Brookfield P
Job Location:
Description:
jv
Quote Good fo0 Days. ° ' •
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
Contract � � �� `� Permit }��
ONE YEAR GUARANTEE ON WORKMANSHIP & MATERIALS. )) Pres.
CBUD Date I I l