HomeMy WebLinkAboutStreet Cut Permits 15 Chase Farm Road (2) 1400127 TOWN OF SOUTH WINDSOR, CT
PENT NUMBER STREET CUT PERMIT
DATE: 05/20/2014
GIS ID: 18800015 FEE: 25.00
MUNIS APPLICATION# 201400615 = - EXPIRATION DATE: 05/20/2015
APPLICANT % LOCATION
NAME: BOUTIN&SONS. �DR1:aS 1 SE FARM ROAD
ADDRESS: 121 WINDSORVILL � �NhR ICI DAMIAN A&JENNIFER R
BROAD BROOK,CT- fl01 �1 CHASE FARMS ROAD
F N
DUWINDSOR,CT 06074
PHONE 860-62 256
WORK DESCRIPTION: DRIVE /
THE DRAIN LAYER ASSIGNED TO THI 'I{ N S A T� j15 LIC1� I ISSFI>I� Y TIC STATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORT-IN LORK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDA * Ab OSlj REGUIREMFy fiS,1Is33J-p E ATTACHED CONDITIONS.
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ISSUED BY DATE INSPECTED INSPECTED BY
5/20/2014 3:46 PM
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 00 CONTRACTOR: 'ou f/142
LOCATION: C64,b� '
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP:—al(./-S
INSPECTED BY: 6 D
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE: \
S/2014 Town of South Windsor INPSECTION REPORT 14
TUESDAf 5: 30
R T
BOU ■ IN & SONS PAVING COMPANY, INC
121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526 Consumer Protection Reg.#500258
Date of Call: 4/10/14 Scheduled Work Date:
Date of Estimate: 4/15/14 Completion Date:
Date of Acceptance: ram '
Damien Belardi
Name: i
Address::--_15 Chase Farm Road
South Windsor
Tei: __906-6523
Job Location: Y' e ILle
Description:
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Quote Good for 60 Days. ISA and Mastercard Accepted]
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion. � ' �
Contract '' .2 Permit
ONE YEAR GUARANTEE ON WORKMANSHIP & MATERIALS. Pres.
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CBUD (` Date ���
04-]414 06�:4b lROM- pf"1001 1.1,
AFFLIk;A I 1QN 1-UK Z5 1 Ktt I t,&L;AVA,�i IL)NI F�Jrk:r,4,MFj I
Appl. No, TOWN OF SOUTH WINDSOR PU81_C WORKS 0,EPAIRTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE 3)OUTH WINDSOR CT 06074 0 FEE $2.5.00
NarneofFirpl BOUTIN AND SONS PAVING
Address of Firm 121 WINEI`30M phonp_ Nj ,,, 860 623 2526
—.----Zip Code
Locationof proposed work 15 CHASE FARM ROAD
Describe full I� REMOVE AND REPLACE EXISTING DRIVEWAY FROM�Wfff f PFF UMW
Starting crate 5/22/14 Call Beforo You Dig �jcl 20122004463
PLEASE NOTE: TII>*DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURD R5PLACRMrN-f IS A PRELIMINARY ESTIMAT11— THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT;INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL,AND TIT-:;TOWN'S COI IT'\ACT CO`�TS, THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YFAR:OF'1 HE TEMPORARY PATCH BUT 1T,,'OULD3EI.JVF2R TH;N A YEAR.
Check Applicable: 0 No Pavemen't,Curb or Sidewalk Cut 11 Pavernent Cut 0 Curb'Cut 13 Sidewalk Cut
Existing Driveway,No Changes F-1 Proposed Driveway Widening :1 Proposed NeW Driveway
Water Supply: El Public Water [I Well Sewag_-Service.: 01 PublicGewor [1 Septic
Show sketch of proposed work or furnish Indicate North his section to be filled out by Town
two copies of separate drawing
N:i,cuts
UE:A.Patch Size(s)__—sf
E!It.Pvt.Thickness in,
F"J. patch Unit Price
E,A Patch Cost
E,At.Curb Replacement ft
&a.Curb Unit Price$__jft
Est.Curb Cost$
'Efit.Sidewalk Replacement st
&A,Sidewalk Unit Price$,_/sf
E A.Sidewalk Cost
F-m.Traffic Hours hr
Est.Traffic Unit Cost$ /hf
Trefffic Control$
Annt.of Deposit$
Total Due$
( )Qash ( ) Check#
Applicant is responsible for contacting the Police Dent:and C.B.Y.D
PERMIT SHALL BE KEPT ON JOUSITE AT ALL TIMES Paid By
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND 1-0 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 PF=RMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR'S REET CUT PERMIT MANUAL.
Signed:'`_ Print Name
Street Excavation Permit 20f 4