HomeMy WebLinkAboutStreet Cut Permits 276 Graham Road (2) 1400078 TOWN OF SOUTH WINDSOR, CT
PENT NUMBER STREET CUT PERMIT
DATE: 04/25/2014
GIS ID: 37500276 FEE: 25.00
MUNIS APPLICATION# 201400442 EXPIRATION DATE: 04/25/2015
APPLICANT -; -- „ LOCATION
NAME: BOUTIN&SONS ADDRESS: 27 GRAHAM ROAD
ADDRESS: 121 WINDSORVILLE ROAD OWNER: SHAW ROBIN L&BOMBARDIER LUKE D
BROAD BROOK, C 0�41 G 276.URAHAM ROAD
15 SOUTH WINDSOR,CT 06074
PHONE 860-623-2526 -
WORK DESCRIPTION: DRW WAY
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 TOW N 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 WINDSR'S STREET-CUT PLI641T MANUAL.
1s
ISSUM BY DATE NSPECTED INSPECTED BY
4/25/2014 2:42 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: - CONTRACTOR: 20Y&i
LOCATION: 0716 6�'a hd w
TYPE OF WORK: c
DATE INSP NEEDED: DATE INSP: Llagjl"5-
INSPECTED BY: Q a
WORK IN
PROGRESS: S o
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE:
S/2014 Town of South Windsor INPSECTION REPORT 14
.-04-14-'14 06:45 FROM- T-118 P0001/0001 F-280
ANI'LIUA I IVN f'UK b I Khh I CAL;AVA I IUN NtKMI I
Appl. No, TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00
Name of Firm Boutin & Sons Construction o Phone No, 623-2526
Address of Firm _ 1 .ems'idsery lie—Read—Breuaroek_ Ct 060e6 Zip Code
Location of proposed work 276 Graham Rand ' ^�
Describe fully nature of permit requested Strip driveway, add gravel and pave.
Starting date 4128/14 Call Before You Dig No 20141503898
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE, THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
f Existing Driveway,No Changes ❑ Proposed Driveway Widening Q Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
0 No.cuts
Est_Patch Size(s) sf
Est. Pvt.Thickness in.
Est, Patch Unit Price$ /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
Est.Sidewalk Cost$
inst.Traffic Hours hr
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
Amt.of Deposit$
Total Due$
( )Cash ( )Check#.
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 S EET CUT P MlT MANUAL.
Signed: c... Print Name D/L/L'/7� csl�t/jJe/CGc/LDate:
Street Excavation Permit 20f4
T UESDAY 2:00
BOUTIN & SONS PAVING COMPANY, INC.
121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526 Consumer Protection Reg.#500258
Date of Call: 03/17/14 Scheduled Work Date:
Date of Estimate: 03/18/14 Completion Date:
Date of Acceptance:
ROBIN SHAW -
Name: Gra
EqL _
276 GRAHAM ROAD
Address:: _ —
SOUTH WINDSOR
Bih _
860 860 644-1775
Tel: No. _
Pric
Job Location FF
Description:
T -
17L,
17
PLEASE NOTE: DUE TO L RREN I'VOLATILITY OF LIQUID ASP�JAI_,T PRICES,
CONTRACT .. ICES- ��% 1, BE SUBJECT TO ANY PLANT MATERI�tL CHARC ��
Quote Good forDays. / ,;, • _ —
Special Attentio�n/1%2 ment Upon Starteng lance Upon Completion.
' f./ Permit 1
Contact
ONE YEAR GUARANTEE ON WORKMANSHIP & MATERIALS. Pres.
CBUD �'/' `I l S0 2 Date /