HomeMy WebLinkAboutStreet Cut Permits 33 Sele Drive (2) 1500084 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 05/28/2015
GIS ID: 81800033 FEE: 25.00
MUNIS APPLICATION# 201500596 EXPIRATION DATE: 05/27/2016
APPLICANT LOCATION
NAME: BOUTIN&SONS ADDRESS: 33 SELE DRIVE
ADDRESS: 121 WINDSORVILLE ROAD OWNER: ATTIANESE VINCENT&ANTONINA C
BROAD BROOK, CT 06016 33 SELE OR
SOUTH WINDSOR,CT 06074
PHONE 860-623-2526
WORK DESCRIPTION: DRIVEWAY
APPLICANT AGREES TO FURNISH THE TOWN OF SOUTH WINDSORTHE 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 WINDSOR'S STREET CUT PERMIT MANUAL.
C, A b�111 \
ISSUED BY DA E INSPECTED INSPECTED BY
5/28/2015 11:20 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:: CONTRACTOR:
LOCATION: 3 IL'11�►`-�_
TYPE OF WORK: i
DATE INSP NEEDED: DATE INSP: 42 h//4
INSPECTED BY: 61)
WORK IN
PROGRESS: 40 s ke t-,-
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE: ' ` G
S/molloy/forms 2014 Town of South Windsor INPSECTION REPORT 14
--- _ _
04-:14-'14 06 e 45 FR011-
AVFLIL;A 01UN I'UK 5 I Xtt d tAUA A f QUA Permit No.
No. TOWN,fN OF S�3CI76 V i�3i SOR ' i-l0 WORKS S i3C: Ai a 06074 E
TOWN HALL 1540 SULLIVAN AV�C1i'+�� ::a0'�fi>�:�rli�ion, CT 860 6232526
�'lrone€1i
;pm of i=irrn_ BOU.TIN AI�12.. T� GIST. -� --Zip Code C)601-6..--
Address of Firm 121
Location of prOPosed work 33 SELF DRTVF-- -----
Describe fully nature Of permit reciuested RE COM nnm REP nAl �
FROvi STREET TQ_SARAGE ---
- Call Be-foro You Dig No-201 521_.M8.2.7 �--
Starting
PLEASE NOTE: THE DEPOSIT FOR THE FULL FIiNENT COST OF1THE PERMANEINT PATCH AND CURB I�atFPLACEMES A t�T,ANCLUDINGRY A ANY
THE
APPLICANT IS RESPONSIBLE FOR THE F
IN IN PATCH AREA,CURB LENGTH,
TPArF
TEIC MPOPARYOP PATCH BUT!T}MOULD BE I ATER THI N A YEAR.PERMANENT PATCH I
TYPICALLY COMPLETED WITHIN
Chock Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut
❑ Curb C�-rt ❑ Sidewalk Cut
� Proposed New Drive?�ay
XR Existing Driveway,No Changes ❑ Proposed Driveway Widening
,,3 Wc3 E;i111Cv; ❑ i�ublic GewCr ❑ SEptic
Water Supply; ❑ Public Water Q Wc1! 9-
-- (roS sec4iora t®tJe Il-�Ie Out
ketch of proposed work or furnish
Town
Show sketch
North _ f
two copies of separate drhwing y——` Ni), cuts
Patch Size(s),,,.._-----
Pvt.
Thickness in.
Es,t. Patch Unit Price$ /sf
Patch Cost$_
,., ft i
E;t.Curb Replacement -
E:,t-Curb Unit
E!4-Curb Coat$ -
E<:t.Sidewalk Replacement sf I
E=:.t,Sidewalk Unit Price$—/sf
Est;.Sidewalk Cost;
Traffic Hours hr
!hr
E:t.Traffic Unit Cost$
t.Traftic Control
A-0.of D- 00sit$
i
Total Due$—
Applicant"IS responsible for contacting the Police Dept.and C.&Y.D P;_rid By
1 pj'lei 3 SMALL 13F_KEPT ON,lOC351TE AT ALL TIMES
i---
REQUIRED
TO
MBURSE THE
N OF sOUTH
i INDSO70 UF�NISH TO THE TOWN OF SOUTH l WiNDSOR THE AMOUNT OF E ORBON REPAIR WORK C CONN'ECTION WITH THIS PERMIT
AND
WINUSOR FOR ANY t"i:l'ENSPS INCURRED BY THE TOWN FOR MAlNTEf•1ANu
UTH
THAT I AM FAMILIAR WITH AND WILL ABIDE
BY-THP_ RULkS AND REGULATIONS FOR PERMITS AS OUTLINED 1N THE TOWN
UL'INDSMS STREET CUT pBRM1T M 18/1 5
Print Name_,�.T.,_.._..
Signed:
Street Excavation permit 2014
VINYTIME
. BOl1TIN & SONS P�►VING COMPANY, INC.
121 Windsorville Road, Broad Brook, Connecticut 06016 Consumer Protection Reg.#500258
Tel. (860) 623-2526
03/25/15 Scheduled Work Date:
Date of Call: ,
ANYTIME l �'` �A�.� ' Completion Date:
Date of Estimate:
Date of Acceptance:
VINCE ATTIANESE 7GravelName:
Address::
SOUTH WINDSOR Biturr
860 416-5830 r .'- No.c
Tel:
Price
OFF DEMING STREET
Job Location: ' ` �,4 �
Description: 1' A A,�
,...
It Y
Jtl
(�'.. f fr ✓ � � r
d
TO CURRENT VOLATILITY OF LIQUID ASPHALT PRICE1 .
T�RI Wa`'� pE s j cT AN�,p n oI RIAL CHARGES.
T �q a ance on omp Ajj�S'.
Ctpecl'NWention: ayment Upon a mg,
Permit
Contract "'l' /
-' !
ONE YEAR GUARANTEE ON WORKMANSHIP & MATERIALS._ -