HomeMy WebLinkAboutStreet Cut Permits 34 Imperial Drive (2) 1500219 TOWN OF SOUTH WINDSOR, CT
PENT NUMBER STREET CUT PERMIT
DATE: 09/21/2015
GIS ID:45600034 FEE: 25.00
MUNIS APPLICATION# 201501305 EXPIRATION DATE: 09/20/2016
APPLICANT .LOCATION
NAME: BOUTIN&SONS ADDRESS: 34 IMPERIAL DRIVE
ADDRESS: 121 WINDSORVILLE ROAD OWNER: MOVER DAMES A&TONI L
BROAD BROOK, CT 066167 RIL DRIVE
SUUTI�WIITDSOR,CT 06074
PHONE 860-623-2526 `
WORK DESCRIPTION: DRIVEWAY
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 MAI TENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE"APPLICANT IS FAMILIAR WITH AND WILIj ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PE UAL.
ISSUED BY DATE INSPECTED INSPECTED BY
9/21/2015 11:44 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:: /_3-00a? I 1 CONTRACTOR: U J2�j
LOCATION: 3 '� �� ��1 0,k �� )
TYPE OF WORK:_ ➢r^ ve lda�
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: eb
WORK IN .
PROGRESS: ? +-a
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑YES ❑ NO
AS-BUILT:
INPUT: C; DATE: I I
S/molloy/forms 2014 Town of South Windsor INPSECTION REPORT 14
07-13-' 15 12:34 FROM- T-586 P0001/0001 F-433
Appl. No, TOWN OF SOUTH WINDSOR PUBLIC WORDS DEPARTMENT Permit No,
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06014 FLEE $25.00
-Name of Firm13OUTIN AND SONS CONST. 860 623 2 526
Phone No.
Address of Firm 121 WINDSORVILLE ROAD BRQ,%D EgOoK rT Zip Code0601 6
Location of proposed work 34 IMPERIAL DR TVA
Describe fully nature of permit requested REMDyF ANn RE Z1r'R nne�"3 A7_n_x7 FROM
STREET TO GARAcp
Starting date 9/1 1 115 Call Before You Dig No 20153700955
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE, THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Out
Existing Driveway,No Changes O Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
WO copies of separate drawing
No.cuts
Est-Patch Size(s).... ._-. .--- -- sf
.0 Est. PvL Thickness in.
Est.Patch Unit Price$ /sf
Est. Patch Cost$
Est.Curb(replacement ff
Est.Curb Unit Price$ /ft
Est.Curdy Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price$ lsf
Est,Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ !hr
Est.Traffic Control$
Amt.of Deposit$
DRIVEWAYS must be aft or more from the property line per Total Due$
section 2.17 of the zoning regulations
( { )
Applicant is responsible for contacting the Police Dept.and C.B.Y.D }Cash Check#
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'SZ-71,
EET CUT PERMIT MANUAL.
Signed: G - Print Name. �.. =- )42,�:<;- �G� Z 9/8/15
Date:
Street Excavation Permit 2014
TUESDAY BOUTIN & SONS PAVING COMPANY, INC. (,4&
8:OOAM 121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526
Date of Call: 7/29/15 Scheduled Work Date:
Date of Estimate: 8/4/j1 5 Completion Date:
Date of Acceptance: _ " icot
Name: JAMISMOYER C.
E
Address: 34 IMPERIAL DR
SOUTH WINDSOR �..
Tel: 860 966 0271 �?� I
.00
OFF DEMING ST
Job Location :
Description:
off,SS- V10,.
c
Quote Good for 60 Days.
;,Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
Contract G' Permit r
ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. r ! Pres.
CBUD aC) Date
J