HomeMy WebLinkAboutStreet Cut Permits 22 Darlene Drive (2) 1500221 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 09/21/2015
GIS ID: 25500022 FEE: 25.00
MUNIS APPLICATION# 201501307 ENPIRATION DATE: 09/20/2016
APPLICANT LOCATION
NAME: BOUTIN& SONS ADDRESS; 22 DARLENE DRIVE
ADDRESS: 121 WINDSORVILLE ROAD OWNER: ME KO CHRISTOPHER&JENNIFER
BROAD BROOK, CT 06016 22 I}ARLEll DRIVE
SOUTH WIl*DSOR,CT 06074
PHONE 860-623-2526
WORK DESCRIPTION: DRIVEWAY
APPLICANT AGREES TO FURNISH THE TOWN OF SOUTH'w SOIL THE"AMOUNT OF$OND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY"THE TOWN FOF MA10-TENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPLICANT IS FAMILIAR WITH AND WII L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMITMANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
9/21/2015 11:50 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:; l'D ? I CONTRACTOR: �c, j!J
LOCATION:
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: a2 116
INSPECTED BY: g�
WORK IN
PROGRESS:._
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE:
S/molloy/forms 2014 Town of South Windsor INPSECTION REPORT 14
07-13-'15 12:34 FROM- T-533 P0001/0001 F-433
Appl, No, TOWN OF SOUTH WINDSOR PUBLIC WORMS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.06
Name of Firm BOUTIN AND SONS CONST Phone060 623 2526
Address of Firm 1 21 WINDSORVILLE ROAD BROAD BROOK CT 0601 15 ,Zip Code
Location of proposed work22 DARLENE DRIVE
Describe fully nature of permit requestecREMOVE AND REPLACE EXISTINC
_nRTVZEWAv FROM STREET TO GARAGE
Starting date_gj-1-1 /1 5 Call Before You Dig No 2 01 5 3 7 00 Sr,7
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURES REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public.Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
E,3t.Patch Sizes).... .__. .._-
Est. Pvt.Thickness in.
Est.Patch Unit Price$ /sf
E.�t. Patch Cost
Est,Curb Replacement ff
Est.Curb Unit Price$ !ft
Est.Curb Cost$
Est.Sidewalk Replacement_ . ...-___sf
Est.Sidewalk Unit price$ /sf
Est,Sidewalk Cost$
Est.Traffto Hours hr
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
Ault.of Deposit$
DRIVEWAYS must be aft or more from the property line per Total Clue$
section 2.17 of the zoning regulations
( )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 PERMITAND
THAT I AM FAMILIAR WITH AND WILL ASIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR'SZS �EET CUT PERMIT MANUAL.
PG�'1e ca../-G..�.-- ,/ls'O'G�/'<. '` .r•f e.A.+'st r"..x`G'.'4...
. Signed: _ � Print Name. f--;;, ✓< --- � Date:
Street Excavation Permit 2014
9/8/15
MONDAY J_
BOUTIN & SONS PAVING COMPANY, INC.
'8•:0O.A,M 121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526
Date of Call: 7/2/1 5 Scheduled Work Date:
Date of Estimate: 7/13/15 Completion Date:
Date of Acceptance:
Name: CHRIS MELESHENKO Gra
Equ _
Address: 22 DARLENE DRIVE
SOUTH WINDSOR Bitui
Tel: 860 644 5454 No.
860 709 3640 Pricf
Job Location: OFF ELLINGTON ROAD �j � ;
Description:
c�
r-
Quote Good for 60 Days.
Special Attention: 112 Payment Upon Starting, Balance Upon Completion. J
Contract y S� Permit /
ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. Pres.
CBUD &0 9 L Date //
- 5
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