HomeMy WebLinkAboutStreet Cut Permits 896 Pleasant Valley R (2) 1500216 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 09/21/2015
GIS ID: 72900896 - FEE: 25.00
MUNIS APPLICATION# 201501302 EXPIRATION DATE: 09/20/2016
APPLICANT LOCATION
NAME: BOUTIN&SONS ADDRESS: 06,PLEASANT VALLEY ROAD
ADDRESS: 121 WINDSORVILLE ROAD OWNER. FwOND fiFFREY A&WULFILDA T
BROAD BROOK, CT 06,01 896LEANT VALLEY
SQUTH VVI1t1DSOR,CT 06074
PHONE 860-623-2526
WORK DESCRIPTION: DRIVEWAY
APPLICANT AGREES TO FURNISH THE TOW
N"OF SOUTH WINDSOR THE`AMOUNT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANYEXPENSES INCURR9 BY THE TOWN FOR 44INTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE AFPI,ICANT IS FAMILIAR WITH AND WIL1 AIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S�STREET CUT PERMITMANUAL.
ISSUED B DATE INSPECTED INSPECTED BY
9/21/2015 11:32 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
-- - - - - -
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:: 1 Soo,�?1(D CONTRACTOR: n(A: U
LOCATION: Vlen r- ! 11-e�4 Oa
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: CID
WORK IN .
PROGRESS: ,s-Ar L d r v s,s s;r. L
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑YES ❑ NO
AS-BUILT:
i�
INPUT: C. DATE: Ul
S/molloy/forms 2014 Town of South Windsor INPSEC'RON REPORT 14
c 7-1 -'15 12:34 FROM- T-536 P00 i'1/C}001 F-436
Appl. No, TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00
Name of Firm BOUTIN AND SONS CONST_ Phone No. A h 0 623 2 S 2 6
Address of Firm 1 21 WINDSORVILL ,RO&D RRn&D RR(1()K Zip Code 0601 6
Location of proposed work 896 PLEASANT VALLEY RD
Describe fully nature of permit requested REMOVE AND REPLACE EXISTING DRIVEWAY FROM
STREET TO GARAGE
Starting date 9/1 1 /1 5 Call Before You Dig No 2 01 53700960
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB RI=PLACEMENT IS A PRELIMINARY ESTIMATE, THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS, THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applieat7le: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk out
a Existing Driveway,No Changes O Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This sectiort to be filled out by Town
two copies of separate drawing
0 No.cuts
Est.Patch Size(s)..... ._-. .---..---____sf
Est. Pvt.Thickness in.
Est.Patch Unit Price$ /sf
Est.Patch Cast$
E.st.Curb Replacement €f
Est.Curb Unit Price$ ift
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price$ /sf
Est,Sidewalk Cost$
Est.Traff o Hours hr
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
Amt.of Deposit$
DRIVEWAYS must be 3ft or more from the property lime per Total Duo$
section 2.17 of the zoningregulations
( )Cash ( )Check#
Applicant is responsible for contacting the Police Dept.and C.S.Y.D
PERMIT SHALL BE KEPT CAN,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 CONNECT10N 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 STREET CUT PERMIT MANUAL, s
C" -a`` ` ._. Print Name. {�G , .�;�jF� 4,ia--<-;—Date
Signed,
Street Excavation Permit 2014 9/8/1 5
TUESDAY
1 : 001:N BOUTIN & SONS PAVING COMPANY, INC.
121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526
Date of Call: 6/1 1 /1 5 Scheduled Work Date:
Date of Estimate: 6/1 6/-1 5 Completion Date:
Date of Acceptance: I - .2-
Name: JEFF EMOND
Address: 896 PLEASANTVALLEY
SOUTH WINDSOR
Tel: 860 289 3595
5_00
Job Location: OFF OF ELLINGTON ROAD LL A
Description:
A"
ly
f�
Quote Good for 60 Days. ' - • - • ' '• '•
Special Attention: 112 Payment Upon Starting, Balance Upon Completion. J
Contract .7 ^ 2 Permit / /,57
ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. Pres.
C B U D Date