HomeMy WebLinkAboutStreet Cut Permits 151 Robert Drive (2) 1500196 TOWN OF SOUTH WINDSOR, CT
PENT NUMBER STREET CUT PERMIT
DATE: 09/03/2015
GIS ID: 76500151 FEE: 25.00
MUNIS APPLICATION# 201501202 DPIRATION DATE: 09/02/2016
APPLICANT LOCATION
NAME: BOUTIN&SONS -ADDRESS 1-f 01§,ERT DRIVE
ADDRESS: 121 WINDSORVILLEROA�D OWNER SMAGAEZ CHRISTOPHER S&KELLY L
BROAD BROOK, CT 06016 �5OgRT DRIVE
= SOU 1-H V INDSOR, CT 06074
PHONE 860-623-2526
WORK DESCRIPTION: DRIVEWIAY -
APPLICANT AGREES TO FURNISH THE T-DWN OF S<)UTH-WINDSOR TTIE AMDUN ( F BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INGURREI WI1FOR7MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TH APPLICANT IS FAMILIAR WITH AND VC�li-L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN O�,SOUTH WINDSOR'S TREETCUTPERIti-3I MANUAL.
ISSUE BY DATE IN ,PECTED INSPECTED BY
9/3/2015 9:50 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
-------- ----
----------- -----
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:: 1�� � 9(� CONTRACTOR: Ec)u t-i N
LOCATION: !fir i up
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: O b
WORK IN
PROGRESS:
00
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES [:] NO
AS-BUILT:
INPUT: DATE:
S/molloy/forms 2014 Town of South Windsor INPSECTION REPORT 14
K 07-1�—''15 '12.-34 FROM— T-5��f F'��JI)'1/c�t�f�1 F-43I�
Appi, No, TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH'WfNDSOR, CT 06074 FEE $25.00
Name of Firm BOUTIN AND SONS CONST Phone No. 860 623 2526
Address of Firm 121 WINDSORVTr.T,E---
RQLn BROAD BROOK T zip Codenh0l 6
Location of proposed work1 51 ROBERT DRIVE
Describe fully nature of permit requested REMOVE AND REPLACE EXISTING DRIVEWAY FROM
STREET TO GARAGE
Starting date�_1.9/.1 5 Call Before You Dig NO2 o 1 531-3()41 3 S
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT 13 A PRELIMINARY ESTIMATE:. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS, THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT iT COULD BE LATER THAN A YEAR.
Check Applicabio; ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Out
133 Existing Driveway,No Changes 0 Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Sept]c,-
f Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
Est.Patch Size(s)..... .__. ..--..----__—sf
0 Est. Pvt.Thickness in.
Est,Patch Unit Price$ (sf
k
Est. Patch Cost$
? Est.Curb Replacement ff
Est.Curb Unit Price$ (ft
Est.Curb Cost$
Est.Sidewalk Replacement_ sf
Est.Sidewalk Unit Price$ /sf
Est,SidewwFlk Cast
Est.Traffic Hours hr
Est,Traffic Unit Cost$ 1hr
Est.Traffic Control$
Amt.of Deposit$
DRIVEWAYS must be sft or more from the property line per Total Duo$
section 2A7 of the zoning regulations -
( )Cash ( )Check#
Applicant is responsible for contacting the Police Dept,and C.S.Y,U
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Paid By
1
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,$aS�EET CUT PERMIT MANUAL, / 8/1 4/1 ,
Signed: �= Print Name. c-� , /s r�(J <; G=�C F
Date:
Street Excavation Parma Im n
TLTESDAY
BOUTIN & SONS PAVING -COMPANY, INC.
2:OOPM 121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526
Date of Call: 6/2 0/1 5 Scheduled Work Date:
Date of Estimate: 6/23/1 5 Completion Date:
Date of Acceptance: lL s I C( �
Name: KELLY SMAGACZ G
CAW
E
Address: 151 ROBERT DR
SOUTH WINDSOR B
Tel: 860 869 4371
F
Job Location : OFF ABBE ROAD
Description:
d�
C L
f i
Quote Good for 60 Days. " - = •- • ' "• "•
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
Contract � 3 Permit YEA y-4 � � s