HomeMy WebLinkAboutStreet Cut Permits 131 Wentworth Drive (2) 1600064 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 05/12/2016
GIS ID: 93300131 FEE: 25.00
MUNIS APPLICATION# 201600596 EXPIRATION DATE: 05/12/2017
APPLICANT LOCATION
NAME: BOUTIN&SONS ADDRESS: 131 WENTWORTH DRIVE
ADDRESS: 121 WINDSORVILLE ROAD OWNER DIAS JOAQUIM J L&DOREEN G
BROAD BROOK, CT 06016 131 WENTWORTH DRIVE
PHONE 860-623-2526 SOUTH WINDSOR, CT 06074
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 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 THETWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
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ISSUED BY DATE INSPECTED INSPECTED BY
5/1 2/201 6 2:26PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
- - - ---------- -- -- - - -
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: . Z CONTRACTOR:
LOCATION:
r� we
TYKE OF WORK..
DATE INSP NEEDED: DATE INSP: ) et 0
INSPECTED BY.-
WORK IN .PROGRESS: �/ �^
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SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑YES ❑ NO
AS-BUILT:
INPUT: DATE: -
S/molloy/forms 2014 Town of South Windsor INPSECTION REPORT 14
~ APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00
Name of Firm BOUTIN AND SONS CONST Phone 060 623 2526
Address of Firm windanrvi 1 1 e ROAD BROAD BROOK CT Zip Code0601 6
Location of proposed work 131 WENTWORTH DRIVE
Describe fully nature of permit requested REMOVE AND REPLACE EXISTING DRIVEWAY FROM STREE
TO CARACF
Starting date 51 111 ti Call Before You Dig No2pj 651204214-
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
fl Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
0 No.cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price
Est. Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price
Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
Amt. of Deposit$
DRIVEWAYS must be 3ft or more from the property line per Total Due$
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 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 ; BEET CUT PE IT MANUAL.
/f' �,r 5/9/16
Signed:__=� Print Name 1)12->a:.s7c
Street Excavation Permit 2014
FFcIDAY- BOUTIN & SONS PAVING COMPANY INC. CD16
9 :00am 121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526
3/31 /1 6 .-
Date of Call: Scheduled Work Date:
J Ff 9
Date of Estimate: 4/8/1 6 Completion Date:
Date of Acceptance:
Name: DOREEN DIAS Gr
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Address: 1 31 WENTWORTH DRIVE
SOUTH WINDSOR
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Tel: 860 644 4681 Nc
Pr
Job Location : OFF BROOKFIELD STREET
Description: �'
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Quote Good foDays. ¢ . - o ` -• -e
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
Contract
Permit 7 ��
ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. Pres.
CBUD aC� k�C I �� '-i
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