HomeMy WebLinkAboutStreet Cut Permits 111 Robert Drive (2) 1600093 TOWN OF SOUTH WINDSOR, CT
PENT NUMBER STREET CUT PERMIT
DATE: 06/06/2016
GIS ID: 76500111 = FEE: 25.00
MUNIS APPLICATION# 201600737 EXPIRATION DATE: 06/06/2017
APPLICANT LOCATION
NAME: BOUTIN&SONS 4f ADDRESS: 11 i R( BERT DRIVE
ADDRESS: 121 WINDSORVILLt ROAD - 6WNER: ;--' KARAGIANIS STEVEN G&DENISE R
BROAD BROOK, CT 016 - 111 ROBERT DRIVE
=' - SO[tTH_WINDSOR, CT 06074
PHONE 860 62 2526 "
WORK DESCRIPTION: DRIVEWAY '
THE DRAIN LAYER ASSIGNED TO THISPEIvII T ITAS A UAI ID LIBi�SE ISSUED"$Y THl STATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FOR%H' N THE;ATTACHED`CONDITIONS', ALL WORK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDARDS,ALL OSHA'REQUIREMEN:TS,AND THE ATTACHED CONDITIONS.
How
ISSUED BY DAT SPECTED INSPECTED BY
6/6/2016 11:29 AM
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO..; 6D r� CONTRACTOR:
r
LOCATION:
TYPE OF WORK: 41 V-l�Loa u
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE:
S/molioy/forms 2014 Town of South Windsor INPSECTION REPORT 14
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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 $25.00
Name of Firm BOUTIN AND SONS CONST Phone No. 860 623 2526
Address of Firm 121 WINDSORVILLE:^.ROAD BROAD BROOK CT Zip Code 0601
Location of proposed work 1 1 1 ROBERT DRIVE
Describe fully nature of permit requested REMOVE AND REPLACE EXISTTN 3 DRTVFWAY
FROM STREET TO GARAGE
Starting date 5/1 8/1 6 Call Before You Dig No 2 01 61 9 0 46 21
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut El Sidewalk Out
Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price$ /sf
Est. Patch Cost$
I —
Est.Curb Replacement ft
I
Est.Curb Unit Price$ /ft
i
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price$ (sf
Est.Sidewalk Cost$
1
I
Est.;raffic Hours hr
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
I
Amt.of Deposit$
i
DRIVEWAYS must be aft or more from the property line per i 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 7REET CUT PE IT MANUAL. 5/1 3/1 6
Signed: °�_�- C7 .I(—"— Print Name J��/�" "�4' -• ` ` °-Z"°t�'—Date:
Street Excavation Permit 2014
'TL�Dft 4 : 00
BOUTIN & SONS PAVING (COMPANY, INC.
121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526
Date of Call: 3/23/16 Scheduled Work Date:
Date of Estimate: 3/2 9/1 6 Completion Date:
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Date of Acceptance: � �
Name: Steve Karagianis Gr2 _
Eqt � _
111 Robert Drive
Address:
South Windsor Biti
604-3740
Tel: No
Pri
Rd
Abbe
Job Location : O
Description: fj
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Quote Good for 60 Days. ` i '' - - • '•
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Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
Contract `/' "� � . /(' Permit 15 — - L3 ca
ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. Pres.
C B U D Q :)`(t' 1 1(7 Li Lsi � Date