HomeMy WebLinkAboutStreet Cut Permits 60 Dawn Drive (2) 1700093 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
STREET CUT PERMIT
DATE: 05/22/2017
GIS ID:26400060 R ;;
MUNIS APPLICATION# 20170058$ nr ' v FEE: 25.00
�r�, Y "S �. EXPIRATION DATE: 05/22/2018
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APPLICANT fit, ,• 5141S<z 5, LOCATION
NAME: BOUTIN&SONS �' ----
ADDRESS: 121 WINDSORVILLE Rt3AD ADDS 6a DAWN DRIVE
O�VNEI OSHNGIAN ROBERT S&ALICIA N
BROAD BROOK,C 0016
4
x w 5 b4A*N DRIVE
PHONE 860-623-2526 OUTW?WWINDSOR,CT 06074
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WORK DESCRIPTION: DR14VEWA s 1 x
APPLICANT AGREES TO FURNISH TH&T0
YF 50UTHW (IyRIE A1�IQLII*1IO $AND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR All
�'.UXPEy*1SFg 1 GURREI)1 Y THE 'OW1 FO iVIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT ANDS APPLOANT IirAm>LAR WITH AA( WIC L ABIDE By THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED 1N THE TOWN`OF SOUT WINDSO '•.S STREET CU 'pBRMITMANUAL.
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ISSUED BY
ATETSPE TED INSPECTED BY
5122/2017 10:28 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOON 1NINDSOR INSPECi`IQN REPORT
PERMIT NQ.: R:_
LOCATION:
TYPE OF WORK: 11'P
DATE INSP NEEDED; DATE INSP: 'I/r I r '. ^_
INSPECTED
WORK IN
PROGRESS,
•SEPTIC TANK-PULPED;SMASH9D,FILLED WITNESSED ❑YES ❑NO
AS-BUILT:
INPUT. L CiaTE; '
S/molioy/famom tam um orsouth Windsor m psEL`i�.WRE+Owr 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 $25.00
Name of Firm Phone No.
BOUTIN AND SONS CONST 860 623 2526
Address of Firm 121 WINDSORVILLE ROAD BROAD BROOK CT 06016 Zip Code
Location of proposed work 60 DAWN DRIVE
Describe fully nature of permit requested REMOVE AND REPLACE EXISTING DR VFWAY FROM _
TO GARAGE
Starting date 5/1 3/1 7 Call Before You Dig No
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE, THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut 11 Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ !ft
Est. Curb Cost$
Est.Sidewalk Replacement sf
Est. Sidewalk Unit Price$ /sf
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
( j 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 3REET CUT PE NtIT MANUAL. ; 5/1 0/1 7
Signed: Print NameG1fG' "�� -
Street Excavation Permit 2014
THURSDAY
12:00pm B UTIN & SONS PAVING COMPANY, INC.
121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526
Date of Call: 4/1 7/1 7 Scheduled Work Date:
Date of Estimate. 2 0 7 Completion Date:
Date of Acceptance:
Name: BOB GOSHDTGIAN G
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60 DAWN DRIVE
Address:
SOUTH WINDSOR Bit
gg60 282 0494
Tel: lVc
OFF. PLEASANT VALLEY ,
Job Location:
Description:
f�f
Quote Good f0 Days.
Special Attention: 112 Payment Upon Starting, Balance Upon Completion.
Contract Permit "
ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. Pros.
CBUD Q01'1 p 1"`� Date —
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