HomeMy WebLinkAboutStreet Cut Permits 78 Old Farm Road (4) 1700092 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
STREET CUT PERMIT
DATE: 05/22/20I7
GIS ID:66300078
JV
MUNIS APPLICATION# 201700585 r �y FEE: 25.00
EXPIRATION DATE: 05/22/2018
4 v',
APPLICANT
NAME: BOUTIN&SONS g x - y LOCATION
yAI1RS 78 OL12 FARM ROAD
ADDRESS: 121 WINDSORVILLE NO." Oy�r�I kERA HSKY BRYAN
BROAD BROOK, CT 0G016DLDARM ROAD
5.
T
PHONE 860-623-2526 ;t Y
ndsor,CT 06074
a u
WORK DESCRIPTION: DR"WA
t
iv
y 4 ne
y
�
APPLICANT AGREES TO FURNISH THL,TOPR OF(SOUTH I3*1D,S{) HE'AMO1 T 0> BAND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AEI >43�1' NSES f1�1'URED By SHE TU , FOMAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TE AP L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWWO SOUTH�VINI)SORyS STREIyT� T IT MANUAL.
Igo
ISSUED BY
DA` B INSPECTED INSPECTED B
5/22/2017 10:23 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
ry`
}Li
} a
gn
Al
3w 7
Am
4Y^ F rvs
at
k 'fi
S .X
ras ..
SF :J• S�Y. G ,t,M1 �
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:: 7 0 CONTRACTOR:
tACAMN: V ola' j�v✓rn Z) "J
TYPE OF lg0RK: 17 ' , �.�Q ,.....�.,.
DATE INSP DEEDED: DATE INSP.-"-23 h
INSPECTED BY: D
WORK 14
PROGRESS,,.,,,
• SEPTIC TMK.PUMPED,SMASHCD,FILLED MWES$ED ❑YES ❑NO
AS-BUJLT: `.
INPUT: DATE `
S/mollay/ibrms 2014 Tom of Soulb Wl imr INPl56CRON•M0RT 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 $25.00
BOUTIN AND SONS CONST . 860 623 2526
Name of Firm Phone No.
Address of Firm 121 WINDSORVILLE ROAD BROAD BROOK CT 06016 Zip Code
Location of proposed work 78 OLD FARM ROAD
Describe fully nature of permit requested REMOVE AND REPLACE EXISTING DRIVEWAY FROM
STREET TO GARAGE RIGHT SIDE WIDEN
Starting date 5/1 3/1 7 Call Before You Dig Not 01 71 9 0 3 0 4 0
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE, THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Out ❑ Sidewalk Out
Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway.
Water Supply: ❑ Public Water 0 Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing "
No.cuts
Est. Patch Size(s) sf
Est.Pvt.Thickness in.
Est. Patch Unit Price$ /sf
Est.Patch Cost$
i
Est. Curb Replacement ft
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
( )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 7.REET CUT PE MIT MANUAL.
5/10/17
Signed: -�L�a . ,�, fs a , - Print Name —
Street Excavation Permit 2014
FRIDAY
8.00amr BOUTIK & SONS PAVING Compi, l , INC. J
121 Windsorville Road, Broad Brook, Connecticut 66016
Tel. (860) 623-2526
4/1 0/1 7
Date of Call: Scheduled Work Date:
Date of Estimate: 4/21 /1 7 Completion Date:
Date of Acceptance: 1 "
Name: BRIAN AERACHSKY M �E
Address 8 OLD FARM! ROAD
SOUTH WINDSOR 3 •�
Tel: 860 306 5698
Job Location
OgF ABBE ROADy �
Description: A" l
�—
q�-: p
ol
Quote Good for rDays. � ' • - ° " "° "
Special Attention: 112 Payment Upon Starting, Balance Upon Completion.
Contract Permit
ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. Pres.
r1ol in Date