HomeMy WebLinkAboutStreet Cut Permits 31 Wentworth Drive (2) 1800143 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 09/28/2018
GIS ID: 93300031 FEE: 50.00
MUNIS APPLICATION# 201801799 EXPIRATION DATE: 09/28/2019
APPLICANT LOCATION
NAME: BOUTIN&SONS ADDRESS: 31 WENTWORTH DRIVE
ADDRESS: 121 WINDSORVILLE ROAD OWNER: BRASSARD SANDRA M
31 WENTWORTH DRIVE
BROAD BROOK, CT 06016
PHONE 860-623-2526
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 IN THE TOWN OF SOUTH W DS R'S STREET CUT PERMIT MANUAL.
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ISSUED BY UkTV INSPECTED INSPECTED BY
9/28/2018 10:58 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECWH REPORT
PERMIT NO.: 1 001 43 CONTRACTOR:
LOCATION: 31
TYPE OF WORK! L
DATE INSP NEEDED: DATE IIVSP: i a
INSPECTED BY: L,�)
WORK IN
PROGRESS: L �/t �� 1�:'►'�.
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SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑YES ❑ NO
AS-BUILT:
INPUT:____L - -- DATE:_'
Wni6loy/f+brms 214 TOM ofSoO Wu*w INPSWMN REPORT 14
APPLICATION FOR STREET XCM/AT ION P R IT _ -
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN BALL 1540 SULLWAN AVENUE SOUTH WINDSOR,GT 00074 FEE $50-00
BOUTIN AND SONS CONST Phc1. , Nr.860 623 2526
Name of Firm �.---
i.
Address of Firm 121 WINDSORVIL E RnAn RRnzaT� RRnnu r ___g_6.4)_t6______Zip Code_
Lccation of proposed work 31 WENTWORTH DRIVE _ _
Describe fully nature of permit requested REMOVE AND REPLACE EXISTING DRIVEWAY FRO
FROM STREET TO GARAGE STRIP BIT
Starting date 9/26/1 8 Gall 8 fore ,'ou Iy)ig Nc,._201 83805117
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES•IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT QOULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ vgar)Cut ❑Sidewalk Cut
E1 Existing Driveway, No Changes ❑ Proposed Driveway Widenir,g ❑ Proposed New Driveway
Water Supply! ❑ Public Water ❑kf'fell Sewage Service: ❑ PuNiC Se-W', G Septic
Show sketch of proposed work or furnish Indicate North Town
two copies of separate drawing
/--'\ No.cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
I IZ'st Patch Unit Price$ !sf
rasli.Fatch Cost$
Es, .Curb Repiacenient ft
Est. Curb Unit Price$ !ft
I
Curb Cost$
Est. Sidewalk Replacement sf
Est.Sidewalk Unit Price$ /sf
Est,Sidewalk Cost$
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
Amt.of Deposit$
DRIVEWAYS must be 3f#or more from the property line per Total Due$
section 2.17 of the zoning regulations
( }Cash ( }Check ft
Applicant is responsible for contacting the Police Dept.and C.B.Y.D
PERMIT MITI SHALL DE KEPT ON JOBSITE AT ALL.TIMES I Plaid By
I—AGREE_TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE ANIOUNT 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 PULES AND REGULA T IONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR'S STEET CUT PERMIT-MANUAL
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Signed; ' F s,.• --- Print Name Date:
Engineering/permits/Street Excavation Permit 2017
t
FRIDAY BOUTIN & SONS PAVING COMPANY INC. '
2:oopm 121 Windsorville Road, Broad Brook, Connecticut 06016 _
Tel. (860) 623-2526 '
P
5 7 R
Date of Call: 5/6/1 8 r� Scheduled Work Date: ,f ' '06-" (f: 4�
Date of Estimate:5/18/18 ��� Completion Date:
Date of Acceptance: '
2-4
Name: LEONARD BRASSARD
24
WENTWORTH DRIVE
Address: 31
SOUTH WINDSOR
Tel: 860 644 2253
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ob Location:OFF BROOKFIELD DRIVE
Description:
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Quote Good fo�'dbays. • • , -• -•
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
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Contract rV Permit - — L
ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. Pres.
CBUD (� � ��` �� Date