HomeMy WebLinkAboutStreet Cut Permits 51 Hollis Road 1700066 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 04/05/2017
GIS ID:44400051 4 FEE: 25.00
MUNIS APPLICATION# 201700339 w' EXPIRATION DATE: 04/05/2018
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APPLICANT LOCATION
NAME: BOUTIN&SONS ADDRESS �1 HOI IS ROAD
ADDRESS: 121 WINDSORVILLO W IPdWNER SOY KEVIN C&
BROAD BROOK,CT 06OI S HOI IS ROAD
x SOUT-H INDSOR,CT 06074
PHONE 860-623-2526
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WORK DESCRIPTION: DRTyEWA 4 t'
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APPLICANT AGREES TO FURNISH THI TO%N�'0F SOUTH WTND OR THE AM(7T 1TtOR BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AIRYPE1S INCURRFD'$Y THE TCWI*I;kRiVIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TFIE APPLIANT IS'EAIYIIIrIAR.11I1 AItIp�VIT ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OR S .IJ WINDS. 'S,;STRI;E GUT 1'I It 1IT MANUAL.
IS UED D1T SPECTED INSPECTED BY
4/5/2017 10:18 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMT!'NO:: CONTRACTOR: 0L,
LOCATION;
TYPE OF WORK: "Is:. 2�"'Ce 30� aJ le
DATE INSP NEEDED: DATE INSP.',
INSPECTED BY: L )
WORK IN
PROGRESS:
SEPTIC'TANK.PUMPED;SMASHgD,FILLED WITNESSED 0 YES ❑NO
AS-BUILT:
INPUT: DATE:
S/molloy/forms 2014 Town of South wln*or iNPSfl=WREPORT 14 _
APPLICATION FOR STREET EXCAVATION PERMIT
ppl.N TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00
Name of Firm BOUTIN AND SONS CONST s PhonO No.860' 623 2526
Address of Firm_ 121 WINDSORVILLE ROAD BROAD BROOK CT 06016 Zi�'Code
Location of proposed work 51 HOLLIS ROAD - -
Describe fully nature of permit requested REMOVE AND REPLACE EXISTING DRIVEWAY FRO
FROM STREET TO GARAGE
Starting date 4/1 /1 7 Call Before You Dig No' 2.0 1 71 3 01 9 7 2
PLEASE NOTE*- THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETE WITHIN Q YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR
j !III t:rF. II :1
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut` ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
! Existing Driveway,No Changes ❑ Proposed Driveway Wideninci ❑.Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out b Town
two copies of separate drawing
No.cuts
Est. Patch Size's) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price$ /sf
i
I I Est-Patch Cost$ E
Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
Est.Curb Cost$
Est.Sidewalk Replacement sf -
Est.Sidewalk Unit Price
i
Est.Sidewalk host Sl
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 TIDES 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
WINDSORS�3TREET CUT PE 'MIT MANUAL.
Signed � .C�- Print Name
: -�-�-�y� � _
Street Excavation Permit 2014
TUESDAY
3;00pm BOUTIN & SONS PAVING COMPANY, INC. ,�/�_✓/
121 Wmdsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526
9/23/16
Date of Call: Scheduled Work Date:
Date of Estimate: 9/2 7/1 6 Completion Date:
Date of Acceptance: '
Name: KEVIN ROY v vl
Address: 51 HOLLIS ROAD
SOUTH WINDSOR c
Tel: 860 305 7666
Job LocaticWF PLEASANT VALLEY
Description: f.fl.-
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Quote Good for 60 Days. '
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Special Attention: 112 Payment Upon Starting, Balance Upon Completion. 33
Contract 10 7'" /4� Permit
ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. Pres.
CBUD c' 0 F 1 l � t Date J''1 — 1