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HomeMy WebLinkAbout112 Overlook Rd - Permit, Inspection Report, Application, & Sketch1900153 PERMIT NUMBER TOWN OF SOUTH WINDSOR, CT STREET CUT PERMIT DATE: 08/23/2019 GIS ID: 67500112 MUNIS APPLICATION # 201901861 APPLICANT NAME: BOUTIN & SONS ADDRESS: 121 WINDSORVILLE ROAD BROAD BROOK, CT 06016 PHONE 860-623-2526 WORK DESCRIPTION: DRIVEWAY FEE: 50.00 EXPIRATION DATE: 08/22/2020 LOCATION ADDRESS: 112 OVERLOOK ROAD OWNER: VINICK JESSE & JAMIE 112 OVERLOOK ROAD 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 WINK SOR'S STjREET CUT PERMIT MANUAL. L Z&2 0_ . 8/23/2019 II:09 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OFSOUTN.WINDSORINSPECUON REPORT PERMIT NO.: D� � CONTRACTOR: & c� LOCATION: IInZ 1 i�l°��DO,�'%DGt TYPE OF WORK: 1/l L'--fc'`2` DATE INSP NEEDED: INSPECTED BY: L WORK IN PROGRESS: 1 s T DAZE INS P 917/ Z'! zc' SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS -BUILT: ` INPUT: DATE:J� S/mnlloy/forms 2014 Town of South Windsor MPSkUdN REPORT 14 APPLICATION FOR STREET EXCAVATION PE RMT Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPAfti NiENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 BOUTIN AND SONS CONST Phone Nry460 623 Name of Firm — Address of Firm 121 WINDS0) TT_T,� RnAI) RRC]ATl RRC 1R rm ny01_6__.—ziK Location of proposed work_1i v'?:C PVscribe fully nature. of permit requested '\)e_ ivy_., CdC2 ._ jL1S�i�'12� a" Starting Call Before Yau Dig No. cY'Xe1,f Permit No. FEE $50.00 2526 Code PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY INCREASES -IN PATCH AREA, CURB LENGTH, TRAFFIC CONTROL AND THE TONN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement, Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: Cl Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North two copies of separate drawing 0 DRIVEWAYS must be aft or more from tho property line per section 2.17 of the zoning regulations Applicant is responsible for contacting the Police Dept. and C.B.Y..D PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES This section to be filled out by Town No. cuts Est. Patch Size($) sf Est. Pvt. Thickness - in. Est. Patch Unit Price $ !sf Est. Patch Cost $ Est. Curb Replacement it Est. Curb Unit Price $ tft 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 $ Total Due $ ( ) Cash ( ) Check # Paid By WINDSOR FOR ANY F_XPENSES INCURRED SY THE TOWN FOR MAiN T ENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMITAND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AIJD REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT((MANUAL. Signed: [L,��L-1 I. � r. «iGG�.-vim —.-- Print Name_, ate: Engineering/permits/Street Excavation Permit 2017 Wr'DNE:SDAY 9:00am �s M BOUTIN & SONS PAVING COMPANY, INC. V� 121 Windsorville Road, Broad Brook, Connecticut 06016 r Tel. (860) 623-2526 Date of Call: 5/30/19 Date of Estimate§ / 12 // 19 Date of Acceptance: (0 " Name: dM4ffiF VINICR Address: 112 (OVER LOOK ROAD SOUTH WINDSOR Tel: 860 573 0812 Scheduled Work Date: Completion Date: Job LocationQFF GRAHAM ROAD �yN 1 Description: arl l At,jp Quote Good for Days. r N. Zip Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion. Contract G . Z 4 -/ 7 Permit ONE YEAR GUARANTEE ON WORKMANSHIP & MATERIALS. Pre! CBUD cDQlq Z) - aO �)% Date cblJ