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