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HomeMy WebLinkAboutStreet Cut Permits 158 Krawski Drive 1100038 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 04/28/11 GIS ID: 50700158 FEE: 25.00 MUNIS APPLICATION# 201100356 EIRATION DATE: 04/27/12 APPLICAN T = - ;LOCATION NAME: BOUTIN&SONS ADDRESSy 158 KRA�VSKI DRIVE ADDRESS: 121 WINDSORVILLE Ti�N-5 E TIIE IA LT PAUL E&MARIE E BROAD BROOK,CT 0601-6 - leg KRAVSKI DRIVE OFTTFI VINDSOR,CT 06074 PHONE 860-623-2526 - WORK DESCRIPTION: DRIVEV� Y APPLICANT AGREES TO FURNISH THE TOWN OP`SOIJTH I1*ID €R—1- AMOUNT OF 13-OND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY I?�PENSES INCURI3$Y THE IOWN FQR IVIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE APPI RANT=IS,FAM£I IAR - i H AI WALL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH�VIND� ' $TREE T CU 1 PE- IT MANUAL. ISSUED BY DATE INSPECTED INSPECTED BY 4/28/20118:51AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: I Dd 3 D CONTRACTOR: LOCATION: TYPE OF WORK: DATE INSP NEEDED: DATE INSP: i !© z INSPECTED BY: � WORK IN PROGRESS: s SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: C — DATE: I W/2007 Town of South Windsor INPSECTION REPORT 07 APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC' WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN. AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of Firm Boutin & Sons Cons t . Co. Phone No. 623-2526 06016 Address of Firm 121 Windsorvi e Roadroa rook, Conn Location of proposed work 158 K r n w s k i n r i vP Describe fully nature of permit requested Strip .exiating drivPwav;—Qrari2T roll. aPd Paw@ . Starting date Approx.time for completion Call before you dig no. 2011170207 7 Traffic Services Control No. Show sketch of proposed work or furnish TO be filled out by Town of So. with: two copies of separate drawing Pavement Cut Indicate North Prop.size of cut No.cuts 0 Amt.of Deposit 5 by O Cash O Check# Cut size after Perm. Patch v No.Cuts �✓ Final Billing S Amt. Due Payee $ Amt.Due Town $ Applicant is responsible for contacting the Pol'a Drliipt.and C.S.Y.D. 1 I by date I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WJNDSOR 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 STREET CUT PERMIT MANUAL. Signed: L Li✓ ` ✓lam.' Date: Title: D.L.# PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES