HomeMy WebLinkAboutStreet Cut Permits 125 Krawski Drive 1100164 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 10/11/11
GIS ID: 50700125 FEE: 25.00
MUNIS APPLICATION# 201101188 tXPIRATION DATE: 10/10/12
APPLICANT ,-= LOCATION
NAME: BOUTIN&SONS ADDRESS 125 KRAWSKI DRIVE
ADDRESS: 121 WINDSORVILLEIZOAD - OWNER: I'LOURDE KENNETH H&BETTY ANN S
BROAD BROOK,CT P601`-6 125 XRAW- SKI DRIVE
OUT1 WINDSOR,CT 06074
PHONE 860-623-2526
WORK DESCRIPTION: DRIVE AY =
APPLICANT AGREES TO FURNISH THE PQW LOF SOUTH-WRNDS(?R TIDE AMOUNT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN 'E PENSES INCURRED BM THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THT APP'L-ICANT IS FA1I ILIAR-WITH ARC WILL ABIDE BY THE RULES AND REGULATIONS
Al
FOR PERMITS AS OUTLINED IN THE TOWN Of sib WIND SR' STREET CUT PERiv1IT MANUAL. 1
ISSUED BY DATE SPECTED INSPECTED BY
10/11/201110:44AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
.............. --
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: lI 00�Cn CONTRACTOR: 6o w�,l r�
LOCATION:_ l a7.5
'TYPE OF WORK: ALP
DATE INSP NEEDED: DATE INSP:L
INSPECTED BY: _6b
WORK IN
PROGRESS:
r
SEPTIC TANK PUMPED, SMASHED, FILLED WTfNESSED ❑ YES ❑ NO
'AS-BUILT:
INPUT: C DATE: �'l I.......... .
W/2007 Town of South Windsor INPSEMON REPORT 07
601&q
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
Address of Firm 121 Windsorvi e Roadroa rook, Conn
06016
Location of proposed work 125 Krnwski Drive
Describe fully nature of permit requested Strip .existing driveway,digr out lawn area,
add gravel, grade, roll and pave.
Starting date 1 0/1 7/11 Approx.time for completion 11 Z 1 7/1 1
Call before you dig no. 2 0113 9 0 4 0 7 6 Traffic Services Control No.
Show sketch of proposed work or r To be filled out by Town of So. 'Windsor
two copies of separate drawing Pavement Cut
Indicate North Prop.size of cut
No.cuts
. yo
/ Amt.of Deposit S by
O Cash O Check#
i
/v l )0 Cut size after Perm. Patch
No.Cuts
Final Billing S
Amt.Due Payee $
Amt.Due Town .$
Applicant is responsible for contacting
the Police Dept.and C.B.Y.D. 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.
9/26/11
Signed: Date:
Title: Secretary D.L.# `
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES