HomeMy WebLinkAboutStreet Cut Permits 33 Krawski Drive (2) 1500241 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 10/14/2015
GIS ID: 50700033 FEE: 25.00
EXPIR
MUNIS APPLICATION# 201501457 ATION DATE: 10/13/2016
APPLICANT LOCATION
NAME: BOUTIN&SONS ADDRESS: 33- MWSKI DRIVE
ADDRESS: 121 WINDSORVILLE ROAD OWNER: KLOSOWSKI FRANK J
BROAD BROOK, CT("I1 33 KRAWSKI DRIVE
-SOUTH WINDSOR, CT 06074
PHONE 860-623-2526 -
WORK DESCRIPTION: DRIVEWAY
APPLICANT AGREES TO FURNISH THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANYEXPENSES 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 TO WN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
10/14/2015 3:13 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO::_ CONTRACTOR:
LOCATION: 33 Lie, A7 ; IA
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: '&b
WORK IN .
PROGRESS: Sk- >^ i>�_t..A .► �. �k
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑YES ❑ NO
AS-BUILT:
INPUT: Cam- DATE:
S/mdloy/forms 2014 Town of South Windsor INPSEMON REPORT 14
-r I I%V.
A V V L I UA I I U N 11-U K Z5 I t i= I t. 1W AQ, F;'1;r'r, 1 r 11�1:''1549
C' TVOE� -mi�No.
w APP1. No, TOWN OF SOUTH WINDSOR PUBL %� DZ-F-AF " -IT Pei L
TOWN HALL 1640 SULLIVAN AVENUE.' R C7 0,3074- FEE Y'-'2 5,0 0
BOUTIN AND SONS CONST F)! - M -860 623 2526
Name of Firrn I t! N,;,
Address of Firm 121 WINDSORVILLE ROAD BROAD BROOK CT iip Codeo 6 016
Location of proposed work 33 KRAWSKI DR
Describe fully nature of permit requested REMOVE AND REPLACF, TSTI-NG DR!VEWZm0L7-FURX0V1
--- STREET TO GARAGE
Starting date—J_G.,/_3_/1 5_ -Call Beforo',(ou Dig
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEIVIFNITPATCH AND CURB R.EPLA.CElVit FW 1 ISAPF\ELIMINAf\YESI'IMATra, THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND C61""B REPLACEMENT,INCLUDING ANY
INCREASES IN.PATCH AREA,CURB LENGTH,TRAFFIC('ONTRf)i
THE Fr-RIVIAMENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR:OF"'HE TEMPORARY P.ATGH BUT IT,OULD5FELATERTWN A YEAR.
Chock Applicable: 0 No Pavemet.�t,Curb or Sidewalk Cut 0 Paven en'L CLIIE ED Curb Cut 0 Sidevialk CUt
'U Existing Driveway,No Changes 0 Proposed Wivevroy!Ni?ening D Proposed hlew Drivoway
WatorSupply; 0 Public Water Q 'Well Sr=,waqe 01, PubiicQlewer n Septic
Shaw sketch of proposed work or furnish Indicate North I 'FIlls section to he filled out by Tow'n
sketch
of two 2es of separate drawing WD COple,'Of Se
N111' cuts
EJ Sf
�A. Pvt.Thickness in.
Esu, Patch UnitPrice
E' . Patch Cost
E.--.1.Curb Replacement ft
L
E t.Curb Unit PriCe 4;
I E.A.Curb Cost$
-E!�t.Sidewalk Replacement sf
Ec.t,Sidewalk Unit Price$_/sf
Es;t.Sidewalk Cost
Traffic Hours hr
Est.Traffic Unit Cost$ Air
I raftiG Control
A-Int.of Deposit$
Total Due
)Check#_
Applicant is responsible for contacting the Police Dept.*and C.B.Y.D
PERMIT SMALL BE KEPT ON JOBSITE AT ALL TIMES Paid By
I AGREE TO rURNISH TO THE T OWN 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 P2RMIT19 AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR'S S fEET CUT PERMIT MANUAL.
9/30/15
Print Narne—��
Signed:
Street
Fxc@vzjt-jori Permit 2014
WEDNESDAY 4 :00
BOUTIN & SONS PAVING COMPANY, INC.
121 Windsorville Road, Broad Brook, Connecticut 06016
Tel. (860) 623-2526
Date of Call: 8/1 8/1 5 Scheduled Work Date:
Date of Estimate: 8/1 9/1 5 Completion Date:
Date of Acceptance: 1
s
Name: Frank tiosowski Graw
Equir
33 Krawski Drive
Address:
South Windsor
Biturr
573-1875
Tel: No. c
Price
Off Felt Rd, Ridgefield Drive
-'Job Location:
Description:
op
Quote Good for 60 Days.
\;Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion.
Contract 57 ` 0 -7 /S� Permit
ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. Pres.
CBUD (--> ; 5-9 �e Date