HomeMy WebLinkAboutStreet Cut Permits 30 Krawski Drive (2) 1600066 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 05/12/2016
GIS ID: 50700030 FEE: 25.00
MUNIS APPLICATION# 201600598 EXPIRATION DATE: 05/12/2017
APPLICANT LOCATION
NAME: BOUTIN&SONS ADDRESS: 30 KRAWSKI DRIVE
ADDRESS: 121 WINDSORVILLE ROAD OWNER: ROBERTS DOUGLAS C&MARY G
BROAD BROOK, CT 06016 30 KRAWSKI DR
PHONE 860-623-2526 SOUTH WINDSOR,CT 06074
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 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 WINDSOR'S TREET CUT PERMIT MANUAL.
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ISSUED BY I DATE INSPECTED INSPECT D BY
5/1 2/20 1 6 2:31PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Of
PERMIT NO.,:--ffo 006 CONTRACTOR: �Gct
LOCATION:
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: lo
INSPECTED BY:
WORK IN .
PROGRESS: o
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑YES ❑ NO
AS-BUILT:
INPUT: C_ DATE.
S/molloy/forms 2014 Town of South Windsor INPSECRON REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00
Name of Firm BOUTIN AND SONS CONST Phone N060 623 2526
Address of Firm 21 WINDSnRVTT,T.F. ROAD RRnAT) RRnox (,Z' Zip Code 0601 6—
Location of proposed work 30 KRAWSKI DRIVE
Describe fully nature of permit requested REMOVE AND RFPT.A('F FXTSTTNc I)RTVP.WAY F_RC)M
STREET TO GARAGE
Starting date 5/1 1 /1 6 Call Before You Dig No 2 01 61804311
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement, Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ; ❑ Sidewalk Cut
IdxExisting Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: n Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
0 No.cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price$ /sf
Est. Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
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$
DRIVEWAYS must be aft or more from the property line per Total Due$
section 2.17 of the zoning regulations
O Cash ( )Check#
Applicant is responsible for contacting the Police Dept.and C.B.Y.D
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Paid By
I AGREE TO FURNISH TO 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
THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR'S . BEET CUT PE MIT MANUAL.
Signed: , 5 Print Name l�/�` s�✓c` 1,r»,-- `°v ate: /1 6
Street Excavation Permit 2014
Mo Y` BOUTIN & SONS PAVING COMPANY, INC.
121 Windsorville Road, Broad Brook, Connecticut 06016
4:OOpm Tel. (860) 623-2526
4/5/16
Date of Call: Scheduled Work Date:
Date of Estimate: 4/11 /16 Completion Date:
Date of Acceptance:
Name: DOUG AND MARY ROBERTS
1
30 KRAWSKI DRIVE1 `
Address:
SOUTH WINDSOR / I
860 644 0398 home
Tel:
860 798 6805 CELL . 00
l /: P '
Job Location:OFF RIDGE
Description: a� t - �ytt
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Quote Good for VP
Days.
50
Special Attention: 1/2 Payment Upon Starting, Balance Upon Completion. `
Contract q - Z e ` Permit
ONE YEAR GUARANTEE ON WORKMANSHIP&MATERIALS. Pres.
CBUD Date