HomeMy WebLinkAboutStreet Cut public utility 913 Pleasant V 900108 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
STREET CUT PUBLIC UTILITY
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DATE: 08/07/09 nm� , v� ���\ ��mv,,, g"%�vuv,
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GIS ID:72900913
MUNIS APPLICATION# 20090093200
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FEE:
TION DATE: 08/07/10
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APPLICAN' u„,. o ativ°'
OCATION
NAME: YANKEE GAS
ADDRESS: 112 PROSPECT HILL wv �°� Vvvv v v v a��,vvS ANT VALLEY ROAD
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EAST WINDSORCT 8 � pPv���vvv v1v01 ��Vv\v�\` v ��wv `G L SA L
ai;y \\ H DSOR CT 06074
PHONE 860-292-2242 r "\
WORK DESCRIPTION:DESCRIPTION: p\\\\
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APPLICANT AGREES TO FURNISH THE TO Oo�'
THE TOWN OF SOUTH WINDSOR FOR ANY E �REQUIRED AND TO REIMBURSE
� " B *° \\\ 'MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE a �\ ILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SO
'U�
FfRMIT MANUAL.
ISSUED BY DATE INSPECTED SPECTED BY
8/7/20093:20PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.:g tZ.1 DS CONTRACTOR: ,A D W
LOCATION: 9 ( �) I I l e
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TYPE OF WORK: �1\
DATE INSP NEEDED: DATE INSP: 3
INSPECTED BY:
WORK IN
PROGRESS: Sely
AS-BUILT:
INPUT: 0 DATE: I
W/2007 Town of South Windsor INPSEC HON REPORT 07
08/06/2009 THU 13: 31 FAX 860 292 2202 12002/002
'Z� -,00932 APPLICATION FOR STREET EXCAVATION PERMIT 900106
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT 9
1540 SULLIVAN AVENUE Date:
SOUTH WINDSOR,CT 06074
FEE $25.00
Name of Firm 0- ke e— Gcus Phone No. �-
Address of Firm 11Z Zip Code
Location of proposed work 3 e- Vecj
Describe fully nature of permit requested l r'15 CX-k l COLS �:se r v vz.,..
Starting date 0- 851 Approx.time for completion l �_{
Call Before You Dig No. 009 3�Oa�7-7 I Existing Water Supply: El Public Water ❑Well
Existing Sewage Service: ❑ Public Sewer ❑ Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA, CURB
LENQTH;TRAFFIC CONTROL AND THE TOWN'S CONTRACT COTS: THE-PERMANENT PATCH IS TYPICALLY -
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketcl i of proposed work or furnish This sectfon to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
3 No.cuts
Est.Patch Sizes) sf
Est. Pvt.Thickness in.
f
Est.Patch Unit Price$ /sf
Est.Patch Cost$.
Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
as main
Est.Curb Cost$
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
Amt.of Deposit$
Total Due$
( )Cash ( )Check#
Applicant is responsible for contacting Paid By
the Police Dept.and C.B.Y.D.
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 TO OFF SC)PTH WINDSOR'S STREET CUT PERMIT MANUAL.
pwV_'tSigned: �tLv Date:. -.� I CP
Title: Cc��- L�YCVN. Driver's License#:
PLEASE ALLOW AT LEAST TWO WORKING DAYS AFTER APPLICATION FOR ISSUANCE OF PERMIT
WORK MAY NOT BEGIN UNTIL A PERMIT HAS BEEN ISSUED
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Street Excavation Permit 08 REV 10-22-08