HomeMy WebLinkAboutStreet Cut Permits 9999 Pleasant Valley (2) 1100134 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 08/31/11
GIS ID:72909999 FEE: 00
MUNIS APPLICATION# 201100982 EXPIRATION DATE:
J Jo
APPLICANTL LOCATION
NAME: METROPOLITAN DISTRICT' AADRES-- PLEASANT VALLEY ROAD
ADDRESS: 125 MAXIM ROAD " flWL+IER TOWS OF SOUTH WINDSOR
HARTFORD,CT 061 I4 ;= " 1546"SULLIVAN AVE
OU IJ WINDSOR,CT 06074
PHONE
WORK DESCRIPTION: WATERIVI�AIN RIPE LEAK T�LEASANT VALLEY ROAD
(291 ( UERPtSS;JOHIVFITRBi3)
APPLICANT AGREES TO FURNISH THE N IAW OF SOUTH DSflR TEE AMOUNT(3F BAND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY E PENSE&INCURk8I BV THE TOWN R-ICIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THI APPLICANT IS OSWAR WITH AND,WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WIINDSR'S STREET CUT PIRNIIT MANUAL.
C kvu)ko
ISSUED BY DATE INSPECTED INSPECTED BY
8/31/20119:15AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
_........ . _........._. .. .._..... ......... ..........
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: l 00)3 CONTRACTOR: yh 6 c-
LOCATION:--f l
.'iYPE OF WORK:
DATE INSP NEEDED: DATE INSP:
INSPECTED By.-
WORK IN
PROGRESS: , �_'.dt
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: �n
DATE:
W12007 Town of South Windsor INPSEMON REPORT 07
THE METROPOLITAN DISTRICT- PAVEMENT CUT DATE:
,j n
— �� BILLJOB YES NOX WO# S�'^� 1
7 O
)DRESS rjo '�u L1 � j` jN 1-5' ,0, STATE HIGHWAY a1YES Z NO❑
DRAW SKETCH SHOWING LOCATION AND SIZE OF CUTS AND CUT MADE IN
GROSS SECTION OF PAVEMENT I
STREET BIT. CONC. D CONCRETE ❑ PREMIX ❑
o SIDEWALK BIT. CONC. D CONCRETE ❑ FLAG ❑
CURB BIT CONC, D CONCRETE ❑ STONE ❑
��.0 DRIVEWAY BIT.CONC. ❑ CONCRETE ❑
F�•f, GRASS _ LOAM &SEED NEEDED YES 0 NO
REASON FOR CUT: jLJ144 n/ Dip- Lea
NUMBER OF CUTS: /
DATE OF FIRST CUT:_ h g 'Z 5 - Z0 If
1
IS JOB COMPLETED: YES❑ NO❑
¢ FOREMAN:
cZ
REPLACEMENT PAVEMENT CONTRACT NO
w
F—
BIT.CONC. D CONCRETE ❑ PREMIX ❑
0
DATE COMPLETED:
ME
ACCOUNT NUMBER:
CALCULATIONS
OF GUT- ITEM# ITEM# ITEM# ITEM# I
0
o
PRESS HARD 3 COPSES PAVI1dr INSP. OPERATIONS UTILITY SERVICES CONTRACTOR
(ORIGINAL) (WHITE) (WHITE) (YELLOW)