HomeMy WebLinkAboutStreet Cut Permits 66 Foster Road (3) 1100042 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 05/02/11 = - 2
GIS ID: 33300066 ,. FEE: 00
MUNIS APPLICATION# 201100386 „ - EXPIRATION DATE:
APPLICANT LOCATION
NAME: METROPOLITAN DISTRICT -ADDRES8: 65 FOS)ER ROAD
ADDRESS: 125 MAXIM ROAD77
OI,ER. -:- PRANALEXANDER JR
HARTFORD,CT 061.1 -- 66-FOSTER ROAD
S 1TTH WINDSOR,CT 06074
PHONE - =
WORK DESCRIPTION: SERVICE BOX,ZE-AIR
APPLICANT AGREES TO FURNISH THE TQWN EOF SQUTH II*1flS(7�2 TIE AMQUItT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANI'EXPENSE -IIVCUR £IBY THE IOWN 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 SOTITHINDR;S`STREBT"CTJT PEIIVIIT MANUAL.
,,
ISSUED BY DATE INSPECTED INSPECTED BY
5/2/201112:35PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: / ®b CONTRACTOR:
LOCATION: 66
TYPE OF WORK: Se r v c �cSX ,gyp
DATE INSP NEEDED: DATE INSP: Af/I Z.
INSPECTED BY: r;h
WORK IN
PROGRESS: -�
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE: ID
W12007 Town of South Windsor INPSECTION REPORT 07
THE METROPOLITAN DISTRICT - PAVEMENT CUT DATE; �•��s1 r
`V BILL JOB YES❑ NOV WO#S
� 1
ADDRESS &/a ���Sa �� �j�y TOWN 'o�� Wov%AS&* STATE HIGHWAY
- AY YES❑ NOV
CXD DRAW SKETCH SHOWING LOCATION AND SIZE OF CUTS AND Cl)T MADE IN
`� CROSS SECTION OF PAVEMENT r
d-
0 STREET BIT. CONIC. ❑ CONCRETE ❑ PREMIX ❑
SIDEWALK BIT. CONC. ❑ CONCRETE ❑ FLAG D
CURB SIT. CONC. ❑ CONCRETE D STONE O
DRIVEWAY BIT. CONC. D CONCRETE D
GRASS LOAM&SEED NEEDED YES O -NO lv
REASON FOR CUT: QrlJdC� G9
1
NUMBER OF CUTS: /
DATE OF FIRST CUT:_ G
IS JOB COMPLETED: YES V NOD 1
FOREMAN:
REPLACEMENT PAVEMENT CONTRACT NO.:
BIT. CONC. ❑ CONCRETE ❑ PREMIX ❑
}
U
DATE COMPLETED: _
o ACCOUNT NUMBER- . d
CALCULATI ONS
NO.
OF CUT ITEM JIEM ITEM# ITEM#
� I
ID s 4 (r
.
� a
PRESS HARD, 3 COPIES PAVING INSP. OPE ATIONS UTILITY SERVICES CONTRACTOR
(OR4GINAL) (IY�tTt"s) (WHITE) (YELLOW)