HomeMy WebLinkAboutStreet Cut Permits 44 Simcka Drive (4) 1200066 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 05/04/12
GIS ID: 82800044
FEE: .00
MUNIS APPLICATION# 201200528 � 1 pTRATTCIN DATT:•
APPLICANT LOCATION
NAME: METROPOLITAN DISTfI� - � 4 SIP �A DRIVE
ADDRESS: 125 MAXIM ROAD , � �
HARTFORD CT 06114 % - � �IRGINIA R
1 DRIVE
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PHONE � TKwNDSOR,CT 06074
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WORK DESCRIPTION: REPLUE /- DBE
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APPLICANT AGREES TO FURNISH THE TOWN�kOUINI COUNT REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN4 XP I S INCLJ THE TaMA 4TNTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE� PLICk, IS F WIT
IID IDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OA6 UTII W SS G T RU,RMMANUAL.
ISSUED BY DX - I��--- L" " INSPECTED BY
5/4/20128:44AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR MSPEMON REPORT
• PERMIT NO... OONTRACinR: m �
LOCATION:
.TYPE OF W0R(Gn�0�� P kJOX pC
:DATE MSP NEEDED: DATE INSP:_...��h.
INSPECTED BY:__ma .
-WORK IN
PPOGRESS:__ o sr�i�j
SEPTIC TANK PUMPED,SMASHED, FILLED wrrNESSED ElYES ❑ NO
AS•BUIL.T:
INPUT: DATE:
W/2007 Town of South Windsor INPSCMON REPORT 07
t
THE METROPOLITAN DISTRICT- PAVEMENT CUT DATE: S=l--
BILL JOB YES❑ NO III' WO# j 3 .3 "
a_>RESS 14 1 011 TOWN SO61M V&OvI99,0- STATE HIGHWAY YES❑ NO a
RAW SKETCH SHOWING LOCATION AND SIZE OF CUTS AND CUT MADE IN '
CROSS SECT OF PAVEMENT STREET BIT CONC, El CONCRETE ❑ PREMIX ❑
C710 / SIDEWALK V BI7. CONC. ❑ CONCRETE lr FLAG ❑
CURB BIT.CONC. ❑ CONCRETE ❑ STONE ❑
DRIVEWAY /� SIT.CONC. ❑ CONCRETE I]
GRASS V" LOAM&SEED NEEDED YES❑ NO I/
REASON FOR CUT�^/�
NUMBER OF CUTS:
DATE OF FIRST CUT. 5'l" '2
IS JOB COMPLETED: YES 6d"NO❑
f]7V��'I� FOREMAN:,-'�Y L-t/Y Antf
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Q-vt REPLACEMENT PAVEMENT CONTRACT NO.;
} f-r BIT.CONC. ❑ CONCRETE D PREMIX ❑
DATE COMPLETED:
C Fr f ACCOUNT NUMBER: l�
CALCULATIONS
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PRESS HARD, 3 COPIES (ORIGINAL) OPERATIONS H UTILITY HITE)ICES C(YE.0)