HomeMy WebLinkAboutStreet Cut Permits 71 Quarry Brook Drive (3) 1200005 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 02/06/12 ,
GIS ID: 74100071 _ FEE:
MUNIS APPLICATION# 201200113 .00
- , F-PIR ATION ILIA T E:
APPLICANT = LOCATION
NAME: METROPOLITAN DISTRICT ADORES : 71 QUA*tRY BROOK DRIVE
ADDRESS: 125 MAXIM ROAD OVIER PATTEIS ALAN M&TERESA A
HARTFORD,CT 0614 71 QUARRY BROOK DRI
All p
PHONE
SOUI 1NDSOR,CT 06074
WORK DESCRIPTION: WAVEW AINIE AIR = - = /
APPLICANT AGREES TO FURNISH THE TQWj DF OUTI WIND pRT E'AMo lVT QF13OND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANC EXPENSES INCUBI?$y TI i—T-_OWN }R T IAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THI &IPLIGANTIS FAMIAl-WISH AND WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SijUTII WINI/-SR'S STREET CYI T PERMIT MANUAL.
ISSUED BY
DATE INSPECTED INSPECTED BY
2/6/20124:11PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONMCTOR:
LOCATION: v t
TWE OF WORK:
DATE INSP NEEDED: DATE INSP:
INSPECTED -
WORK IN
PROGRESS: 1,j ,�p
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑YES [:] NO
AS-BUILT:
INPUT": VU� DATE:____!`
W/2007 Town of South Windsor INPSECTION REPORT 07
THE METROPOLITAN DISTRICT- PAVEMENT CUT DATE: l
BILL,JOB YES❑ NO Lam' WOE'
DRESS TOWN E HIGHWAY YES❑ NO Cam!
RAW SKETCH SHOWING LOCATION AND SIZE OF CUTS AND CUT MADE IN
CROSS SECTION OF PAVEMENT f
"' STREET BIT, CONC. ❑ CONCRETE D PREMIX ❑
� 1 �
o f SIDEWALK OBIT.CONC. 0' CONCRETED FLAG ❑
CURB BIT.CONC, ❑ CONCRETE ❑ STONE D
DRIVEWAY BIT,CONC. D CONCRETE ❑
GRASS LOAM& SEED NEEDED YES❑ NO 9---
REASON FOR CUT jl�`�9-�.6`. ,,c3 � Ann
a
NUMBER OF CUTS: �
DATE OF FIRST CUT:_ l?�
IS JOB COMPLETED: YES fl--TN0 D
d FOREMAN:
REPLACEMENT PAVEMENT CONTRACT NO
BIT.CONC. Cl CONCRETE ❑ PREMIX ❑
DATE COMPLETED:
ACCOUNT NUMBER.:
CALCULATIONS
OF CUT ITEM fI ITEM# ITEM ITEM
0
m
PRESS HARD 3 COPIES PAVIRIHP 1NSP. OPERATIONS UTILITY SERVICES CONTRACTOR
(OGINAL) (WHITE) (WHITE) <YELLOW)
t
V
i
{ j
i F
i
+g
i AA �
1
i
r
i
1
i
i
1