HomeMy WebLinkAboutStreet Cut Permits Bidwell Road (2) 1200016 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 03/16/12
GIS-ID: 10800010 FEE: 00
MUNIS APPLICATION# 2012002,18 s E 'IRATION DATE:
APPLICANT ;- , ; LOCATION
NAME: METROPOLITAN DISTRICT JADDRES5-f, 10 BIDWELL ROAD
ADDRESS: 125 MAXIM ROAD
R 10 BIDWLL LLC
HARTFORD,CT 0611�1 = I0 BWELL RD
' OUTHWINDSOR,CT 06074
PHONE
WORK DESCRIPTION: 8 INCIJ WAIN FE�LP T P IR
�i
APPLICANT AGREES TO FURNISH THE TQWL OF SOUTH fiI? gl TEE MOUI T( I BOTVD REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANI }�1'ENE IN07I TIU3Y THE TOWN FAR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPLICANT 1S FRMILfAR�UITH ANL3 WILT ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF S0UTIj'WI TDSR'S-�TREre-A'
UI '1 RIvfTT MANUAL.
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ISSUED 13Y DAINSPC ED INSPECTED BY
3/16/201210:26AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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OF
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR:
LOCATION: 6
n?E OF WORK: "i C s} �� �..
DATE INSP NEEDED: DATE INSP: /2
INSPECTED BY:- �
WORK IN
PROGRESS:- AIle? r�c�
SEPTIC TANK PUMPED, SMASHED, FILLED WICNESSED ❑YES ❑ NO
'AS-BUILT:
INPUT: DATE:
W12007 Town of South Windsor INPSECTION REPORT 07
THE METROPOLITAN DISTRICT- PAVEMENT CUT DATE.oq'a`l 1 a
BILL JOB YES❑ NO IY/ WO#
f TOWNI ���� r STATE HIGHWAY YES❑ NOV
'
D %W SKETCH SHOWING LOCATION,AND SIZE OF CUTS At D CUT MADE IN
o CROSS SECTION OF PAVEMENT 7 / I
STREET BIT.CONC. 59' CONCRETE ❑ PREMIX ❑
o SIDEWALK BIT.CONC. ❑ CONCRETE ❑ FLAG ❑
CURB BIT.CONC, ❑ CONCRETE ❑ STONE ❑
W c l DRIVEWAY BIT. CONC. ❑ CONCRETE ❑
GRASS LOAM &SEED NEEDED YES 0 NO
REASON FOR CU7"
5'0
1 NUMBER OF CUTS.
1 DATE OF FIRST CUT..---(
IS JOB COMPLET E 2- YFS[pI NO❑
Q FOREMAN. .
w i a
C),8 REPLACEMENT PAVEMENT CONTRACT NO.:
BIT.CONC. ❑ CONCRETE ❑ PREMIX ❑
DATE COMPLETED'
ME ACCOUNT NUMBER:
CALCULATIONS
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OF CUT ITEM# ITEM ITEM# ITEM#
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PAVING INSR, OPERATIONS UTILITY SERVICES CONTRACTOR
PRESS , 3 COPIES (ORIGINAL) (WHap (WHITE) (YELLaW)
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