HomeMy WebLinkAboutStreet Cut Permits 427 Strong Road (2) 1200211 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 11/02/12
GIS ID: 87000427
MT 1MTS-A VDT TO A PTni r FFR- - - - - - nn
EXPIRATION DATE:
APPLICANT LOCATION
NAME: METROPOLITAN DISTRICT
1�DDRES 427 STRING ROAD
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ADDRESS: 125 MAXIM ROAD - '� E FROST&ED JR
HARTFORD, CT 0611 = 427 STR(7NG ROAD
PHONE ," SOUTH
INDSOR, CT 06074
WORK DESCRIPTION: RELdCA&E IVRAN
APPLICANT AGREES TO FURNISH THE TgWI}I�F SOUTFIyDpR I - OUII O�j30ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANYXI'ENSES INOI7 ?B 1 TOE FOR 1%IAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THI AFPi-fLICANT,IS FAMJLrA1T WITHAN#3 WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF dkftH W SR TREE -CUTPER�UITT MANUAL.
ISSUED BY DAT TED
INSPECTED BY
11/2/201210:13AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: I a oo a l l CONTRACTOR: fo
LOCATION: �`- T/)0
TYPE OF WORK: ',e ) oca A ,,I c a n`r
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS: C- e-q-
led
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE: =( �I• 3
SjFORMS/TOWN OF SOUTH WINDSOR INSPECTION
I&D.039,Rev2/12 THE METROPOLITAN DISTRICT - PAVEMENT CUT DATE:_ 10 —ot 6 - 12
ADDRESS �I' �' Cc v� F L .I BILL JOB KI(ES ❑ NO WO# SST 3n je.
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LOSEST STREET TOWN Siv+W Lu1h4Sw STATE HIGHWAY DYES oQNO
DRAW SKETCH SHOWING LOCATION AND SIZE OF CUTS AND
CUT MADE IN
CROSS SECTION OF PAVEMENT
�REET 4�1ITUM. 41� " ❑ CONC. ❑PREMIX
o ❑SIDEWALK ❑BITUM. " ❑ CONC. ❑ FLAG
❑CURB ❑BITUM. 0 GO1NC. ❑STONE
❑DRIVEWAY ❑BITUM• 0 CONC,
0.6<ASS LOAM &SEED NEEDED ❑YES R10 -`
/ REASON FOR CUT: n-e.toGg'7�'c� yE,�a,rT
.D o 'J
DEPTH OF EXCAVATION: -7,D y
a IZ
{NUMBER OF CUTS:
DATE OF FIR Iv
ST CUT:
�
IS JOB COMPLETED: R-YtS ONO m
`~ FOREMAN:__ M&-J-p4,l Id/S'A :o
REPLACEMENT PAVEMENT CONTRACT NO.:
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BITUMJNOUS ❑ CONCRETE ❑ PREMIX ❑
DATE COMPLETED.
ACCOUNT NUMBER:
CALCULATIONS'
I
OF CUT ITEMS 1 E # ITEM ITEM#
C� �
001
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PAVING INSPECTOR CONTRACTOR
PRESS HARD, 3 COPIES (ORIGINAL) (YELLOW)