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HomeMy WebLinkAboutStreet Cut Permits 1059 Foster Street (3) 1300016 TOWN OF SOUTH WINDSOR PERMIT NUMBER C T STREET CUT PUBLIC UTILITY DATE: 02/25/2013 GIS ID: 33601059 MUNIS APPLICATION# 201300188 - = FEE: 0.00 EXPIRATION DATE: APPLICANT -` = LOCATION NAME: YANKEE GAS AISRE 109 FASTER STREET ADDRESS: 112 PROSPECT HILLSu woo- } TER IgRpWI ,pAUL C EAST WINDSOR,CT-QGfF88 - I059v FOSTER STREET PHONE 860-292-2242 8duTH WINDSOR, CT 06074 ' i Nr WORK DESCRIPTION: EXCAVATI✓FI� I 1V1 OF HOUSE TO INSTALL GAS SERV�GWA� rQRNpy�pRR� AORE THEY CAN WORK APPLICANT AGREES TO FURNISH THE TOWN(3F SgiTHINI>SOR qM� T F-B THE TOWN OF SOUTH WINDSOR FOR ANlY EXPENSES INCI3I RI I BY THE TOE O QND REQUIRED AND TO REIMBURSE CONNECTION WITH THIS PERMIT AND THE APPI;ICANT IS I IN Autry AR WITH A D WLIZ�ABIDE BY THE RULTENANCE OR ES AND REPAIR GULATIONS ATIONS FOR PERMITS AS OUTLINED IN THE TOWN 6F SOUTH WINDS STRRE�GUT PERMIT MANUAL. ISSUED BY DA -IgEC`TED INSPECTED BY 2/25/2013 11:22 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: I CONTRACTOR: LOCATION: TYPE OF WORK: DATE INSP NEEDED: DATE INSP: fA2 I� INSPECTED BY: 6 WORK IN PROGRESS: 44r � �C �•-t ©�, ln,J/� - -rro✓ A S S r✓tc-p— i , /a Sq fps ST` E'X I' peT n,f - Q4-c SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: rWes- DATE: S/FORMS/TOWN OF SOUTH WINDSOR INSPECTION APPLICATION FOJR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT 1540 SULLIVAN AVENUE Date: SOUTH WINDSOR,CT 06074 FEE $25.00 Name of Firm Y#Ij 1< 6s Phone No..'9 8 -2r7'Z- 22�C Address of Firm It Off' Zip Code Location of proposed work ® S O S lF 2.5- Describe fully nature of permit requested xc0'V 1' 11- M I t L 'tom (2�D -d'� Starting date /Va W ,1 s Approx.time for completion Call Before You Dig No.'_013 D C7 Existing Water Supply: []Public Water Well Existing Sewage Service: ❑Public Sewer ❑ Septic aJ a 1 J l3 MMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A IS RESPONSIBLE FOR THE FULL FINAL COST OF THE ZENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB 'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY W,t, 1 )41 fly, S h G w pORARY PATCH BUT IT COULD BE LATER THAN A YEAR. f7 i 1 e f j` j This section to be filled out by dd�� Indicate North Town of South'Windsor No.cuts_ Est.Patch Size(s) sf Est.Pvt.Thickness in. Est.Patch Unit Price Est.Patch Cost$ Est.Curb Replacement ft Q� Est.Curb Unit Price$ /ft Est.Curb Cost$ Est.Traffic Unit Cost$ Ihr S ' Est.Traffic Control$ 0 Amt.of Deposit$ Total Due$ O Cash O Check# Applicant is responsible for-contacting .. Paid By the Police De t.and C.B.Y.D. I AGREE TO. FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT Od BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. 3 Signed: Cam'" Date: '2 �-22 ( Title: �" ��-� r^ IN Driver's License#: PLEASE ALLOW AT LEAST TWO WORKING DAYS AFTER APPLICATION FOR ISSUANCE OF PERMIT WORK MAY NOT BEGIN UNTIL A PERMIT HAS BEEN ISSUED PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Street Excavation Permit 08 REV 10-22-08