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HomeMy WebLinkAboutStreet Cut Permits 66 Windshire Drive (3) 1300192 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 07/25/2013 GIS ID: 95100066 ar— FEE: 0.00 MUNIS APPLICATION# 201301046 9kPIRATION DATE: -, APPLICANT = LOCATION NAME: YANKEE GAS ff -dlf �pRESS 6& INDSHIRE DRIVE ADDRESS: 112 PROSPECT HILL R ' FR. a&DST IN JUDITH E EAST WINDSOR,CT 060-88 b6 D HIRE DRIVE ;! �. S-OQTH W-NDSOR,CT 06074 gi PHONE 860-292-2242 It - i WORK DESCRIPTION: INSTkLIIDWA SERE APPLICANT AGREES TO FURNISH THE Tk~SOUTH WIN O CHE MOU OF,BO14D REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANft-5PENSES INE1 R1t1yI�BYIl H1 TDWN.T OR I I INTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TH"PIXi,J ANTIS FAMI--'AR-WITFI AND WILD ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TO WN OF SOUTH WIN_FY- 'S= TREI I;CUT PERMIT MANUAL. ISSUED BY DATE INSPECTED INSPECTED BY 7/25/2013 9:22 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** ' TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 1?a00\ 9 2— CONTRACTOR: �a n Epp LOCATION: Cn TYPE OF WORK: 1 DATE INSP NEEDED: DATE INSP: ` INSPECTED BY: U WORK IN PROGRESS: �9 P JO SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: C DATE: Slob W/2007 Town of South Windsor INPSECTION REPORT 07 07/24/2013 13: 03 98602922269 PAGE 04l04 APPLICATION FOR STREET EXCAVATION PERMIT permit No. Appl, No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Date: 7 A� j 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00 Name of Firm Phone No. &-4116h., 9A - ---- — Zip Code i'Y2008- - .Address of Firm Location of proposed wor Describe fully nature of permit requested �f Starting date Approx.time for completion �ri 3 Existing Water Supply: ❑ ❑Well Call Before You Dig No, �i �r��G� � 9 PP y Existing Sewage Service: ❑Public Sewer ❑septic PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE, THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL,COST OF THE A,CURB PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH ARE tEN6T}t;.T,AAFRO CON4'ROL-AN©-T'HE•-t-OWW,S-CONTRAGT GOSTS. THS-PERMANENT-PATGH-IS-TyfPIGALL.Y COMPLETED WITHIN*YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed work or tumish / This section to be filled authv two copies of separate drav�ing �N� Indicate North Towta of South Windsor No.nuts e I tr Est.patcfi Sizes) sf i Est_Pvt-Thickness in. i Est.Patch Unit Price I Est.Patch Cost$ Est.Curb Replacement ft 1 Est_Curb Unit Price$ /� I Est.Curb Cost$ I Est.Traffic Unit Cost$ /hr •3 J Est.Traffic Control$ L�4 Amt.of Deposit$ r CL Total Due$ . O Cash O Check# Applicant is responsible for contacting Paid By Lithe Police Do t.and C_B_Y.D_ I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN PERMITS CONNECTION WITH�DI N THE TOWN OF SOUTH W NDSOR'S STREET UILL ABIDE BY THE T PERMIT MANUAL, AND REGULATIONS FOR Signed: Date: Title: Driver's L.iconse#: PLEASE ALLOW AT LEAST TWO WORKING DAYS AFTER APPLICATION FOR ISSUANCE OF PERMIT WORK MAY NOT BEGIN UNTIL_A VERMIT HAS 13EEN ISSUFD PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Street Excavation Permit 08 REV 10-22-08