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HomeMy WebLinkAboutStreet Cut Permits 9999 Pleasant Valley (5) 1300285 TOWN OF SOUTH WINDSOR CT PERMIT NUMBER , STREET CUT PUBLIC UTILITY DATE: 11/18/2013 GIS ID: 72909999 - MUNIS APPLICATION# 201301696 FEE: 0.00 EXPIRATION DATE: 11/18/2014 APPLICANTAf NAME: YANKEE GAS LOCATION ADDRESS: 112 PROSPECT HILL RIB% = AI3DT SS. Pl EMA NT VALLEY ROAD EAST WINDSOR, cT# MANT VALLEY ROAD TOWN OF SOUTH WINDSOR 6089 15404U111VAN AVE PHONE 860-292-2242 SOUTH'0INDSOR,CT 06074 WORK DESCRIPTION: INSTALL SAS MAINSEII VICE { WHSTAOE� ONDOMINIUM COMPLEX APPLICANT AGREES TO FURNISH THE TOWN OF SOUTH WINDSOR THEAMOUI�JT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANC'ENES INCRED 1YHE TOWNFOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TIT APPLICM4, IS F-YIILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSR STREET OUT PEkMiT MANUAL. ISSUED BY DACE INSPECTED INSPECTED BY 11/18/20139:54AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.:_%3 0 0 ' 8 CONTRACTOR:_ LOCATION: P leo,,SG. J Vca 2O� TYPE OF WORK:_ 'NcLk.� A _5 M/q, Service +c, k�esj9j-E, e DATE INSP NEEDED: DATE INSP: INSPECTED BY: (?o WORK IN PROGRESS: Y10)4f�_ ,. .,jell �5 L. eS , AS-BUILT: INPUT:__ ( AV DATE: W/2007 Town of South Windsor INPSEMON REPORT 07 00-0 0 trJr3G. or tattD �, 20 .- gAx i3sU 292' 202 0 Zoj� _�b� APRLICA` f4N FIpR'STREET EXGAUATrQPJ �?ERIIAIl` � �� APR[',Ne TOWN OF SOUTH WINDSOR Rett'tttt NU>. oUiLICWORK DE !ARTMNTJi 154Q SIfLLt�%AN AVENUE SOUTH WINESOR;CT t)607 G©63pb'.: _ EE $25,00 ame of Firm Phone No: (t Address of'Fir. Sri ,'Zip.Code C�C� Locatt©p of proposed work to 1 Describe fully nature of per it equesI d Starting date ` = Approx aims Ior comptetaan CaII Before Ypu I?tg Nc. ftL 5C? Existing Vafet&ipoly Pu7-blW Warr C7 Well ( _` Existing Sewage Service; 0 Public-Sewer ❑Septic PLEASE-NOTE THEDEPOSIT FOR THE PERMANt:NT'RAtrEMENT PATCH 4ND.CURT3 REPLACEMENT IS A iRELIMtNARY ESTIMAi ; TH>=APPLICANT IS AESPOI+ISIgLE.FOR THE FULL FINAL`COS'C OF THE PERAAANtisir ATCH AND"CURB REPLA.D ME[VT,,INCt UDIN+ -ANY INGF[EASES,[N PATCH..AREA,CURB LENGTH,TRAFt=1C C©NITRUL ANb.;T HE' UIIYN'S.CQNTRACT,GO$TS 'THE PERMANENT PATCH i$TYPICALLY COMPLETED-WITHIN-A YEAR AF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN.A YEAR. Show sketch bf proposed'_work ar Iumish. This-section-to be filled ouf by two copies of separate.drawirtg , Indicate North Town of South Windsor No cuts---: Est.Patch Sizes Est.Pvt.Thickness In. Est.Patch'Unit Price$ /sf L Estes Patch Cost$ Est.Curb Replacement ft 44� i I Est.Curb Unit Price$ /it 'Est.Curb Cost$ PO Est.Traffic'Uhit Cost$ /hr Est.Traffic Control$ i 1 cktto r , D t Amt.of Deposit$ Vback C.OSS I f1Q � To#al Due$ ( I Cast►. O.Check# Applicant is responsible for contacting Paid By the Police Dept.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 CONNECTION WITH THIS PERMIT AND THAT:I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITSUTLINFD IN TNQ TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed: Ctt Ti 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 y � .� f I - 11 ,<o'OF��kr 1 " �x�' e E , / �� `� / F 1-���--.T�-,�,-,II-,�. e - �:.fl•: \\ 1 ryt v e ti� . c'3' C C k f �� II a`� ss° C aI �*` I :- �. b ci93 ''' ` ` ,-:-� I if, - _ o�� P�SiOi , ��el- ,'��, I- :' '. , - � .- �� ° M �II-,,.M-�----I I . ! `dsa ,-,�7�-,�.,-�-",.,.�,',-;."�.--,,,�--�,-:�',��,,.--���.,-,�I,,;,--,.�,--,-.e--�-,I,,�S I`,,�-�,,.\,,-,.-;�"�\----,�--,��I��,-,�.-I:-,�I..,.1,--.----"--,�- ri .b t '✓-. �,.-�' _ _ X son. ,.i,.r arJ _.g`�, �a ",m .✓ E9fl l£O,Q�f- r� �` � s ZOZZ Z�Z 098 XKII I L QS34 :£TOl/, 1 ET. . .