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HomeMy WebLinkAboutStreet Cut Permits 137 Overlook Road (2) 1300291 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 11/20/2013 GIS ID: 67500137 FEE: 0.00 MUNIS APPLICATION# 201301727 EXPIRATION DATE: APPLICANT „ LOCATION NAME: YANKEE GAS DDRESS: OOK ROAD ADDRESS: 112 PROSPECT HILL R - OWNER I1RIN CRAIG R&MILENA STANKOVA EAST WINDSOR,CT 460$Sj j- 13 AVRLOOK ROAD OiJfi�I V INDSOR,CT 06074 PHONE 860-292-2242 WORK DESCRIPTION: YANKm-rA�`RI W L1E IyS`TAI,L aAS ST WE A I OSS ROAD APPLICANT AGREES TO FURNISH THE TOWN OF-SOUTI M---- 3flR I�RAMOUNT©F BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY E PI LASES r&C RR.Ei�':-BY THE TOWN FOR.MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE AEPLICAI�IT I FAMII IAR`WITH�AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN Of SOUTH-WJNDSR'S STREET BUT PI4jZMT-MANUAL. ISSUED BY DATE INSPECTED INSPECTED BY 11/20/2013 11:53AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** . .. ... . ... ... ... ..__...__...- -...__..__........ ......... TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: ISO 0-� CONTRACTOR: Vtqh;KwG LOCATION: 13 ? ®vcqz-ov ' TYPE OF WORK: Ne-L,-) Serv;ce DATE INSP NEEDED: DATE INSP: INSPECTED BY: ,f:).D WORK IN PROGRESS: SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: �20n ;o ... o'S•:,u`F Windsor 7NPSEOTION REPORT 07 11/07/2013 'THU j2: 19 FAX 860 292 2202 i7I002/006 — _ 0/3 017d7 APPLICATION FOR STREET EXC,AVA7'ION PERMIT 13 G©d 9/ Appt M TOWN OF SOUTH WIND OR PUBLIC WORKS DEPARTMENT Permit No, i54ti SIILLiVAN AVENUE Hate: SOUTH WINDSOR,CT 06074 FEE $25 00 �1 a 4a Name o Ph e f Firrri on ,N �(S Address of Firm o`� � ✓ O Zip Code Location of proposed work Describe fully nature of permit Starting date ' App11 rax.#ime for completion Call Before You Dig No. 5 ? Existing Water Supply Q Public Water ❑Well Existing Sewage Service: l]Public, El septic PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS:RESPONSIBLE FOR THE.FULL FINAL COST OF THE PERMANENT PATCH ARE)CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LEMf7fd,T tAFFIC CpNTFiOL AND-�'#iE OW�I £M 3NTflAOT-GGST&, THE-PERMANENT PA'i'GM IS TafP1(`rALLY COMPLETEDi/IiIIN A YEAR C3F TtIE TEMPORA�tY PATCH$UT IT COULD HE LATER THAN A YEAR. ` Show sketch of Praposesd work or furnish two copies of separate dravAngr This section to be fMed out by Indicate No Tawn of South Winds-or 0 No_cuts , Est.Patch Size(s) sf Est.Pvt.Thickness in. Est.Patch Unit Price$�_Isf f Est.Patch Cost$ Est.Curti Replacement_ _ft fEst.Curb Unit Price$ -Ift Est.Curb Cost$ Est.Traffic Unit Cost$ L—thr �6 I Est.Traffic Control$_ ! Amt.of Deposit$ Total Due$ { }Cash OCheck# 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 1 AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN E WN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed: Date- Title: Driver's License#: PLEASE ALLO T LEAST TWO WORKING DAYS AFTER APPLICATION FOR ISSUANCE OF PERMIT WORK MAY NOT BEGIN UNTIL A VERMITHAS BEEN ISSUED PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES ,Street Excavation Permit 08 REV 10-22-08