HomeMy WebLinkAboutStreet Cut Permits 30 Devonshire Drive (2) 1 J j
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PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 01/27/2014 -
GIS ID: 27900030 FEE: 0.00
MUNIS APPLICATION# 201400076 = _-" EXPIRATION DATE: 01/27/2015
APPLICANT ;` LOCATION
NAME: YANKEE GAS _ADDRESS: 30"DEONSHIRE DRIVE
ADDRESS: 112 PROSPECT HILL kb OWNER G-AIG_AT JOHN C&
EAST WINDSOR,C 30 DENSIIIRE DRIVE
Ort7�H TJINDSOR,CT 06074
PHONE 860-292-2242
-
WORK DESCRIPTION: EXOA- I`I TO'INSTWEL GAS=SERVICEff
/
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APPLICANT AGREES TO FURNISH THEO1*1 dF SOUTH W3NDSOR THE AMOUNT OF BAND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANC'9;(PENSES=INGURREI�$Y TIT> TOW1�I�OR�v1AINTENANCE OR REPAIR WORK 1N
CONNECTION WITH THIS PERMIT AND TIC 4PLICANT IS FAMILIAR WITH AN V ILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN dF SOUTII WINDSR'S-STREkT CUT 1'o&IT MANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
1/27/2014 11:06 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: � CONTRACTOR:
LOCATION:�?� I y a h S n D I V--1.
TYPE OF WORK: `.nslm IV a S
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: Q l--�
WORK IN
PROGRESS:
V e
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE:—�l 11 1
S/2014 Town of South Windsor INPSECTION REPORT 14
A AYA
Appl.No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1540 SULLIVAN AVENUE Date:
SOUTH WINDSOR CT 06074
FEE $26.00
Name of Firm C40 ke-e Gs Sec v c ce5 CDvn a.+n Phone No.�(.°) 2,ct Z -2 Z 47
Address of Finn t t 2, �r s g v� (4, � t2 0, � �a s � n Aso rt�_Zip Code o6 G gi
Location of proposed work S6 e vo in s Gt i e r , \t
Describe fully nature,of permit requested 5% ca ya fe To r n So ex is f, ha Q s
Starling date i Zg' t Approx.Ame for completion
Call Before.You Dig.No. ., U t : d 4 L*?0 Existing Water Supply. Public Water Well
Existing Sewage Sennoe: ❑ Public Sewer ❑Septic
PLEASE NOTE: THE DEPOSIT-FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL.FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEM ESENT;INCLUDING ANY INCREAS IN'PATGH AREA,CURB
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN*YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
.Show sketch of proposed work or fumish phis section to be fined out by
two copies of separate drawing: Indicate.North Town of S O VWndsor
`CI a �Vl No.ails_
S ee Est.Patch Size(s) sf
0. .W. C g 2 U 3 � 9 A� � �/6 Est.Pvt.Thickness in.
Est.Patch Unit Price
Es;L:Patoh Cost S
Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
Est.Curb Cost$
Est..Tmffo Unit Cost$ fir
Est.Traffic Control Z
Amt.of Deposit$
Total Due S
)Cash ()Check#
Applicant is responstbie for contacting Paid By
the Potice_De 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
CONNEGTIQN.WITH THIS PERMIT AND.THAT I AM FAMIL AR,WITH,ANR WII L ABIDE BY THE.RV4ES.AND REGU.LAnONS FOR,
PERMITS AS OUTLINED IIV THE TOW OF SOUTH WINDS(SR'S STREET CUT PERMIT MANUAL
Signed: _/ L Date:
lz y
Title: !l Cs co,5-«"C-4cU✓t Te-G 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 Bwavation Permit 08 REV 10-22-08
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