HomeMy WebLinkAboutStreet Cut Permits 10 Devonshire Drive (2) JL V VV IN v 3vu WINI) NOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 01/27/2014
GIS ID:27900010
MUNIS APPLICATION# 201400075 FEE: 0.00
- PIRATION DATE: 01/27/2015
APPLICANT - LOCATION
NAME: YANKEE GAS ADDRESS:_ 16EONSHIRE DRIVE
ADDRESS: 112 PROSPECT HILL R OWNER. ROAT` ROBERT C&LISA B
EAST WINDSOR, CT b $8 - 10 ftVr%NSHIRE DRIVE
PHONE 860-292-2242 - - = OUIIVINDSOR,CT 06074
WORK DESCRIPTION: EXA T`E TfS INSTAI I GAS SERVICE /
APPLICANT AGREES TO FURNISH Tff
HE N OF SOUTH WINDSOR T- ---- CFNTQ D REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANC'EXPENSES IN URRE] BY THE- 1-6 NOR IAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPIIICANT IS�FAMiLIAR WITH AND W-Ii L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSR-'S STREET OUT PEI iVIIT MANUAL.
ISSUED BY DATE SPECTED INSPECTED BY
1/27/2014 11:03 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: q i WO 7 CONTRACTOR: V1c
LOCATION:— C _El yo V)S
TYPE OF WORK: .1
DATE INSP NEEDED: DATE INSP: r-
INSPECTED BY:'
WORK IN
PROGRESS: 1�)cri.-.— —Fr S 1r - I., �,� YG-•cl �,4�
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE:
S/2014 Town of South Windsor INPSEMON REPORT 14
5 XC V. TON PERMIT )Aooco-7
., Appl. No. TOWN OF SOUTH WINDSOR_ Permit No.
PUBLIC WORKS DEPARTMENT
- 1640 SULLIVAN AVENUE Date:
SOUTH WINDSOR,CT 06074
FEE$2&06
Name of Fi av%k e-e 6 5 e r { ce-s Co m Q n Phone No. ��6o� Z-9 Z -2 2 C(7
Address`of-Firm l cos co (-(,'U ` -Windsor- G Zip Code G6Q gib
Location of proposed work 10 Q vo 4N t ye- '0 1. � v a-
Describe fully nature of permit requested 4; ra a f` ±6 r n ® 'six fir.n 3 6?r v t C9-
Starting date Approx.time for completion
Call Before.You'Dig.No: o I G g0.10 Existing Water Supply ('Public Wate ❑Well
Existing Sewage Service: ❑Public Sewer ❑Septic
PLEASE NOTE: THE DEPOSIT FAR THE PERMANENT:PAVE(MENT PATCH AND CUR13.REPLACEMENT IS A
.PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONMOLE FOR THE FULL FINAL COSTOF THE
PERMANENT PATCH ANDCURB REPAA EMENT;INCLUDING ANY INCREASES IN PATCH AREA,CURB
�.ENQTH TRAFFIC CONTROL AND;THE TOWWS:CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR-OF THE1EMPORARY PATCH BUT R COULD-BE LATER THAN A YEAR.
Show sketch of pfoposedwork orfa mish
two"es of separate drawing This section to be o by
In�cate.North Town of South Windsor
C4 t A V 12 - S 1 �'�G 1/� . No.ads,
Est Patch Size(s) sf
W, 0. • C (4.z 0. 3 10 (j Est.Pvt.Thickness in.
Est.Patch Unit Price$ /sf
- Est."Patch Cost S
Est.Curb Replace nerrt ft
Est.Curb Unit Price$ /ft
EsL Curb Costs
Est..Traffic Unit Cost.$ /hr
Est.Traffic Control S
Amt.of Deposft$
Total:Due$
,)Cash ( )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.OF BOND REQUIRED AND TO REIMBURSE THE
TOWN OF SOUTH.WINDSOR FOR ANY EXPENSE§INCURRED BY;THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THAT,I AM FAMILIAR V11THAND.WILL A(31DE RY THE RULES AND REGULATIONS,FOR. `
PERMITS AS OUTLINED IN,THE TOWN OP SOUTH WIND8013%STREET OUT PERMIT:MANUA1.
Signed. Date:_ I A`f z
Title: Y Ls Co m rT r oc4� eh 7`p c(r-} 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 JOSSITE AT ALL TIMES
Street Excavation Permit 08 REV 10-22-08
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