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HomeMy WebLinkAboutStreet Cut Permits 35 Devonshire Drive (2) I U WN Ur SO TH WINDSOR, CT PENT NUMBER STREET CUT PUBLIC UTILITY DATE: 01/27/2014 GIS ID:27900035 = FEE: MUNIS APPLICATION# 201400077 0.00 EXPIRATION DATE: 01/27/2015 APPLICANT - LOCATION NAME: YANKEE GAS ADDRESS: 112 PROSPECT HILI�I = ADDRE 353E NSHIRE DRIVE ONEI� DULL T1yFFREY E&MICHELE M EAST WINDSOR, CT8 - tN/IDNSHIRE DRIVE PHONE 860-292-2242 r = = SOUTH WINDSOR,CT 06074 WORK DESCRIPTION: EXClIW TE TO�ISTt Z GAS=CI E APPLICANT AGREES TO FURNISH THE TOA OF SOUTH 1N99€2R AMOUNT O $pND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY 'EI SE -IN ByTHE TOWI i ©R i1AINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE A PLICANT IS FAlUIILIAR VY�TII A&D W L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN C- &-OUTH WINDSR'S=STRE&T CUT PERMIT MANUAL. Pe ru► 7 1� i ez ISSUED BY DATE INSPECTED INSPECTED BY 1/27/201411:13AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: CONTRACTOR: LOCATION: 3S 1 TYPE OF WORK: C-� a� y DATE INSP NEEDED: DATE INSP: 7wSliy INSPECTED BY: Rid WORK IN PROGRESS: �e SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: L DATE: Allh S/2014 Town of South Windsor INPSECRON REPORT 14 ICATION FOR.-STREET EXCAVATION PERMIT 14®a Appl No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT 1540.SULLIVAN AVENUE Date: SOUTH WINDSOR,.CT 06074 FEE $25.00 Name of t?irm \IuIIA e ke 45 5---r rc�S v . : nn gv, Phone No. / Address pf Firm l t ra s c c.�" i If c0* — e �sf w +� asp f c Zip Code iaa Location,of proposed work - S` t`D.e V'o�n Describe fully nature of pero.it requested L�Cca`y� :f "cris�� 70�4 s Sec v cce Starting date 1 r Approx.'time for dompletion .—._.._ Cali Before You Dig Na. Z t-, �' D i���" EXisting Water,Supply, .0 I'ubiic Water (�.Vitell Existing Sewage.Servfoe [. Public Sewer. [j Septio PLI=ASE NOTE THE DEPOSIT FORth PERMANENt PAYEME #T PATCH AND CURB RIErPLIi,CENNENT 1$APR , ESTIMATE THE ARPLICANT IS RESRONSIBLE:POR,THE PULL FINAL:COST OF THE PER(VIANENTPATCH ANDCU 38 JIPLACEMENT INCLUDtNCi=ANY'INC.REASES IN.PATC;H A. CURB LENGTH,7RAFFIC.CONTROL AND THE TOWN'S CONTRACT COSTS:`THE`PERMANENT PATCH1IS TYPICALLY +COMPLETED WLTHIN A`YEAR:OF THE TEMPORARY PATCH BUT 1T COULD:BE LATER THAN A:YEAR.': Show sketpft o proposed work or furnish. , this-section to be filled ouf by twq.copies of.separate dravririg Indicate North Town of South�Nindsor + No.cuts S ee G �GGl/ie� Est.Patch Size(s) sf E3 14 2 U q U -7 AD ID 9 O Est.Pvt.Thickness in. �J 7 Est.Patch Unit Price$ /sf' Est.Patch Co st$ Est.Curb'Replacernent ft. Est.Curb Unit Price; Est.Curb Cost$` Est.Traffic Unit Cost$ /hr 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. 1 AGREE TO FURNISH TO THE 3OWN OF SOOTH-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 W . CQNNECTION WITH THIS PI=RMn AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE;RULESAND REGULATIONS FOR PERMITS AS OUTLINED IN.THE TOWN,OE(,OUTN 1NINDSQR.'S SIfiEET-CUT PERMIT/MAIVU/A,I: Signed: ` Date: Title` � 'c,n S�r'GFt 0V1 f eG►'?. 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€iceavation Perm,it'08 REV 10-22-08 s9%dH- -- .. _- ............... . ........ ..... zr, O tS) � M �J _ N ' 0 A.A Ol1 A��_Atfnil