HomeMy WebLinkAboutStreet Cut Permits 720 Foster Street (3) v vv 1-4 vi av L) _ W _ INLlJVK, U.I.
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 06/05/2014 „
GIS ID: 33600720 - FEE: 0.00
MUNIS APPLICATION# 201400718xPIRATION DATE:
APPLICANT LOCATION
NAME: YANKEE GAS
ADDRESS , 72 ,(STER STREET
ADDRESS: 112 PROSPECT HILL I %% - fl --IATAAA FAMILY TRUST
EAST WINDSOR,Cf 8
720 OSTERSTREET
tjl OUTH INDSOR CT 06074
PHONE 860-292-2242 - = '
WORK DESCRIPTION: E
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APPLICANT AGREES TO FURNISH THEE O NOT SOLYTIL I R HI"AMQ F�F jND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AI Y fP I I I4 IN£I RREI Y TIIE T�WIS-X0136 AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TEE VV PLICANT IS FAIvITLIAR V TH I L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWNI ( JH y4rlNDRR;S REET CIT PEGIIT MANUAL.
ISSUED BY DATE-`INSIE TED INSP PD BY
6/5/2014 12:09 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: D CONTRACTOR: 0
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LOCATION: WO s-true
TYPE OF WORK: ( t a C— � SPA y I L� Q 62 °(�-�►�1�C
DATE INSP NEEDED: DATE INSP: 7 /
INSPECTED BY: P,9
WORK IN
PROGRESS: v, G (10ZI rr/-I-S -�Y—plvkt F:-
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SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:-
INPUT: DATE: J) rI
S/2014 Town of South Windsor INPSECTION REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl.No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00
Name of Firm Yankee Gc� Phone No. 060-29 z-22 t9
Address of Firm i 1 Z P,-�.Sped- 441 2o.-J yJ. 45�-, C—T 061clB.9, Zip Code a�6
Location of proposed work 77.® E0S S;'' ,
Describe fully nature of permit requested (I.E.-
Starting date Call Before You Dig No
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
7,?,n Est.Patch Size(s) sf
Est. Pvt.Thickness in.
Est.Patch Unit Price$ !sf
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ !ft
Est.Curb Cost$
Est.Sidewalk Replacement sf
` ,Est.Sidewalk Unit Price$ !sf
Est.Sidewalk Cost$
st.Traffic Hours hr
Est.Traffic Unit Cost$ !hr
Est.Traffic Control$
Amt.of Deposit$
Total Due$
( )Cash ( )Check#
Applicant is responsible for contacting the Police Dept.and C.B.Y.D
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Paid By
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 AILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSO S S REST 901PERMIT MANUAL.
Signe Print Name --�0''S�" '" �`r"`� '"� Date:i��
Street Excavation Permit 2014