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HomeMy WebLinkAboutStreet Cut Permits 130 Debbie Drive (2) 1400016 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 02/11/2014 GIS ID: 26700130 FEE: 0.00 MUNIS APPLICATION# 201400117 t- XPIRATION DATE: APPLICANT LOCATION NAME: YANKEE GAS ADDRESS: 130 DEBBIE DRIVE ADDRESS: 112 PROSPECT HILL R OWNER BREAAN TERRANCE M& X EAST WINDSOR,G�fi 5088 ; I30"DEBBIE DRIVE 0-South-Windsor,CT 06074 PHONE 860-292-2242 = _ WORK DESCRIPTION: EXCAVATE T©-INSERT GAS•SERVICE / APPLICANT AGREES TO FURNISH THL TOWN OF SOUTH WINDSOR-THE AMO[iNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AN,YEXPENSES INCURRED BY THE f O"' R`FOMAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TEE APPLICANT IS FAMTLIAR WIT-RAND RAND-4-ILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSR'S STREET CUT PERMIT MANUAL. C a Jlh ISSUED BY J DATE INSPECTED INSPECTED BY 2/11/2014 8:56 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: I y 000 I CONTRACTOR; L1Gln � LOCATION: 1.3 0 c i TYPE OF WORK: c'-1 1.[�� -�-© ,� 5 DATE INSP NEEDED: DATE INSP. 7yIV INSPECTED BY: &D WORK IN PROGRESS: h .-� SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: LN DATE:'— - W/2007 Town of South Windsor INPSEMON REPORT 07 APPLICATION FOIWSTREETUCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT Z 1540 SULLIVAN AVENUE Date: SOUTH WINDSOR,CT 06074 FEE $25.00 Name of Firm0 A)K li-tr&t9 f Phone No. 6 �PZ '2 2,(5 Address of Firm (Z 1912D C pffc7" 14 t l I Zip Code D fl615 Location of proposed work I TO :�) IF g I31 T -h f' Describe fully nature of permit requested Et-t7��7 .K d'c7 A)c9 X-(L ' 1: A S cI a&PV/C jF Starting date_ Approx.time for completion Call Before You Dig No.2� 3 .5"D 0 Existing Water Supply: ❑ Public Water ❑Well Existing Sewage Service: ❑ Public Sewer [I Septic PLEASE NOTE: THE DEPOSIT FOR.THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A .PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT;INCLUDING.ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch*of proposed work or furnish This section to be filled oSg by two copies of separate drawing Indicate.North Town.of.South Windsor No.cuts 1 3 d Est.Patch Sizes) sf Est.Pvt.Thickness in. Est.Patch Unit Price Est.Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price$ /ft LO Q �` �� Est.Curb Cost$ Est.Traffic Unit Cost$ Ihr Est.Traffic Control$ a J Amt.of Deposit$ Total Due$ O Cash O Check# Applicant is responsible for contacting Paid By the Police Dept.and C.B.Y.D. 1 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 FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT-PERMIT MANUAL. Signed: Date: Title: D R.C P c7 V -& (� 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 Excavation Permit 08 REV 10-22-08