Loading...
HomeMy WebLinkAboutStreet Cut Permits 85 Debbie Drive (2) 1400013 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 02/11/2014 GIS ID:26700085 FEE: 0.00 MUNIS APPLICATION# 201400113 = -- EXPIRATION DATE: APPLICAIy� „ ; LOCATION NAME: YANKEE GAS ADDRESS: 8 DE$BIE DRIVE ADDRESS: 112 PROSPECT HILL,RD- - OWNER TIIIBEAU DANIEL J EAST WINDSOR,GAT Ob 88 PO`FfO 290525 PHONE 860-292-2242 I „= THERSFIELD,CT 06129-0525 —ow eR WORK DESCRIPTION: EXCAVATE"�O INSERT GAS SERVICE APPLICANT AGREES TO FURNISH THIlTOVU- 1 OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR A�IY EXPENSES INCURRED BY THE-ToWN F4 `MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND T1lE APPLICANT IS FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SO'U_TH WINDSR'S STREET CUT°PE_EMIT MANUAL. ISSUE DATE INSPECTED INSPECTED BY 2/11/2014 8:21 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 1 V 0©D l3 CONTRACTOR: J0 LOCATION: 0 - TYPE OF WORK: �-e DATE INSP NEEDED: DATE INSP: z INSPECTED BY: .8Z WORK IN PROGRESS: SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: C .. BATE: 1 W/2007 Town of South Windsor INPSECTION REPORT 07 UU V = Cl4�C� APPLICATION FOR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT 1540 SULLIVAN AVENUE Date:�_� SOUTH WINDSOR,CT 06074 FEE $25.00 Name of Firm IU ✓# Phone No. €9 0—Z 9 2- Address of Firmer 1 Z (LO�S� f Lr CV-- 4 t 11 Zip Code �. 3f � t �f t- �Location of proposed work c� 5 Describe fully nature of permit requested__,�X C A�V oo-y �� S)f(L-� t0 s &YE-V IC IT Starting date-- --'Z 3 Approx.time for completion Call Before You Dig No. Z 5 D.D �/ Existing Wafer Supply: El Public Water [I Well Existing Sewage Service: ❑ Public Sewer ❑ Septic PLEASE NOTE: THE DEPOSIT FOR.THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT;INCLUDING.ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch Of proposed work or furnish This section to be filled out b� two copies of separate-drawing indicate.North Town_gf.South Windsor No.cuts Est.Patch Sizes) sf (9 5 Est.Pvt.Thickness in. Est.Patch Unit Price$ !sf Est.Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price$ !ft Est.Curb Cost$ Est.Traffic Unit Cost$ /hr Est:Traffic Control$ Amt.of Deposit$ Total Due$ L A ( )Cash ( )Check# Applicant is responsible for contacting Paid By the Police Dept 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 CONNECTION WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLI ED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed: Date: Title:-� O A)J:SElL. l 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