HomeMy WebLinkAboutStreet Cut Permits 200 Deming Street (9) 1400039 TOWN OF SOUTH WINDSOR
PERMIT NUMBER C T
STREET CUT PUBLIC UTILITY
DATE: 03/20/2014
GIS ID:27600200
MUNIS APPLICATION# 201400264 FEE: 0.00
IyXPIRATION DATE:
APPLICANT - LOCATION
NAME: YANKEE GAS ADDRPIS 2�30 DMING STREET
ADDRESS: 112 PROSPECT HILL Rom' �WNIR SHp IVLCB SOUTH WINDSOR LLC
EAST WINDSOR, CT 88 - ISG> WATER DR STE 101
PHONE 860-292-2242 TTO OD,MA 02062
WORK DESCRIPTION: INStYL GM-SE
APPLICANT AGREES TO FURNISH THITOT OF`SOUTI WINDSQR THE AMJI7NT QF BOND REQUIRED AND TO REIMBURSE
OR ANY EI?EItiTSES I1;IGURRE EIY TIOV1 I
THE TOWN OF SOUTH WINDSOR F FOB€MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND T E Pp IC--A
NT IS FA�IIILIAR 1�ITH AI D LL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN QF SOUTH WIIVDSR'-S STREET IT MANUAL.
-13
ISSUED NB9 DATE INSPECTED INSPECTED BY
3/20/2014 12:05 PM *** PERMIT TO BE KEPT ON'JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: U CONTRACTOR:
LOCATION: n ash
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: ll//
-=-+�f I .
INSPECTED BY:
WORK IN
PROGRESS: ,
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: 6 DATE: 1 1
W/2007 Town of South Windsor INPSECTION REPORT 07
03/19/2014 WED 14: 14 FAX 860 292 2202 0002/002
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1540 SULLIVAN AVENUE Date: Ld- /L/
SOUTH WINDSOR,CT 06074
FEE $25.00
Name of Firm n P I'-,
Phone No.
Address of Firm - ( {'1 I 1 I Zip Code_OC•�C' BB
Location of proposed work 1.. 1
Describe fully nature of permit requested S l405
Starting date (Jct• o - Approx.time for completion
.- e S
Call Before You Dig No. olq 1 t , l p�( Existing Water Supply: ❑ Public Water ❑Well
Existing Sewage Service: ❑ Public Sewer ❑ Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY INCREASES IN PATCH AREA, CURB
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish his section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
�i
I No.cuts
�cro Est.Patch Size(s) sf
I
Est.Pvt.Thickness in.
t.
Est. Patch Unit Price$ /sf
Est.Patch Cost$
JSacv, Est.Curb Replacement it
f k/ Est.Curb Unit Price$
Est. Curb Cost$
' Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
Amt.of Deposit$
� Total Due$
I ( )Cash ( )Check#
jAlicant is respolnsible for contactingPaid By
ce D� t.and C.B.Y.D.
I AREE T FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE
CONNECTION WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND
TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
REGULATIONS FOR
PERMITS A •UTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed:
Date-
Title: .Gh 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