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HomeMy WebLinkAboutStreet Cut Permits 71 Ronda Drive (3) 1400155 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 06/10/2014 ; GIS ID: 77100071 = - FEE: 0.00 MUNIS APPLICATION# 201400736 -XPIRATION DATE: wM APPLICAN '' !� LOCATION NAME: METROPOLITAN DI TRIC ADDR95-- V FAO DA DRIVE � j ADDRESS: 125 MAXIM ROAD I LAN&SKY JAIME L HARTFORD,CT 061e� �= '76NA DR or 6OU VINDSOR, CT 06074 PHONE %Uk % � % Al WORK DESCRIPTION: REMAKE VW- Y R I fJ3Ss� APPLICANT AGREES TO FURNISH TH&O"OF'SOU I fl �1 A1v1�#LTI T F ROND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AI PhIFSTITORMAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TIE APP I L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN MANUAL. qk ftnov ISSUED BY DATENsPCTED INSPECTED BY 6/10/2014 8:37 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** ZtM ��i „< %„ TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 1 Y 00 Is sS CONTRACTOR: 111.1>0_ LOCATION: 7f 4 2 a da .fir i y e S(.0 �3 s 8 TYPE OF WORK: r''e ja)ac,e v bra Y,-r DATE INSP NEEDED: DATE INSP: lob q 11 INSPECTED BY: WORK IN PROGRESS: S5 X -7 1 Cwt �✓t"fix 4, SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: S/2014 Town of South Windsor INPSEMON REPORT 14 MD-039,Aev v,2 THE METROPOLITAN DISTRICT- PAVEMENT CUT DATE: ADDRESS__ 7/ en i9 O1r~. BILL JOB ❑YES NO WO#_,S(rQ-j CLOSEST STREET r,6`Le4 �!, TOWN S. (J/i Pp(" STATE HIGHWAY 0 YES A110 DRAW SKETCH SHC VVING LOCATION AND SI of CUTS AND OUT MADE IN CRO S SE`CTION OF PAVEM NT �J TREET ITUK ❑CONC. " ❑PREMIXT1 EISIDEWALK OBITUM. ❑CONC. [I FLAG 066136 YJBITUM. -6, 000NC. C7STONE ' ❑DRIVEWAY OBITUM. " ElCONC.___" /�. OGRASS LOAM&SEED NEEDED ❑YES ( !O �^ REASON FOR CUT _ �CJ t 4a p o DEPTH OF EXCAVATION:------,�' y g / NUMBER OF CUTS: DATE OF FIRST CUT: -�7-- IS JOB COMPLETED; .�'IDES ONO Q FOREMAN: �-7� 5 REPLACEMENT PAVEMENT CONTRACT NO.: BITUMINOUS © CONCRETE ❑ PREMIX 0 DATE COMPLETED: p ACCOUNT NUMBER: CALCULATIONS La OF CUT ITEM# ITEM# ITEM ITEM# . / / - C