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HomeMy WebLinkAboutStreet Cut Permits 31 Barbara Road (5) 1400339 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 12/05/2-014 GIS ID: 07500031 "- MUNIS APPLICATION# 201401739 FEE: 0.00 of PIRATION DATE: APPLICANT if - LOCATION NAME: METROPOLITAN DISRIC ADjE AARA ROAD ADDRESS: 125 MAXIM ROAD ; DER✓ -,MIRM RUBEN& STACY HARTFORD, CT 06111% $ RA RD PHONE `©IJ`4-1 W INDSOR,CT 06074 ". WORK DESCRIPTION: REPLACD 1 LEI pIvHpMI CA�YIIIV KEPT 15 2014 WAS Is o rftllT UI S U LTIL _L} APPLICANT AGREES TO FURNISH THE TOWN O SbUTH WFI DSC7R� 0 � BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AA E S IN Y�E TAIq-ff MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE. WT1-H Ate]WII;I ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TO/WN OI{SOIJ I WINDSOR S1REI T CU14=1sE, T MANUAL. ISSUED BY DAT-- INSPECTED INSPECTED BY 12/5/2014 8:59 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** ---------------- gi j TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: jvtqo3j:�.7 CONTRACTOR: M Dr. LOCATION: is f L ✓'a yl CAA TYPE OF WORK: DATE INSP NEEDED: DATE INSP: %z A,1y INSPECTED BY: A, WORK IN PROGRESS: let &Ad SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: S/molloy/forms 2014 Town of South Windsor INPSECTION REPORT 14 MD-038,Revti,2 THE METROPOLITAN DISTRICT- PAVEMENT CUT DATE: ADDRESS 3I 2 BILL JOB ❑ YES M4'0 WO# 50'A,"7'-ram CLOSEST STREET y t4/v 6 TOWN fQVT-b' '- S o STATE HIGHWAY Cl YES [5KO DRAW SKETCH SHOWING LOCATION AND SIZE OF CUTS AND CUT MADE IN CROSS SECTION OF PAVEMENT VS-TREET L TUM. G ❑CONC. " ©PREMIX El SIDEWALK ❑BITUM. " ❑ CONC. ❑FLAG " ❑CURB ❑BiTUM. ❑CONC. ❑STONE ' El DRIVEWAY ❑BITUM. ❑CONC. / ❑GRASS LOAM&SEED NEEDED ❑YES P'NO z m REASON FOR CUT: PL `� (p-el z �trpl4 A O 6 r-7' 0 DEPTH OF EXCAVATION: o NUMBER OF CUTS: a� Z DATE OF FIRST CUT: /'`l5''•Zp•��/ IS JOB COMPLETED: N,16ES ❑NO 0 FOREMAN: '�// L-ritiL-G--t� ,REPLACEMENT PAVEMENT CONTRACT NO.: BITUMiNOUS ❑ CONCRETE ❑ PREMIX ❑ DATE COMPLETED: A ACCOUNT NUMBER: e -+ • CALCULATIONS O. /3o--(z 2 O CU ITEM# ITEM# ITEM# ITEM# N 1 PRESS HARD, 3 COPIES PAV(ORIGGaINAL)rOR CONTRACTOR( LL )