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Home My WebLink AboutStreet Cut Permits 373 Pleasant Valley R (2) 1400312 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 10/17/2014 GIS ID: 72900373 FEE: 0.00 MUNIS APPLICATION# 201401487 = „ EXPIRATION DATE: APPLICANT LOCATION NAME: YANKEE GAS =ADDRESS: 373 FLIUSANT VALLEY ROAD ADDRESS: 112 PROSPECT HILL RD = "OWNER BORDUI JUSTIN& EAST WINDSOR,CT 06Q 37 .PLI ANT VALLEY ROAD = �1I '" INDSOR,CT 06074 PHONE 860-292-2242 " WORK DESCRIPTION: EXCAVA TIN ROADWAY 1 N13 OI1MA -' REA OF MH`�OF WAY TO INSTALL PLTIC SAS S1�RVICE. = THE DRAIN LAYER ASSIGNED TO THIS PE7-57 T HAS A VALID D BY THE STATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FORTH IN THP'ATTAOHED"CONDITIONS'."AI L,WORK SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANDARDS,AUL OSHA REQUIREMENTS AN1 THI ATTACHED CONDITIONS. ISSUED BY 0 DATE INSPECTED INSPECTED BY 1 0/1 7/2014 12:39 PM TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: GAO CONTRACTOR:0,� q LOCATION: TYPE OF WORK: IJOSA&S2 pldS'tS' DATE INSP NEEDED: DATE INSP: 1 mac • INSPECTED BY: +� WORK IN PROGRESS: Vc,., 3Z� ALL ` r V SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: S/molloy/forms 2014 Town of South Windsor INPSECTION REPORT 14 APPLICATION FOR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00 Name of Firm�el� /L GAS Phone No. 26© " P �'3 2R 2�6 Address of Firm 0 S.��e C-r 5/— ��r w)nyo s 02 c T Zip Code Location of proposed work 3 7.3 1"�-/`�1ZS42'v! I/191-c-dl��4 1Z0 Describe fully nature of permit requested_ i (5-,21As-yL/ _ a./ fr/f7 0/= Ly/9Y 7-0 �nJ ST.�}�L ��a2 i� ZL�STiC 6�,IfS SEffllC<' Starting date /C 7/ .- / Lf Call Before You Dig No .2 v/ 1/ 370 y3 d S— PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut ❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing `I 7-3 No. cuts Est. Patch Size(s) sf Est. Pvt.Thickness in, l�fZo r'os/�i Est. Patch Unit Price Est. Patch Cost$ p'a/9 p I Est.Curb Replacement ft Est.Curb Unit Price$ /ft Gr+s M/��nl Est.Curb Cost$ Est. Sidewalk Replacement sf Est.Sidewalk Unit Price Est.Sidewalk Cost$ Est.Traffic Hours hr Est.Traffic Unit Cost$ /hr Est.Traffic Control$ Amt.of Deposit$ Total Due$ ( )Cash ( )Check# Applicant is responsible for contacting the Police Dept:and C.B.Y.D PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Paid By 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 OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT P MIT MANUAL. Signed: Print Name f-2J a of Date: o? 7 Street Excavation PeAt 2014