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HomeMy WebLinkAboutStreet Cut Permits 37 Sea Pave Road (3) 1400139 TOWN OF SOUTH. WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 06/02/2014 GIS ID: 81700037 FEE: 0.00 MUNIS APPLICATION# 201400680 EXPIRATION DATE: APPLICANT - =„ LOCATION NAME: METROPOLITAN DISTRICT ADDRESS: 37 SEPAVE ROAD ADDRESS: 125 MAXIM ROAD = ; OWNED: MECHINICAL MAINTENANCE CO HARTFORD,CT 06I14 37 SVA 'AVE ROAD SOUTHVINDSOR, CT 06074 PHONE = = _ WORK DESCRIPTION: EMIuREICY;WATER SERVICE REPAIR 103 APPLICANT AGREES TO FURNISH THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BAND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY-IKPENSES INCURRED BY THE TOWN FORIIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE APPLICANT IS FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN C5F SOUTH WINDSR'S STREET CUT PERMIT MANUAL. ISSUED BY DA` IN PECTED INSPECTED BY 6/2/2014 11:14 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: �'I OD CONTRACTOR: LOCATION: 3 r7 _2 J TYPE OF WORK: Yr e c E0C�A DATE INSP NEEDED; DATE INSP: INSPECTED BY: WORK IN PROGRESS: LA) ��C c�' �^ r VQ- SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: �~ S/2014 Town of South Windsor INPSECTION REPORT 14 MO-03S,Rev 2142 THE METROPOLITAN DISTRICT PAVEMENT CUT DATE: -3 o , .. _ .:- .. ... BILL JOB ❑ YES NO W O .--.,... ". . :lJ -.. .:::.- ADPRESS .:..::..:..:_..:.... 7..........._.......... , '._: :..' ,�' CLOSEST STREET �` cJ� ' TOWN S7 '^' !fljj op _ STATE HIGHWAY ©YES ❑NO DRAVY SKETCH SHOWI G LOCATION AND SIZE OF CUTS AND CUT MADE IN CROSS ECTION OF PAVEMENT ` V� ❑STREET O BITUM. " fl CONC. :' ❑PREMIX ❑SIDEWALK ❑BITUM. ❑CONC. ❑FLAG " ❑CURB ❑BITUM. ❑CONC. ❑STONE ' KRIVEWAY M-9ITUM.--_J_" ❑CONC. 3 Q GRASS LOAM&SEED NEEDED ❑YES fC} m REASQN FOR CUT. o z .O DEPTH OF EXCAVATION: F o NUMBER OF CUTS: ! DATE OF FIRST CUT: `� 0, /Y o - i IS JOB COMPLETED: K'YES ONO Y { FOREMAN: GV,w 0 6.01 REPLACEMENT PAVEMENT CONTRACT NO.: BITUMINOUS O CONCRETE ❑ PREMIX ❑ DATE COMPLETED: - ACCOUNT NUMBER: CALCULATIONS N OF CUT ITEM# ITEMS ITEM# ITEM# i El e3���� r A r►f� P�f4�1� PAVING INSPECTOR CONTRACTOR