HomeMy WebLinkAboutStreet Cut Permits 9999 Pleasant Valley (6) 1400154 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 06/10/2014
GIS ID: 99997290 FEE: 0.00
MUNIS APPLICATION# 201400735 _ = PIRATION DATE:
lik
jam
APPLICANT k = LOCATION
i
NAME: METROPOLITAN DISTRIC1 ADDR -'� 19 P EASANT VALLEY ROAD(1100-1116)
ADDRESS: 125 MAXIM ROAD �iNF SOWN-F SOUTH WINDOR
HARTFORD,CT 06hrf �� , ' 1 I iI LIVAN AVE
PHONE �� i %�, - q w- INDSOR,CT 06074
WORK DESCRIPTION: TE I LI &,A � IA pN p GS
APPLICANT AGREES TO FURNISH THR O N OF OUTV4 ID,Si3 QUIITOF HQ--ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR IP I EEII� RF THE TO
AII W4JRIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND Tf A P I�ANT Ig�AAI� Z �Al0-GVI�L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWNF S(fi7HINDI'iTI I GAIT PEIIT MANUAL.
id
ISSUED BY D INSI'PCTED INSPECTED BY
6/10/2014 8:34 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
- -
Me
""
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR: C
LOCATION: 1100 1116 . Pleg_5a n t �Qlley L010 S60?j 3 q
TYPE OF WORK: 1P7 AitS
DATE INSP NEEDED: DATE INSP: f
INSPECTED BY:"
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE:
S/2014 Town of South Windsor INPSECTION REPORT 14
MD-039,Aavv12 THE METROPOLITAN DISTRICT- PAVEMENT-CUT DATE: Cl'-';"'ZC7!/�_
0-YES__."o__ .__._..wo# 6od'��9 _.__ ...
CLOSESTSTREET 6JIVf}til4'/v (iy1/—� TOWN LOCI MVL(1iv 10l'Q. 'STATE HIGHWAY DYES 6'00
ORA SKETCH SHOWING LOCATION AND SIZE OF CUTS AND CUT MADE IN
CROSS SECTION OF PAVEMENT
OSTREET ❑BITUM. " ❑CONC. ❑PREMIX_"
[< ❑SIDEWALK ❑BITUM. " ❑GONG.—" El FLAG
❑CURB ❑BITUM._' ❑CONC. ❑STONE
❑DRIVEWAY ❑BITUM. " ElCONC.
VUD/RASS LOAM&SEED NEEDED ❑YES 11I11-0
m
REASON FOR CUT: P-�—
DEPTH OF EXCAVATION: Z lT
NUMBER OF CUTS:
DATE OF FIRST CUT: IL 7
�y
IS JOB COMPLETED: 9'YES ONO
FOREMAN: ✓�/yN� LuiLG (�
Q
C C-lel& REPLACEMENT PAVEMENT CONTRACT NO,:
BITUMINOUS ❑ CONCRETE❑ PREMIX❑
DATE COMPLETED:
ACCOUNT NUMBER: 0
CALCULATIONS
OF CUT I FEM# ITEM# ITEM# ITEM#
P���9 S�Ni V}LLB go
I
PRESS HARD 3 `+OP��� PAVING INSPECTOR CONTRACTOR
1 (ORGINAL) (YELLOW)