HomeMy WebLinkAboutStreet Cut Permits 49 Cheshire Drive (2) 1400109 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 05/12/2014
GIS ID: 19500049 FEE: 0.00
MUNIS APPLICATION# 201400541 EXPIRATION DATE:
APPLICANT LOCATION
NAME: YANKEE GAS ff - ; ADDRESS: 49-CH-SHIRE DRIVE
ADDRESS: 112 PROSPECT HILL RD. OWNER: BISWAl SUPRIT
EAST WINDSOR,CT 96088 49 CHE�HIRE DRIVE
SOUTH WINDSOR,CT 06074
PHONE 860-292-2242 = = =
WORK DESCRIPTION: EXCA1`E TO REPLACE CURB VALVE ,
APPLICANT AGREES TO FURNISH THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BLIND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY-I XPENSES INCURRED BY THE TOWN FOR=MAINTENANCE 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 OF SOUTH WINDSR'S STREET CUT PERMIT MANUAL.
ISSUED BY DATE�CTED INSPECTED BY
5/12/2014 9:32 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: G 0 19IO CONTRACTOR:
- Xaotelle 0as
LOCATION:
TYPE OF WORK: -to 1, 2 47 r- 'e- Caleb UCl 1 \)`E
DATE INSP NEEDED: DATE INSP: t yy
INSPECTED BY:
WORK IN t
PROGRESS:_
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: Cam'' DATE:
S/2014 Town of South Windsor INPSECTION REPORT 14
APPLICATION FOR SO T ET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1640 SULLIVAN AVENUE Date:
SOUTH WINDSOR,CT 06074
FEE $25.00
Name of Firm N K EI I AS _ Phone No.
—o
Address of Firm ti 2 hD J004"C-q k it/ i&jD _J , (A) J lj Zip Code
Location of proposed work_ n 1+F15 141 i�E' 1 1) R,.
Describe fully nature of permit requested k)(C d1 IV/a Tx � "f 4 a c k- wmg 444'V E
Starting date �� _ _Approx.time for completion
Call Before You Dig No.2- 6 1 3/. Existing Water Supply: ❑Public Water ❑Well
Existing Sewage Service: ❑ Public Sewer ❑Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate-drawing Indicate.North Town of.South Windsor
No.cuts
Est.Patch Size(s) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price$ /sf
Est.Patch Cost$
Est.Curb Replacement ft
L J Est.Curb Unit Price$ /it
Est.Curb Cost$
-'q Est.Traffic Unit Cost$ /hr
Est:Traffic Control S
t
Am P
t.of Deposit
C;
Total Due S
)Cash ( )Check#
Applicant is responsible for contacting ' Paid By
the Police Dept.and C.B.Y.D.
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 PERMIT MANUAL.
Signed: Date:
Title: .,�r? a�� �Cr�/_ kC Driver's License#:
PLEASE ALLOW AT LEAST TWO WORKING DAYS AFTER APPLICATION FOR ISSUANCE OF PERMIT
WORK MAY NOT BEGIN UNTIL A PERMIT HAS BEEN ISSUED
PERMIT SHALL BE KEPT ON dOBSITE AT ALL TIMES
Street Excavation Permit 08 REV 10-22-08