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HomeMy WebLinkAboutStreet Cut Permits 27 Chatham Lane (2) 1400023 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 02/I 1/2014 GIS ID: 18900027 FEE: 0.00 MUNIS APPLICATION# 201400127 = EXPIRATION DATE: APPLICANT LOCATION NAME: YANKEE GAS ADDRESS: 27` HITHAM LANE ADDRESS: 112 PROSPECT HILL,RV - OWNRR: ODA1V LESTER N III&CLAUDIA M EAST WINDSOR,GaT 9408 " HA THAM LANE ==" 50'AWINDSOR,CT 06074 PHONE 860-292-2242 = "" WORK DESCRIPTION: EXAATE TO INSERT EXISTING STEEL SERVICE WITH PLASTIC Iff APPLICANT AGREES TO FURNISH THE TORN OF SOUTH WINDSORTHE AMOUNT OF kOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANYEXPENSES INCURRED BY THE TOWN FOIE MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE APPLICANT IS FAMILIAR WITH AN WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF,SOUTH WINDSR' 'STREET CUTPERMIT MANUAL. ISSUED BY DATE INSPECTED INSPECTED BY 2/1 1/2014 1 1:22AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: .1 L&oo 2_3 CONTRACTOR: 9 a a " LOCATION:_ - G cG Lem GNU TYPE OF WORK: Ex r a :1�� i 01 & - x S S�-t.U i r l �J�'�; C DATE INSP NEEDED: DATE INSP: (,241 e A INSPECTED BY: l� WORK IN PROGRESS: 'L", SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: r DATE: W/2007 Town of South Windsor INPSECHON REPORT 07 i �4 APP�,1CATIC�N ��R �TRRET �XC�#YATIQN PfRMlT Appt Nb TOWN>31=SOHT WINE3Sf?Fl Ptrrut Na PUBL11 11fQRKS DEPkRTI NT #54t}6t LuudN AVENUE Da#e 50UTi WINI? QR,J6T t)tiQfi4 �r7. Iamef F►rIc 1T1 ! `�S v� 2sa ��,/. Phone Noy + Atldresaip Loeatron of_propp ed work ' `W fly /n t o ref rmr#reywested L r e v r c Q I �r s�',:c ; Starting date �f Apprax #irte far completion _ ! CaU E3efor 1(ot�I�+g Nod l C�7 Q .G I ? Existing yll #or,Supply ( Pub1�c Witter [�Welt Ewstrng Sewage Service (�Pubho Sewer ©Septrc PLE ISE NOTE THE C1 POSIT FOR THE PERMANEHT PAYEI�11~Nt PAT CH AND CURB R<"Pt,ACEMENT IS.A PRELINfINARY ESTIMAT E THE APPLICANT IS RESRONSIBk, FQR THE FU L FINAI,QOST OF THE PERMANENT PATON ANp CUR$REALACEMENTIV CLUDING.ANY IN:CREgSES IN PATCf AREA:CURB LENGTH,TI AFFIG CONtROL ANQ THE TOiWN'S CONTRACT CASTS, TtIE P)~RMANENT PATCH 1S TYPICALLY COiIPLI=TED 1NItHiN AYEAR tF`THE TEMPORARY PATCII BUfi-1rt CUCD BE LATER' ttAN..A YEAR. Show sketch of proposed WOric of furnish two copies of:separafe draHnng - :This section'to be filled out by Indicate North Tower of:South VYindsor No cuts. Q 5 Gi At.,Patch Size{s)i of, hst Pvt.Thwkness S.0 E' aY1 P CX S�` G Est Ratch'Urnt Price$ Est.Patch Cost$: EstCurbReptaceinent ft Es i Curti Ur It i?nde$ fit ESt.Curb'.Cost S Est,Traffic Unit.Cost Est Traffic Control$ . Atnt.ttf;Deposit Totaf Due S j )Cash. ( )Ct%ck# Applicant is,respons"O for contacting Paid By the Poti De t and C t Y.D.: 1 AGREE TO'FURNISH TO THE TOWN OF SOUTN WINDSOR THE AMOUNT OF BOND REQUIRED AND'. REIMBURSE THE TOWN:OF SWTH WINDSOR FbR ANY EXPENSES INOURFIED BY THE TOWN FC?ft MAINTENANCE OR_REPA1Ft,WORIC IN CONNECTION WITH THIS PERMIT AND THAT i AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS:FOR PERMITS AS.OUTLIN//ED IN THE TD(fVN.OF SOUTH WINDSOR S STREET CUT_PERMiT MANUAL. Signed: �a4 Date: Title: �j G �or►S - (e� Driver's License#: PLEASE ALLOW AT LEAST TWO WORKING DAYS AFTER APPLICATION FOR.ISSUANCE OF PE WORK MAY NOT.6WIN,UNTIL A kRMIT HAS BEEN ISSUED ' PERMIT SHALL BE KEPT ON�OBSITE AT ALL TIMES Street poe vatlon Permit;tt8 REY f�22-08 , , Z , O , , t Q , z , 27 , rvice CO 0 rn a 0 JF x ca vjC,Les) r+ E _ C/ J CU