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HomeMy WebLinkAboutStreet Cut Permits 980 Foster Street (2) 1400331 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 11/10/2014 GIS ID: 33600980 FEE: 0.00 MUNIS APPLICATION# 201401621 EXPIRATION DATE: APPLICANT LOCATION NAME: YANKEE GAS ADDRESS: 980 FOSTER STREET ADDRESS: 112 PROSPECT HILL RD OWNER: JACOBS BRADEN N&KELSHA H EAST WINDSOR, CT 06088 980 FOSTER ST PHONE 860-292-2242 SOUTH WINDSOR,CT 06074 WORK DESCRIPTION: EXCAVATE TO INSTALL GAS SERVICE WO 8E421815 APPLICANT AGREES TO FURNISH 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 THE APPLICANT IS 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. ISSUED BY DATE INSPECTED INSPECTED BY 11/10/2014 10:38 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: &6033 CONTRACTOR: LOCATION: 2 g® h'054e't TYPE OF WORK: x�� OT DATE INSP NEEDED: DATE INSP: INSPECTED BY: tl3►'� WORK IN PROGRESS: %)0 -re 044 eLps� � SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: \ S/molloy/forms 2014 Town of South Windsor INPSEMON REPORT 14 2 - p4 i No T Wei Of SOUTH W� �-�q-1��:;-II�'__�-.��C.�I.��,�,1,�-­i,r-��.---;�!,I-.I.�­-1—.-..-,-.,�-�.:�--,._:-,1,,.�i�--.,--I,�-I-1'r1-.1�.�,�.,-,�I�I...,,:,�­,,.r�0,-I�--,�-,....�.'/.-.:� OR p$rt tfit No„ L ��p,.I.�I-�,Y_,:,..�.z-.r�,`."1��:,�L,I--`-7.1-I�',,'--;�.u�..I,'�'— PUS 11 1NOt I DEI ARTM z EN7` ©:2 '# f - tf�L11�A1', V'nniDyy� =ft z ' , . Yt 1 - r rr Address of Flrm � (f Grptlle k oc t on of ft6a 6d Work: W f L-• _. .y..- -.-.. -. t Descr`�befuifynature of pmit� ueSted s Stltir�d #e. �V:r Apra trre for cmplefrvn '� fall$efor$You pi j Nd v © `"� rrrg W ter$uppiy. (�f?r�biic 1Afa�ter C, W11 Eitlrg sewage en►ice ' t7ubfic Sewer ©Septic ir�Ll4EE N0K THE DER4S�TOt THE(�ERMANlNT� #YEMEI�tT PATCH AND GURBP(.AGIIf~N I A PRE�.IIVIINAR�f ES �VtATE TNk APPI.CANT t$R I�ONSlI LE - TNi~PUt.t PINA.COST OF THE R�Ri111A1h1�N7'PA�'0N ANt�GURU EFLACEtiAEt�T4 NGLt)1�t. Q Af4Y INCREA M iN.PATGF�AREA;�CtJRB f. I. :- - 0w, LAND'�'HE TQyIIN' 1�1'f ACT GpSTd. Tk R RNiAN-- T PkTGH'`LS T�IPICAL.t�Y ,I I,.-!��-I.,�.----1-.- COMPLETED lAfiTHIN A YEAR Q` TMe TEMPfJt ARI(I A�lti Bl T I f COULD-E-- THAi+1 A YEAR Show skeI , proposed work oe.famish This ie66, to be filled out by -. - tw©copres of separate drawing Indica#e North 3 own of mouth Windsor �I--; ,11 W, • L, , . -( " . No:acts Esf."Patcti';S�ze(s)' sf tt_ last.Pvt.Thickness m Esf:Patch Urnt Price$' Isf Est.Patch Cost . Est.Curb Replacement • , Est.Curb Un►t Price$_ Jfft Est.C1urt;tost:S Est: rafric Unit'Est$ !hr Est Traffic Contirdl:� Amt.of tosit Tof�t1 tine )`Cash- : ( )Check# Applicant rs responsible for contacting Pais(By th police De t.and,c 63 .D.: #AGREE TO FURNISH TO I H1=TO11tilN OF SOUTH WtNt7SOR THE AMOUNT QF BOND REQUIRED AND TQ;REIMBUi�SE THE `tI .Of.B01)TH 111(IIWDSpR 1=dR ANY EXPENSES 1- WARED RY TNE.. WN.1OR�MAINTENANCE OF REPAIR WQRK 1N CONNEG, VI�ITH.fiHIS:PERMIT AND,TktA,T I,AM fAkAli_fAR 1AJtfH AN_D WhLL ABIDE$Y•TH t UL;ES:AND'REGULA1�iQNS. OR PERMITS AS"I�UTL-INED IN THE•TOWN Of.:SOUTH`WINDSOR'S-STRf=ETCUT PERMIT:MANUAL. Signed: �� Date: f_ ' Title: `y C- y%f—' C , . Driver's License#- PLEAv1:ALLOW AT I.EAS1`7 TWO WORKING DAYS AFTER APPLICATION FOR�ISSUANCE 00 PERMIT WORK_MAY NOT 13EG1N UNTIL A PERMIT iAS 13EEN-ISSUED. . t'ERMI 'SHALL SE I<EPT ON JOSStTE AT ALL TIMES- Strt•Eccavatlon'permit 0$t�V 10 22=ti#3 980 �rO �USPc� G,, s X'rV! t& ' w, de G4 s 3 '4 L4 ' x L4 � G-XcuvAtiG+'� FOSTER ST. EXT. �.J