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HomeMy WebLinkAboutStreet Cut Permits 42 Robert Drive (2) 1600004 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 02/04/2016 GIS ID: 76500042 FEE: 0.00 MUNIS APPLICATION# 201600109 EXPIRATION DATE: APPLICANT LOCATION NAME: EVERSOURCE ADDRESS: 42 ROBERT DRIVE ADDRESS: PO BOX 270 OWNER: SATALINO THOMAS G&TANYA HARTFORD,CT 06141 42 ROBERT DR " SOUTH WINDSOR, CT 06074 PHONE 860-292-2242 WORK DESCRIPTION: EMERGENCI'GAS REPAIR APPLICANT AGREES TO FURNISH THE TOWN OF SOUTH WINDSGR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSGR FOR ANY EXPENSES INCURRED BY THE TOWN FOR.MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE APPLICANTIS FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINpSOR'S STREET CUT PERMIT MANUAL. C ft/l8 ') j/s//camp ;5 ISSUED BY DAZE INSPECTED INSPECTED BY 2/4/2016 11:18 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.; 16©0 00 Y CONTRACTOR: LOCATION: TYPE OF WORK: 2� Y'L_ 22 i V'Z t DATE INSP NEEDED: DATE INSP: 2LZIG INSPECTED BY: 9 D WORK IN . PROGRESS: �vvi5�'�'�-c �'"���e. (cam �e -- -Lo fe a.-i f CAS LaX,K 7te'41 A,Lt SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: S/molloy/forms 2014 Town of South Windsor INPSECiION REPORT 14 AFFLILM11UN FOR STREET EXCAVATION PERMIT Appl.No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT tot) 7 1540 SULLIVAN AVENUE Date: SOUTH WINDSOR,CT 06074 v FEE:$25:OO Name of Firm C Phone No. Address of firm Zip Code Location of proposed work o f" Describe fully nature.of permit requested Starting date Afll(r 4Approx.time for completion Call.Before.You Dig_No: Existing Water Supply: ❑Pubr'ic Water well Existing Sewage Service: Public,Sewer 0 Septic PLEASE NOTE:.THE"DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB.REPLACEMENT IS A `PRELIMINARY ESTIMATE. THE APPLICANT-IS RESPONSIBLE FORTHE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB 'LENC TH,TAAF"FIC;CONTROL AND THE TOWS THE PERMANENT PATCH-IS TYPICALLY COMPLETED WLTfililN A Y.EAR:OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch off"roposed work or furnish This secuiots to h2jilled out tip two Copies of separate-drawtng: tnccate.NoAh Ttrnrn of SoXtth VYindsor t No.cuts Est,Patch Sizes) sf Est.Pvt.Thickness in. Est.Patch Unit Price$ /sf Est.Patch Cost$ .Est Cub Replacement 0 .Est Ctab Unit Price$ i t Est.Curb Cost$ Est.Traffic Unit Cost$ Ihr Est:Traftit:Control$ Amt.of Deposit; Total Due$ )Cash O Check#� I Applicard is responsible for contacting Paid By the Polioe:De t.and G.B.Y.Di 1 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 7HE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION,WITH THIS;PERMIT AND THAT 1 At�l FAMILIAR WITH.AND WILL ABIDE BY THE RUI ES.AND REGULATIONS FOR. . PERMITS NE I)III t HE OWN OF SOUTH W INDSOR'S BTfiEET CUT t� FiMIT.MANUAL, Signed ed Date ay g Title• 'C`� Drivers License#: PLEASE ALLOW AT LEAST TWO WORKING DAYS AFTER APPLICATION FOR ISSUANCE.OF PERMr r WORK MAY NOT BEGIN UNTIL A PERMIT HAS BEEN ISSUED . PERMIT SHALL BE KEPT ON J06SITE AT ALL TIMES n o .+ f� �7/'144 � ;_? s.beet Excavation P t.Q8 -08 'fir 7 �l J0 m \ j Z0£ g9 2'69 N j I r d- co a� N L II i 82.5 a N-