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HomeMy WebLinkAboutStreet Cut Permits 85 South Satellite Ro (4) 1600071 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 05/25/2016 GIS ID: 84000085 MUNIS APPLICATION# 201600663 FEE: 0.00 EXPIRATION DATE: APPLICANT , LOCATION NAME: METROPOLITAN DISTRICT ADDRESS: 85 SOUTH SATELLITE ROAD ADDRESS: 125 MAXIM ROAD OWNER: 85 SOUTH SATELLITE ROAD LLC HARTFORD,CT 06I 14 85 SO SATELLITE RD PHONE SOUTH WINDSOR, CT 06074 WORK DESCRIPTION: BOX AND ROD WO#5686362 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. c . iakhc' , /a_:��'5:��',,,," ISSUED BY DATE INSPECTED INSPECTED BY 5/25/201611:53AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO:; nn D 7/ CONTRACTOR: /'/ PC LOCATION: 50( TYPE OF WORK: -t7nd DATE INSP NEEDED: DATE INSP: I" / __ INSPECTED BY: ,1 WORK IN PROGRESS: SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: . DATE: S/molloy/forms 2014 Town of South Windsor INPSEMON REPORT 14 rya-oas,Rev2112 THE METROPOLITAN DISTRICT - PAVEMENT CUT DATE: 1-1--19---1 ADDRESS Q �'rscc� Lf f7`.'17�r'zz cz aiLl,Jos ❑ YEs o wo#_��'�'h��� CLOSEST STREET Ci17'10 e( x/c 111 71GEC? , TOWN �� t�cJ�'n c4.lYl l'STATE HIGHWAY ❑YES 6pwo— DR W SKETCH SHOWING LOCATION AND SIZE OF CUTS AND CUT MADE IN CROSS SECTION OF PAVEMENT (� ❑STREET ❑BITUM. " ❑CONC. ❑PREMIX " dµ' DSIDEWALK ❑BITUM. ❑CONC. ❑FLAG " ©CURB ❑BITUM, ' ❑CONC. ©STONE ' ❑DRIVEWAY ❑BITUM. " D CONC. " BASS LOAM&SEED NEEDED ❑YES 16 j REASON FOR CUT: �tl go C/ DEPTH OF EXCAVATION: (3 r NUMBER OF CUTS:_ DATE OF FIRST CUT: IS JOB COMPLETED: ES ONO FOREMAN: T- " l%/ ,I-- REPLACEMENT PAVEMENT CONTRACT NO.: BITUMINOUS ❑ CONCRETE ❑ PREMIX ❑ DATE COMPLETED: ACCOUNT NUMBER: C"? CALCULATIONS NO. OF CUT ITEM# ITEM# ITEM# ITEM# PAVING INSPECTOR CONTRACTOR L )