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HomeMy WebLinkAboutStreet Cut Permits 99 Sycamore Road (2) 1800159 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 10/25/2018 ` GIS ID: 88800099 5 { FEE: 50.00 MUNIS APPLICATION# 201802105 .. ,'� s t $�X* IRATION DATE: 10/25/2019 s 1 f ,� t APPLICANT ,5 1 � L LOCATION NAME: METROPOLITAN DISTRA T t AIDES`` 99 �YCt ORE ROAD ADDRESS: 125 MAXIM ROADOWNEDI1VI � CHAEL R&SANDRA L r: S'�'�AIvTQRE ROAD HARTFORD,CT 06114 t f 3 ' PHONE Z a _ .-, y WORK DESCRIPTION: 8"MAII�N AA a ti k <`if, APPLICANT AGREES TO FURNISH THE T%�I701 SQUTHVINDSC?R' EAMOIJNT QF BbNDtEQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY 9�? N ES INGURREI $Y THE TOWN FOP TENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THEioPIICANT IS FAMII TAR WI.TH ANll WILI.`ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SQUTII WIN SOR' STREE AT PERMIT`IVIANUAL. ISS ED BY DA= E:;,.,...•SPED INSPECTED BY 10/25/2018 12:55 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** -- ------------- ---------- ------'. Rtm •� S f a � 7� ts�,Z w •�t y u i �e - - ) k5it 7 ri e 4 �S 2 INK � ' } i� * AV SL `Y .:N , ; ry fit J !p 3 k :.r TOWN OF SOU MMINDSOR INSPECITON REPORT PERMIT'No.:A . CONTRACTOR:,. LOCATION: Sp2 TYPE OF WORK. Mat r't 1,ea.k DATE INSP NEEDED: DATE DO. INSPECTED BY: b WORK:IN PROGRESS: i . EL`, SEPTIC TANK PUMPEa,SMASHED, FILLED : WITNESSED ❑YES [I NO- A5-BUILI" INPUT: " DATE: .... S/moitoy/Rnrms 2014 Town of South Windsor•3NP5�CRQN ifEPORT l4 M"*.Rev 2/12 THE METROPOLITAN DISTRICT- PAVEMENT CUT DATE. ADORESS qg"SLY1.0amBILL JOB DYES `0/NO CLOSEST STREET TOWN Sof STATE HIGHWAY,El YES .2(NO DRAWS ETCH SHOWING LOCATION AND SIZE F CUTS AN CROSS SECTION OF PAVEMENT �CUT MADE IN 1 �9 2 STREET W'BITUM.k" D CONIC. " ❑PREMIX / ..SIDEWALK ©BITUM. El CONCH...._" D FLAG &CURB i 61TUM.MO' D CONC., Cl STONE ❑DRIVEWAY ❑BITUM.,_ - 0 CONC, O GRASS LOAM&SEED NEEDED 0 YES ❑NO fg REASON FOR CUT- g?-'j22gq;,y- jean DEPTH OF EXCAVATION: 10 NUMBER OF CUTS' DATE OF FIRST CUT,- IS JOB COMPLETED: �7YES DNO --- -- YcX `\ - --- FOREMAN: FIE-PLA-CEMCNT-PAVEMENT ONTR CT NO.: X �J BITUMINOUS ❑ CONCRETE 0 PREMIX❑ a DATE COMPLETED: ACCOUNT NUMBER r=d9 CALCULATIONS �yCuf'+10re� 1''� OF 01) U f am 1TEW PAVING INSPECTOR CONTRACTOR 1 (ORIGINAL) (YELLOW)