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HomeMy WebLinkAboutStreet Cut Permits 72 Paper Chase 1400037 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 03/19/2014 GIS ID: 69000072 FEE; 0.00 MUNIS APPLICATION# 201400258 J 'EXPIRATION DATE: .w`, r,. 14 jai.42 2y� £ s APPLICAI � F LOCATION NAME: YANKEE GAS e ADDRL 74,A%ER CHASE ADDRESS: 112 PROSPECT'HIL11RDOWE ROBERTN EAST WINDSOR, f s ' �y PR CHASE .Yram'.1 r f �y 5y s 4 s Z 1 SU`YIWINDSOR,CT 06074 PHONE 860-292-2242 _ WORK DESCRIPTION: EX�A> I~r1OM t TO ICTTI SERVICE 16 pi APPLICANT AGREES TO FURNISH THB., O ,P,&�T TE A�VM1A�1�TT�OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR A ,Y�X 1IS1✓ I k I� Yy O1N;FOR CONNECTION WITH THIS PERMIT AND T 3 ` NANCE OR REPAIR WORK IN AC�ANT IS't+` tIID yI L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN(� S�U' WIIVDSI2.'_S�'PREI�TtpCJ'I".P��VIIT MANUAL, Pp ISSUED BY DA3E ITFS 'ECTED INSPECTED BY 3/19/2014 8:02 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** h r k S Y S ! S a r < 5 AN NV-A"I f a 4 sr s 4 � f 5 t , ` �S l��y ` 5,y SyS 4i 5 "k.r✓ vil'. U`^'a7 tt - s N � y Ile, AS��` v.s3 K ..7 a ys�` e k �✓ k C. K. TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.:__ e/D!?D CONTRACTOR: LOCATION: -7 2a Ghc TYPE OF WORK: u h S7��V. C DATE INSP NEEDED: DATE INSP. 1>3�I INSPECTED BY: WORK IN PROGRESS:— �s �P n,�`c� ��:. L sl.e j A i SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: � r INPUT:_ DATE:- t W/2007 Town of South Windsor INPSECTION REPORT 07 APPLICATION FOR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT 1540 SULLIVAN AVENUE Date: SOUTH WINDSOR,CT 06074 FEE $25.00 F _ Name of Firm N f`� G S Phone No.( -2-1 2�� 5? Address of Firm I t 2— tz-0 3(L"C ' Lill L i) ,'. 0 • Zip Code 0 � Location of proposed work. '7 �2- _..eaA e IF f2, e b}0,3 C Describe fully nature of permit requested- C 1A'Y-'-fi' 1:: V-0 C, oz, 6> 14 OAS D , N ks F(Z-T' . j ISIVY'VICE i Starting date 3 -'Z- Approx.time for completion Call Before You Dig No.SO it Existing Water Supply: ❑ Public Water ❑Well j Existing Sewage Service: ❑ Public Sewer ❑ Septic PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPUCA14T IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING.ANY INCREASES IN PATCH AREA,CURB LENGTH;TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch Of proposed work or famish This section to be filled out by two copies of separate drawing Indicate North Ipwn.of.So.uth Windsor No.cuts Est.Patch Size(s) sf I ' Est.Pvt.Thickness in. ©� Est.Patch Unit Price$ (sf foe tF 01 C __ Est.Patch Cost$ Est.Curb Replacement It ` Est.Curb Unit Price$ /tt Est.Curb Cost$ Est,Traffic Unit Cost$ lhr Est:Traffic Control$ Amt.of Deposit$ I Total Due$ ( )Cash ( )Check# Applicant is responsible for contacting Paid By the Police Dept.and C.B:Y.D. I 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 THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THAT I AM 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. Signed: Date: Title:. C'D A) T5—f U L,r/0 A -�CW Driver's License#: PLEASE ALLOW AT LEAST TWO WORKING DAYS AFTER APPLICATION FOR ISSUANCE OF PERMIT WORK MAY NOT BEGIN UNTIL A PERMIT HAS BEEN ISSUED PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Street Excavation Permit 08 REV 10-22-08