HomeMy WebLinkAboutStreet Cut Permits 566 Pleasant Valley R 1800161 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 10/25/2018
GIS ID: 72900566 f 'I' FEE: 50.00
MUNIS APPLICATION# 201802107 EXPIRATION DATE: 10/25/2019
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APPLICANT LOCATION
NAME: METROPOLITAN DISTRICT AX DRES Sib PLEA.SANT VALLEY ROAD
ADDRESS: 125 MAXIM ROAD OWNER SWNGITNWNDERPAL&
566I'IASsANT VALLEY RD
HARTFORD,CT 06114 x €
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WORK DESCRIPTION: 12"r lx rsl;�,K I OS�N GTeTQ# �6',
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APPLICANT AGREES TO FURNISH THE TWh11I OILOUTk WIIIDQRHI;�A ( JNT bF SONIfyREQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANYsPE1 $S INCIIRkU�T3I�THL TOWN FOR IVIAIITENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND T PixIC�T IS FAMI 'L WITI3 t�1aII W 'ASIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OESOUTH WINRSOR'S STREET OU PE AL.
ISSUED BY�J INSPECTED BY
10/25/2018 1:03 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: J CONTRACTOR: �U�� _
LOCATION: Lf,2
TYPE OF WORK: f oZ t Ma.
DATE INSP NEEDED: DATE INSP: lile.111
INSPECTED BY:
WORK IN
PROGRESS: 40
SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑-YES [] NO'
AS-BUILT: � ..
INPUT: DATE:
5/mdcy/fibrins 2M4 Tb=of South Windsor YNPSO=N REPORT 14
Mrs,Rev2/12 THE METROPOLITAN DISTRICT ^ PAVEMENT CUT DATE:
ADDRESS /�G, -S'! � mil' CliY 81LLJOB ❑ YES �1-NO WO#
CLOSEST STREET TOWN 7�� f ��'!'L STATE HIGHWAY ❑YES n<O-
DRAW SKETCH SHOWING LOCATION AND SIZE OF CUTS AND CUT MADE IN
CROSS SEC ON-OF PAVEMENT IF3EE7 ITUM. d"
I� ❑ CONC. ❑PREMIX
El SIDEWALK ❑BITUM. ❑CONC.-Il ❑FLAG
0 CURB O BITUM. 0 CONC. i El STONE
El DRIVEWAY ❑BITUM. ❑CONC.
El GRASS LOAM&SEED NEEDED ❑YES WlO
rr REASON FOR CUT:
DEPTH OF EXCAVATION: r '
NUMBER OF CUTS:
DATE OF FIRST CUT:
I� IS JOB COMPLETED: QdrES ❑NO
FOREMAN: C�
REPLACEMENT PAVEMENT CONTRACT NO.:
r BITUMINOUS ❑ CONCRETE ❑ PREMIX ❑
_..:..._. DATE COMPLETED: Q
ACCOUNT NUMBER:
CALCULATIONS
l � e-?_/7 OF CUT ITEM# ITEM# ITEM# ITEM.#
PAVING INSPECTOR CONTRACTOR
(ORIGINAL) (YELLOM