Loading...
HomeMy WebLinkAboutStreet Cut Permits 51 Dart Hill Road (2) 1500275 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 12/10/2015 GIS ID:25800051 JVFEE: 0.00 MUNIS APPLICATION# 201501796PIRATION DATE: cow APPLICAN T- LOCATION NAME: EVERSOURCEff ADDRE 51AT HILL ROAD ADDRESS: PO BOX 270 Nl AO THOMAS P JR& HARTFORD, CT 06 � — IJ$O 1252 J4 �� OYTIVINDSOR,CT 06074 PHONE 860-292-2242 Al WORK DESCRIPTION: INSTAIoLll €�`2 S % APPLICANT AGREES TO FURNISH THEM O W O oUTH L H1E A1V1Q 11� ?E 1 AND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR A1Y EXPE111 IIC} JY TJITiTQWT3IOI1�fAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TIIt A1'F1 IC�T ISALAR WITHN1LL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TO WN t1P (UTH WNDSQIS S 1�REET GiJ IT MANUAL. ISSUED BY DA E " I'ECTED INSPECTED BY 12/10/2015 9:55 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** - ------------ - -- ------------- -------------------- - 14, Iwo 000 ----------------- TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO:: /S"Ua d '7S" CONTRACTOR: LOCATION: s) TYPE OF WORK: tt 11 ' 7 c DATE INSP NEEDED: DATE INSP: iZ l INSPECTED BY: 6a WORK IN PROGRESS: 4 zP=l tiles us �4 s SP��' e ak L SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT:_(. DATE: S/molloy/forms 2014 Town of South Windsor INPSECTION REPORT 14 APPLICATION FOR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00 Name of Firm J .S tn°PGe. & INIU CCJ S4; Phone No. Address of Firm ros9pg - i Re-,) L-�5 UJ✓IG��� Zip Code O6D$$ Location of proposed work S I Oars 1 i 1I U. Describe fully nature of permit requested 1&51rjls✓15; Gas S C!vice Starting date Call Before You Dig No LDIS PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT 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. Check Applicable: ❑ No Pavement, Curb or Sidewalk Cut 9,Pavement Cut 0,CUrb Cut ❑ Sidewalk Cut ❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish pp Indicate North This section to be filled out by Town two copies of separate drawing f."s L- ru /) P� No. cuts Est. Patch ize(s) © isf Est. Pvt.Thickness tg in. Est. Patch Unit,,Price$ _/sf �R Est. Patch Cost$ �0� ,1 Est. Curb Replacement Tft v IX s � '� t Est. Curb Unit Price$ /ft I A � f Est.Curb Cost$ Est. Sidewalk Replaoem6nt sf Est. Sidewalk Unit Price$ /sf x`f jr �• Gt % Est.Sidewalk Cos $ -7 P1 1 I',(- I P f l//L- Est.Traffic Hours �, hr I �� s,� I Est.Traffic Unit 0ost$ 4 /hr �� / I i Est.Traffic Control$ a + 6 Amt.of Deposit$ Q Total Dtie$ C/ ( )Cash ( )Check# Applicant is responsible for contacting the Police Dept.and C.B.Y.D PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Paid By 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§T EET CUT P RMIT NUAL. ofSigned: Print Name IvS�e�s�� Date: Street Excavation Permit 2014