HomeMy WebLinkAboutStreet Cut Permits 9999 Aroda Drive (2) 1600007 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 02/26/2016
GIS ID: 04809999 FEE: 0.00
MUNIS APPLICATION# 201600194 EXPIRATION DATE:
APPLICANT - LOCATION
NAME: EVERSOURCE ADDRESS: 9999 ARODA DRIVE
ADDRESS: PO BOX 270 OWNER: UNKNOWN OWNER
HARTFORD,CT 06I4f"
PHONE 860-292-2242
WORK DESCRIPTION: REPAIR L>sAK ON MAIN
APPLICANT AGREES TO FURNISH THE TOWN OF SOUTH--- INDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY=I XPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPLICANT I'S-FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN TH TOWN OF S "f H WINDSO 'S STREET CUT PERMIT MANUAL.
IS UED BY DATE INSPECTED INSPECTED BY
2/26/2016 11:11 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO..: /(l"0 7 CONTRACTOR:
LOCATION:__ `l q cA
TYPE OF WORK: Uaa-k 6�r,
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: 13
WORK IN .
PROGRESS: Lea,
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES [:] NO
AS-BUILT:
INPUT:_ DATE:
S/moiioy/forms 2014 Town of South Windsor INPSECnON REPORT 14
AFFLICA11UN FOR STREET EXCAVATION PERMfC
.Appi. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
C� . 1640 SULLIVAN AVENUE Date:
j�l ag77 SOUTH WINDSOR,CT 06074
a FEE:$25:00
Name of Firm 4 PhoneNo. 9*0 "
Address of Arrn ip Code
Location of proposed work
AA-
Descdlbe rrature.of permit requested '
Starting date- I /SApprox.time for completion
Call Before.You Al Dig.No.__ �ts A Existing.Water Supply: [I Public Water ❑Well
Existing Sewage Service: Public Sewer ❑Septic
PLEASE NOTE: THE.DEPOSIT FOR'THE PERMANENT PAVEMENT:PATCH AND CURB REPLACEMENT IS A
PRELIMMARY ESTIMATE. THE APPLICANT-I&RESPONSIBLE FORTHE FULL FINAL COST OF THE
.-PERM ENT PATCH AND`CURS REPLACEMENT;INCLUDING.ANY INCREASES IN..PATCH AREA,CURB
-LENGTH,TRAFRC;CONTROL AND THE TOWNS-CONTRACT COST . THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN-A�YEAR.OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show We-—tch of'proposed mrork yr furnish This sectton to be iNed out by
two oopttes of separate drawing: Indroate.North Town.of:SoM Windsor-
No.a8s
Esl Patch Sizes) sf
Est.PvL Thickness in.
Est Pat0h Unit Pace$_/sf
Est.'Patch Cost$
. !Sic�
- ���� .Est.Curb Heplac�rnerrt ft
Est.Curb Unit Price
Est.Curb Cost$
Est.Traffic Unit Cost$ Mr
Est.Traffic Control S
Amt.of Deposit$
Total Dun$
Cash O Check#.
Applicant is responsible far contacting Paid By
the Polme. .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
CONNECTI V.VfflTf THIS PERI411T AND THAT I AM FAMILIAR WITHAND,WILL ASIDE SY THE RULES:AND REGULATIONS FOR
PERMITS UTLINED IN TOWN OFSOUTH WINDSOR'S STREET'CUT P �RMIT UAL.
Signed: Data: Av
I �
Title Driver's.00011se#•
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.1ossiTE AT ALL TIMES
Street Ficcavation Pemmiit.08.REV 10-22-08
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