Loading...
HomeMy WebLinkAboutStreet Cut Permits 58 Sharon Drive (2) 1500157 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 07/23/2015 GIS ID: 82500058 FEE: 0.00 MUNIS APPLICATION# 201500976 EXPIRATION DATE: APPLICANT LOCATION NAME: EVERSOURCE ADDRESS: 58 SIIARON DRIVE ADDRESS: 112 PROSPECT HILL RD OWNER: MAIN JEFFREY A&JEAN D EAST WINDSOR,CT 06088 58-MHARON DRIVE S©UTH WINDSOR,CT 06074 PHONE 860-292-2242 WORK DESCRIPTION: EXCAVATE TO INSTALL GAS SERVICE FROM CURB TO HOUSE W/O#=8E520655 APPLICANT AGREES TO FURNISH 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 THE APPLICANT IS FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINpSOR'S STREET CUT PERM--IT MANUAL. ISSUED BY DATE INSPECTED INSPECTED BY 7/23/2015 12:35 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** ------------ ------ TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO:: 1.S40/5 7 CONTRACTOR: LOCATION: SJ Sha► 0 h Dll t U-t TYPE OF WORK: DATE INSP NEEDED: DATE INSP: 3� i INSPECTED BY: [� WORK IN PROGRESS: �-�5 5..�r e SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT:_ DATE: S/moiloy/forms 2014 Town of South Windsor INPSECTION REPORT 14 I APPLICATION FOR STREET EXCAVATION PERMIT Appl.No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT 1640 SULLIVAN AVENUE Date: SOUTH WINDSOR,CT 06074 FEE $25.00 IFs�1& 55 Name of Firm '� Q. (,C_ Phone No. ' 212- 2.5_;3� Address of Firm C_�" Zip Code Location of proposed wo y Describe fully nature of permit requested V)C('0)/A EE C O f Starting date__'' -� Z 7 / _Approx.time for completion Call Before You D' No. � ID(')2.5 7 Existing Water Supply: � g ❑Public Water Well Existing Sewage Service: ❑Public Sewer ❑Septic PLEASE NOTE: THE DEPOSIT FOR.THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL-FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT;INCLUDING,ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC-CONTROL AND THETOWN's CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHINA YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. -Show sketch bf proposed work or furnish Th_ Is section to be filled out by two copies of separate drawing Indicate-North Town.of.South Windsor No.cuts Est.Patch Sizes) sf Est.P.A.Thickness in. Est.Patch Unit Price$ /sf Est.Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price$ /ft Est.Curb Cost$ 7 Est.Traffic Unit Cost$ /hr Est:Traffic Control$ Amt.of Deposit$ Total Due$ i i -! O Cash O 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:_ 7 — 74 /S Title: U C_ /17 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