HomeMy WebLinkAboutStreet Cut Permits 9999 Abbe Road (2) 1500266 TOWN OF SOUTH WINDSOR, CT
PERMIT NtMBER STREET CUT PUBLIC UTILITY
DATE: 11/19/2015
GIS ID: 99990060 FEE: 0.00
MUNIS APPLICATION# 201501709 EXPIRATION DATE:
APPLICANT LOCATION
NAME: EVERSOURCE ADDRESS: 9999 ABBE*
ADDRESS: 112 PROSPECT HILL RD OWNER: TOWN OF SOUTH WINDSOR PUBLIC
EAST WINDSOR,CT 06088 157 BURGESS ROAD
SOUTH WINDSOR,CT 06074
PHONE 860-292-2242
WORK DESCRIPTION: RELOCATE GAS MAIN REPLACE GAS SERVICES DUE TO TOWN ROAD
RECONSTRUCTION PROJECT ABBE=RD @ ROBERT DRIVE
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 WINDSOR,'S STREET CUT PERMIT MANUAL.
C/ I12 Lj 111-
ISSUED BY DATE INSPECTED INSPECTED BY
11/19/2015 9:27 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:: CONTRACTOR: 0 .
LOCATION:
JYPE OF WORK:_'C c_ a =.
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: 86
WORK IN .
PROGRESS: Yit-K e-e / ,&duo(,d G�.
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑YES ❑ NO
INPUT: DATE: ` I V
S/molloy/fomts 2014 Town of SmM Urdw MPSEMON 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 $25.00
Name of Firm Yanks Gas Phone No. f360-2-g7--Z2(9
Address of Firm f i Z P,� d- 1-f�)I I�oc�( i-H1�rJ4so- C,7' o6o-s3s3
Zip Code 0100'76
Location of proposed work A# tl c( VAx,
Describe fully nature of permit requested 'Ro(ock s .+' A6 ,yr'vi W-c oue. t.
Starting date i t I !'� Call Before You Dig No IN5190 33Z9
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT 1S A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ElNo Pavement,Curb or Sidewalk Cut McPavement Cut ❑ Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or fumish Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
15� Est.Patch Sizes} sf
frill'$
MTh ADkAlw
Est.Pvt.Thickness in.
Est.Patch Unit Price$ /sf
Est.Patch Cost$
Est.Curb Replacement ft
(" Est.Curb Unit Price$ /it
6A5 WW4
Est,Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price$ /sf
Est.Sidewalk Cost$
f��e€n1gtN)
Est.Traffic Hours hr
Est.Traffic Unit Cost$ /fir
Est.Traffic Control$
A n Amt.of Deposit$
�' ` � y�1tJ`• • Total Due$.
( )
Applicant is responsible for contacting the Police Dept.and C.B.Y.D ( )Cash Check#
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 FORANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND
THAT I gFIAR WITH AN ILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDST GUT PE MANUAL.
Signed Print Name - °`"�°`Jf l Date:Street Eermit 2014
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