HomeMy WebLinkAboutStreet Cut Permits 1505 John Fitch Blvd (3) 1600186 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 09/29/2016
GIS ID:47701505 FEE: 0.00
MUNIS APPLICATION# 201601376 EXPIRATION DATE:
APPLICANT LOCATION
NAME: EVERSOURCE ADDRESS: 1565 JOHN FITCH BLVD
ADDRESS: 112 PROSPECT HILL ROAD OWNER: JOHN FITCH 1505 LLC
EAST WINDSOR, CT 06088 50 VOLPI RD
BOLTOI�, CT 06043
PHONE
WORK DESCRIPTION: INSTALL GAS SERVICE TO NEW BLDG AT 1505—J N FITCH BLVD
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'Sj STREET CUT PERMIT MANUAL.
r; &J/ - -! ��!"5 n
ISSUED BY DATE INSPECTED INSPECTED BY
9/29/2016 12:25 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
- ---PERMIT--NO:
LOCATION: j S� S,. �-►>1 �r�(
TYPE OF WORK: a
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: 81-�
WORK IN .
PROGRESS: - c e- 1,
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SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑YES ❑ NO
AS-BUILT:
INPUT: - DATE:_
S/Molloy/fo rms 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 $25.00
Name of Firm ��2 V So CC-0— Phone No. 8(o0-- Zq Z-Z ZL4 a..
Address of Firm . l�` c�S�,� Zip Code(2Xc..,Q f;Y�
Location of proposed work �_ r
.
Descriqe fully nature of permit requested -JInstaU r Li
�.
Starting ate LajZ:P 0Cipb O-C Call Before You Dig No401Co3 9 02 581
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut Cal'Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
Est. Patch Size(s) sf
� 1505
Est. Pvt.Thickness in.
i
I Est. Patch Unit Price$ /sf
I
Est.Patch Cost$
i T Est.Curb Replacement ft
Est.Curb Unit Price
1�1 Rber'lvi '�r. �.� Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price
Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ /hr
Fc)C—a F Est.Traffic Control$
Amt.of Deposit$
DRIVEWAYS must be 3ft or more from the property line per Total Due$
section 2.17 of the zoning regulations
(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 FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND
THAT I AM SA
MILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDS FSEETCU�PER
1
Signed: c Print Name�ri e-- 'f Date: 8
Street Excavation Permit 2014___ �___,