HomeMy WebLinkAboutStreet Cut Permits 525 Dart Hill Road (2) 1600176 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 09/15/2016
GIS ID:25800525 FEE: 0.00
MUNIS APPLICATION# 201601292 EXPIRATION DATE:
APPLICANT , LOCATION
NAME: EVERSOURCE ADDRESS: 525 DART HILL ROAD
ADDRESS: 112 PROSPECT HILL ROAD OWNER: STEVENS ROGERS
EAST WINDSOR, CT 0088 525=IDART HILL RD
SOUTH WINDSOR, CT 06074
PHONE
WORK DESCRIPTION: INSTALL GASERUICE
APPLICANT AGREES TO FURNISH THE,TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY tXPENSES 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 6f SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
9/1 5/201 6 3:16PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
CA!" - ---
LOCATION: 5 ec a c
TYPE OF WORK: I a S
DATE INSP NEEDED: DATE INSP: 41�5J�
INSPECTED BY:
WORK IN
1
PROGRESS:
SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑YES ❑ NO
AS-BUILT:
INPUT: - DATE:
S/molloy/f rms 2014 Town of South Windsor INPSWn0lQ REPORT 14
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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 $25.00
Name of Firm -2yW'r'QjAjMe2S Phone No. Q 61 a-'a as R'
Address of Firm cis J1 A& Zip Code C(cOdT
Location of proposed work D,1
Describe fully nature of permit requested JE ' I A &A-�;�
Starting date C111COil, Call Before You Dig No rlkQ 1 C031 WR?II+
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut A Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
No,cuts
Est.Patch Size(s) sf
Est.Pvt.Thickness in.
Ci9 7 Est.Patch Unit Price$ /sf
F Est.Patch Cost$
1 Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
5, (— Est.Curb Cost$
r Est.Sidewalk Replacement sf
i
Est.Sidewalk Unit Price
Est.Sidewalk Cost$
I Est.Traffic Hours hr
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
Amt.of Deposit$
DRIVEWAYS must be 3 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 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:-. -v -,ar-�' Print Name ✓lamf�- l`3� �^l� l� Date:
Street Excavation Permit 2014
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Drabek, Bernard
From: callcenter@cbyd.com
Sent: Wednesday, September 14,2016 2:14 PM
To: CBYD
Subject: Locate Request-20163702741
Attachments: 20163702741.PDF
20163702741.PDF
(117 KB)
(CALL BEFORE YOU DIG — CT) 09/14/2016 14 :12:32
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—GV —OT 9—SW SWINDS
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*** REMOTE BATCH ENTRY ***
***** ROUTINE *****
TIME. .14:12 DATE. .09/14/2016
REQUEST NO. . .20163702741
LATITUDE. .41.849118 LONGITUDE. .-72.504196
TOWN. . . . . .SOUTH WINDSOR
ADDRESS. . .525
STREET. . . .DART HILL ROAD
NEAREST
CROSS STREET. .DEBBIE DRIVE
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TYPE OF WORK. . . . .GAS SVC INSTALL MACHINE EXC
AREA IS MARKED. . .YES
REMARKS:
EXCAVATE TO INSTALL A GAS SERVICE. WORKING FROM STREET TO LEFT OF HOUSE
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START DATE. . . . . .09/17/2016 START TIME. .08:00
CALLER. . . . . . . . . .MS KATHLEEN HASTINGS
CALL BACK. . . . . . .
PHONE #. . . . . . . . .508-832-3295
FAX #. . . . . . . . . . .508-832-6751
ALT. PHONE #. . . .
EMAIL ADDRESS. . .KHASTINGS@RHWHITE.COM
CONTRACTOR. . . . . .R.H. WHITE CONSTRUCTION CO. , INC.
ADDRESS. . . . . . . . .41 CENTRAL STREET
CITY. . . . . . . . . . . .AUBURN
STATE. . . . . . . . . . .MA
ZIP. . . . . . . . . . . . .01501
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EXCAVATOR DOING WORK. .R.H. WHITE CONSTRUCTION CO. , INC.
ISSUED TO: DATE: TIME: BY:
DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY:
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