HomeMy WebLinkAboutStreet Cut Permits 161 Nevers Road (2) 1600101 TOWN OF SOUTH WI.NDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 06/20/2016
GIS ID: 62400161 ' _
t FEE: 0.00
MUNIS APPLICATION# 201600814 1EXPIRATION DATE:
APPLICANT \ n5r LOCATION
NAME: EVERSOURCE7� r ADDRISS �\1 1 NVERS ROAD
ADDRESS: PO BOX 270aFu4m f' , r 5 " O VVNER, OUT�I WINDSOR TOWN OF 40
HARTFORD,CT 06�I ` ErS/ERS ROAD
c; OFF , s 4. SOUTH}WINDSOR,CT 06074
PHONE 860-292-224245,
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WORK DESCRIPTION: 1N13L \�xAS SCTCrH SIOf1iF2COLLINS CROSSING
APPLICANT AGREES TO FURNISH TH T0WPOF`SOTJT5 tTIII AMI} COI'BAND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR KK ''SEfi IN+CIIRREIII3" THE TCJWI�FAR 1biAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND E API?, r�NT ISAMTLIAR VIIDWLL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN ? SQLI11"H�VINDSO '„S ETR11It3I PE1tMIT MANUAL.
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ISSUED BY DATE INSPETED INSPECTED BY
6/20/2016 8:49 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:: 16tQ0101 CONTRACTOR: Z.k), ,54�,2 l('Cr-.>
LOCATION: aeA
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TYPE OF WORK: � I co b )4 - I X.f
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS' e 63 e-s
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE:
I
S/molloy/forms 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 $25.00
Name of Firm Phone No.)C3 335"5aa?-
Address of Firm 2 E ,V1 i n C'�S or Zip CodepC-,088
Location of proposed work �i as I nQ — 4�11[
Descr ejuliy nature of permit requested 1n5ta-0 a-rl s `�PfyiC� �p high 00
d (' ( IIV
Starting date 1 to Call Before You Dig Na d l[o 00 Q
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement, Curb or Sidewalk Cut �avement Gut Curb Cut F;er—Sidewalk Cut
❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
f (DNo.cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price$ lsf
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Est. Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ fft
Est.Curb Cost$
�RjppissJL GO-S DjCLS SerV�CL Est. Sidewalk Replacement sf
Ar\A t-Q— Est.Sidewalk Unit Price
Est.Sidewalk Cost$
o Ilins ,
C I nC Est.Traffic Hours hr
Est.Traffic Unit Cost$ /hr
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 F ILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR'S T EET CUT PER MANUAL.
Signed: fouA OA Print Name LO-AA-� L�Q�T Date; IC5 rr(0
StrPat Fxravatinn Parmit 7n1Q