HomeMy WebLinkAboutStreet Cut Permits 68 Bourbon Street (4) 1700017 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 03/06/2017
GIS ID: 12300068
xt FEE: 0.00
MUNIS APPLICATION# 201700186 s = i $XPIRATION DATE:
APPLICANT' i fi' y u �`' � 5 LOCATION
NAME: EVERSOURCE JVE AI3DRE �48ORBON STREET
ADDRESS: 112 PROSPECT HILI,R ` , Y v s: OW�NEItw TEADMELVIN C&
EAST WINDSOR,C , 085 Y ,s . $OUZBON STREET
S$ft JWINDSOR,CT 06074
PHONE : s
WORK DESCRIPTION: GAk"Wwc, 10R�1G'r1* 0, 1D T �CLIILgkL1NE TO HOUSE
APPLICANT AGREES TO FURNISH TH&OV WI 6F OUT13k �S R HB AMQCI Ti01f BE ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR 7YS t E)�I.SES 1N RP,EI_BY i T lW1 C3N IVIAINTENANCE OR REPAIR WORK 1N
A
CONNECTION WITH THIS PERMIT AND T , .fPI IC'.AN`T IS. l w ^4 FAM1L'IAR TIyTyDT1 L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN( F SOUTH WINDSCt S> TR11� UT 1� RMIT MANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
3/6/20I72:38PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT M: CONTRACTOR:_ l koC.
LOCATION:
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: s" 1
INSPECTED BY:
WORK IN ]
PROGRESS: .'. .`' S S
SEPTIC TANK.PUMPED;SMASHED, FILLED WITNESSED ❑YES ❑NO
AS-BUILT'.--
DATE;
S/molloy/forms 2014 Town of SOO Windsor YNPSECT WREPORT 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 $25.00
Name of FIB Phon 1�6 - 2 9 2-� Z.25 8
Address of.Etl'tii° ,', y.
y , #► rop.Code
Location of proposed v+?
Describe fully natu re of,W`WhIt req.Um-d .1t Al" �a ? u s E�-t" `/ c'... +�U`/.C k
:.. .
C1A
Starting date ""
.. ; t Ca}I Before You Dig No�`+ `� - 3
PLEASE NOTE.- THE,DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING,ANY.
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR O.F THE TEM...PORARY''PATCH BUT IT COULD RELATER THAN A YEAR.
Check Applicable: 'I ;'No Pavement;Curb:or Sidewalk Cut ElPavement Out: ❑ Curb Cut 0 Sidewalk Cut
171 Existing Driveway,No Changes ❑ Proposed Driveway.Widening ❑ Proposed New Driveway
Water Supply: 0 Public Water CI Well Sewage Service: t❑ Public Sewer Septic
Show sketch of proposed work or furnish Indicate North 1ht§seo#ton to be 1flCed CiLitbY'I otlVit,
two copies of separate drawing
;No:::outs,.......:......:.... ...::::.::> ...........................
._.
Est. Patch 5ize(s�' t#E
Est.Pvt.Thickness in.. j
............... a
...........
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Est.Patch Unit".Price$ /si
Est.Patch Cost '
i
Est.Curb Replacement ft
Est..Curb Unit Price$:,. 1[j
Est.Curb Cost:$.........
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Est.Sidewalk Replacement sf ,
Est.Sidewalk Unit Price$ /sf
Est.Sldewalk.Cosi.$.. .:
Est.Traffic Hours:;: ....... �.:.....:.,___:..::::::: .hC
Est.Traffic Unit:Cost$ /hr.
it
Est.Traffic Control$
Amt.of.Deposlt$
71
DRIVEWAYS.muet be aft or more from the property line per Total Due 9
section 2;17 of the zoning regulations
( ) Cash ( }Check# .. �
Applicant is responsible for contacting the Police Dept:and C.B.Y.D
PERMIT SHALL:BE KEPT ON JOBSITE AT ALL TIMES Paid By
I AGREE TO.FURNISH TO THE TOWN:OF SOUTH WINDSOR THE AMOUNT OFIBOND REQUIRED ANp TO'REIMB. RSE THE TOWN 4F 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 ASIIDE'BY THE'RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH'
WINDSOR`S STREET CUT"RERMI'f MANUAL::
Stgrred r :► 'ti...�1� �' rent Na Date:.. ^. e: 3
Street Excavation.Petmit 2014
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