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HomeMy WebLinkAboutStreet Cut Permits 91 Bourbon Street (2) 1700053 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 03/24/2017 GIS ID: 12300091 FEE: MUNIS APPLICATION# 201700267 0.00 NXPIRATION DATE: APPLICANT` = LO gAb CATION NAME: EVERSOURCE ADDRESS 910FRBpN STREET ADDRESS: 112 PROSPECT HILL,1�OAp OWNER INE DIALA EAST WINDSOR,CT ff� 88 9I3�LFRBON STREET PHONE ry. :: SOUTH WINDSOR,CT 06074 WORK DESCRIPTION: GA4 SER'VT�E U ORI J�tTG FR I9I AiGROgS S ETk I QLLHOUSE NO 3,�yi'A. CITISS : 4 Y L �N k APPLICANT AGREES TO FURNISH THE TOWN bI $E.OUT1RmRgr SORt�HE AM©t TT O $#7ND REQUIRED AND TO REIMBURSE THE TOWN OF 50UTH WINDSOR FOR AI+1Y` PENSIwS INCURRED BY THE TOWIITFIVIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TII A'PI iCANT;IS FA11rIILTAR lYV Id'H r� ID WIIL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SCr-UTH UVIIVDS R' S R1;FsT CUT P_1aRMIT MANUAL, ISSUED BY DACE INSPECTED INSPECTED BY 3/24/2017 1:18 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** - - --------- _Y Al T i q is Rnl Jn w ` r` r t TOWN OF SOUTM WINDSOR INSPEC MINREPORT PERMIT NQ:: 7xa. R CONTRACTOR; IMMON: ►� WE OF WORK: L-S � v Z CIO DATE INSP NEEDED: DATE INSP. INSPECTED BY. WORK 14 PROGRESS: G's1_, � °<_ S�,� U'� �'"�✓ ,mot,/.... 'ram,` • SEPTIC TANK.PUMPED,SMASHED,FILLED WITNESSED ❑YES ❑NO AS-BUILT: INPUT: DATE: -� S/movoymmms gem Town of South Windsor INPSEcagwREPpRT 24 APPLICATION FOR STREET EXCAVATION PERMIT Appl. No, TOWN OF'SO:UTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No, TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00 "! 5 Name of`"-Irli�, ...���; ; `' ,:;... ....::....•� :.. - _< : , : - .. ; ,r: : . ...r`a.. .._. _ `� ':�`�ir:�.:.'A'�t.,'..::.� 7.�' runt ' Address ofikf> .... : :_ P.::....::.:..::.:.... .. :..:..::...'.:`..:.. Location af.proposed :. Describe fully nature of permit requested_ ', V r O E r . A)• : :,K -Aik . S Starting date '" "'` `, _. Call Before You Dig N .`.- PLEASE NOTE: THE DEPOSIT'FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT`IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL O.F. COST THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INC REASES°IN PATCH AREA,CURB LENGTH,TRAFFIC'CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH'BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ,No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Put ❑ Sidewalk Cut ❑ Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway i Water Supply: Cl Public Water ❑ Well Sewage Service: 0 Public:Sewer 0 Septic Show sketch of f k work or urnish Indicate North This section tea ie`till'ed proposed •i .... . ... ��1�5�T�4S' �� +: two copies of separate.drawing No.cuts I Est. Patch Size(s) sf ,l Est.Pvt.Thickness in. • I., ;Est.Patch Unit Price,.$...... ....... ..... ;s' Est.Patch Cost$ Est.Curb Replacement it Est.Curb Unit Price Est.Garb Gbst$. Est.Sidewalk Replacement sf Est.Sidewalk Unit`Price=$ /sf Est.Sidewalk Cost' Est.Traffic Hours (ti` Est,Traffic Unit Cost a Est.Traffic Control , Amt.of Deposit$::.. . ... DRIVEWAYS must be aft or more from the property line per Total Due;$.:': ..:..:.:::.:.: :a section 2.11 of the zoning regulations O Cash )Cheek*.,.,.-. Applicant It..responsible for,centacling the Police Dept.and C.B.Y.D PERMIT ShiAl.l,BE KEPT ON JOBSITE AT ALL TIMES Paid By : I AGREE TO FURNISH. f O Y.FiE T01Ni+f OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIM13URSE THE TOWN OF SOUTH WINDSOR.FOR ANY EXPENSES(NCU.RRED B`(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 CUTPERMIT MANUAL. Signed*' Print Nglttte ... ft : �,��,�:;>��t Date: Z Street Excavation Permit 2014 13 07 . 4. ST-HP I i. I t T I I i I J s