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HomeMy WebLinkAboutStreet Cut Permits 99 Bourbon Street (2) 1700037 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 03/17/2017 GIS ID: 123000990.00 FEE: MUNIS APPLICATION# 201700239 5 EXPIRATION DATE: n APPLICANT s ati LOCATION NAME: EVERSOURCEti AI)IRESS kyQ9I3OTtBON STREET ADDRESS: 112 PROSPECT HIL Fz OADt ?WRIER k ARIMPAUL R&GINA M EAST WINDSOR,C608$ B'OCIRBON STREET PHONE i 3 "ns©UTI FuVINDSOR,CT 06074 �J , WORK DESCRIPTION: GA ,Sgi f WORI C�FR 1 A R' �5$�Sy Eri TC LEFT SIDE OF HOl/ i5h, r`� s Teti e S �4? X dy ht� �n7 4f � ? APPLICANT AGREES TO FURNISH THL OVStN bF�OC1TIIaIipSE)I SHE AMUT�1`I01~Bfi iD REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AI' PI;N$ES1i IRRE BIi TOWNtRr1v1AINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND Tf A1'PI ICANT I.S P'ANIII I�1R W Dom' II L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN`dFt SOUTH WIi T I RMIT MANUAL. ISSUED BY DATE INSPECTED INSPECTED BY 3/23/20 1 7 9:47AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** Zm IF"AF N ll .7� S gc tyi f � H pp— NAAp � ! Y L a 4 ; ti }y 515,w TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMITNO:: CONTRACTOR LOCATION: LL4 TYPE OF WORK: DATE INSP NEEDED: DATE INSP: INSPECTED BY: rah WORK IN PROGRESS. A r• s SEPTIC TANK.PUMPED;SMASHED,FILLED MESSED ❑YES ❑NO AS-BUILT• INPUT• ' �. BATE: simoutw%rm 2m Town ormthWindsoritowwwREPORT14 APPLICATION FOR STREET EXCAVATION PERMIT AppC W. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00 Name of Fltm4 Address;of Firirt C " AZrl 4d+ IE�C Location of proposed v�ttfyk `" :'l3` ' Describe fully nature of permit requested ' + �' ;Os Starting date - f. �""Y'? Call Before You Dig'i ..... ....... PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY . INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE,PERMANENT PATCH IS TYPICALLY COMPLETED:+WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: '' r.Na Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ CU&Cut ❑ Sidewalk Cut ❑ Existing Driveway,No Changes 13 Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North Phis� 1on#a be ftlie�{eau 13vowln' two copies of separate drawing .. No.cuts. l I Est. Patch Sizes} sf Est.Pvt.Thicknessin. Est.Patch Unit Price$ !sf , Est.Patch Cost :.: i Est.Curb Replacement, ft% Est Curb.Unit Price Est.Curb:Cost ......... ...:.:::.: j Est.Sidewalk Replacement sf Est.Sidewalk Unit Price$ /sf Est.Sidewalk Cost;..... _.:::::...:.......::.::.:..,. I Est.Traffic Hours Est.Traffic Unit Cast$ (ter Est.Traffic Control$ Amt.cf Deposit$ DRIVEWAYS must be 3ft or more from the property llrie per Total Duel` section 2.17 of the:zoning regulations (. )Cash { )Check#_ .Applicant is;responsible for.contacting the Police Dept.and C.B.Y.D I,,PERMIT SHALL BE KEPT'ON.JOBSITE AT ALL TIMES Paid By I 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 t XPENSES.-INCl1RRED'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'lSTREET CUT PERMIT MANUAL. Signed Print Name L= O 71'�.�1 Date: 3 Z.^ 7,Jj StreeE,Excavation Permtt,2014 3 D i W O - 0 .............. :..:.. :......... .. ,x . F. J-IQ H41 E IF 7�t��aa-t4tannC weJ:im tNd.ine ... .. �aU�tiamm proprtot«r F Title:� E rN?�raaYs+otb,ratl upn Stwhich Ao: dd`AeSni ocy parcoN tir vttt .. _. ". �e�.�nsar�w 6on�riaP tl'mt+9b' ratornaio {,hMM a co!y reataQ cruF E rs yy �r�e��(■E��/I1►�,� i/.4 oetrtdtv sxhis'aU,�n ohl aiAk rtNdsh Y9�A fg�4asR 4: +f�A?.4«Y Ge Ertl'fay#urtaor mfyrtR'CllaD of 4-48u9rC0r�;9Ec8namA n 0 00 ENERGY..'c «ritFep Per 'icEtan a!Ev�rso�ce energy' Plelkd 16-1/or2ot7 9l ei�n.rt -