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HomeMy WebLinkAboutStreet Cut Permits 106 Bourbon Street (4) 1700028 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 03/16/2017 GIS ID: 12300106 FEE: 0.00 MUNIS APPLICATION# 201700227 fi a tw EXPIRATION DATE: 71' APPLICANTLOCATION NAME: EVERSOURCE h ADDRES " l0fii B6URBON STREET ADDRESS: 112 PROSPECT HILL,"1 7WNR� �k70ULA,GAR VIKAS& EAST WINDSOR,CT 016f18$ BgRBON STREET F ;ram, y 1 s SQUTHyWINDSOR,CT 06074 PHONE 44 WORK DESCRIPTION: EX&&Aj'AT0N1�'I�L SASEIVI WQITGiBHIND CURB LINE APPLICANT AGREES TO FURNISH THEM OWT t?FOUHIlSQtHE'AIU171�,OF BAND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY�PENSES I1 CII fIt TENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND T WIT A IDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN© S'OTH WFNDSOR'S STREET CUFrIZ�IVIIT MANUAL. ISS ED BY DATE INSPEC I ED INSPECTED BY 3/1 6/2017 1 1:14AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** A 1�: � 0r S Why gm x,th� ,d x4 �y ��.+ p TOWN OF SOUTH WINDSOR INSPEC'fIQN REPORT PERMIT NO.: i "7 00)J CONTRACTOR:_ �'�%• 3 _ LOCA71ON: Z TYPE OF WORK: i DATE INSP NEEDED: DATE INSP: INSPECtED BY: L t WORK IN PROGRESS T >�=c'� I c �I_ S Lk r - SEPTIC TANK.PUMPED;SMASH9Dr FILLED WITNESSED ❑YES ❑NO AS-BUILT: INPUT=. - DATE; . S/mottoy/tbms 2014 Town of South Windsor IMPSWTD 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 $25.00 2-5 Name of Friti9':.. ., C r., Address of Ftitt'I. : . :: . ode Location of proposed work �J Describe fully nature of p r4rtrl reque _ t h:V O ? Ill L��.`Y` r '.. ii"� �.. . Starting date f - Call Before You Dig Na ©�'� PiisAi lrrhlC!f s T I OEPL?StTfiOR iFIE,:PI=(itNiiltilEltl"t 1'A1 WENT'P�A7CN:A1tp Gllf��;k�(�LJtS��M�l�t7t,�AF'Ft�4fMIN�1iiYFzS1YMA1`B. THE AF�PLIGAtK I.[ REI�[f�1St8LE FQt; F# '. Jf.t� hff. "i TH£P .I tMkNC[ift f'A1t1i,AIb G�tff .4�ELAM1T+1ttlCLtf[3tNa ANY: 11M..TYP a 4P8- OMR . DWI N N A Y�Ob Tt ICE 7EM OiiARY PATCH BUT ITOCOULD BE LATER THAN A YEAR E�M�� �ATGkk IS Check Applicable: No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb.Cut ❑ Sidewalk Cut ❑ Existing.Driveway;No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage service: q Public Sewer ❑ Septic Show sketch of proposed work.or furnish Indicate North This SG onto t ted o ! two copies of separate drawing No.cuts,:.... _.._ ` sf Est. Patch Sizes) _ is Est. Pvt.Thickness '...Est.Patch Unit Price'S: Est.Patch Cosf$ Est.Curb Replacement it i. Est.Curb Unit Price=$ . It Est.:Curb Cas#$ I i Est.Sidewalk Replacement sf Est.Sidewalk Unit Price$ !sf Est..Sidewalk Cost$.:..... .....:::_-,_ .....: _ Est.Traffic Hours Est.Traffic Unit Cost Est.Traffic Control ,,_; Amt.of Deposit.$.. . DRIVEWAYS must be 3ft or more from the property line per Total Due.., - - section 2.17 of the zoning regulations I ( j Cash. ( )Check#. ...___ Applicant isTesponsible.for.contacting.the Police Dept.and C.B:Y.D i' 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 MAINTENANOE;.q,R 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. Print Names "4L- . .: .- Date-=3 „ 0:. Street_Excavation Permit 2014 U3/^ Lfl 6-7+- 0 3 0 .... _ . _ .. . .. .. .. ...................... .......................... .. ___...... _.... ......... � i i r t N is 4 .. .............. .................. ................................:........:.:.:.....:- i 3 i i A✓ i i S 0 l _,1 i i t' 54.5 ,r 6 5 . 5 ------- . ............ ...................... ii ......... ...... .................... .. ......... .. ..1..... ..... NO . . 0.75" ST�HP 1984 ....... ......... 65 = - 5 5 . .............. _ - ....... . ... .. .:........... .