HomeMy WebLinkAboutStreet Cut Permits 171 Bourbon Street (2) 1700043 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 03/22/2017 t
GIS ID: 12300171 k
FEE: 0[00
titMUNIS APPLICATION# 201700257 4,, EXPIRATION DATE:
APPLICANk ` 3=[Y LOCATION
NAME: EVERSOURCEs �{
,4DDRES I71 BO ON STREET
ADDRESS: 112 PROSPECT HILLQ TCSAD ;' {jjWER � ° P $ RE INC
EAST WINDSOR, 3247
WWAT)1REURY,CT 06705
PHONE
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WORK DESCRIPTION: GAS SEIkNgft,`W.— �Nl r ROM'#174 D x EW�Y O �rHT SIDE
OF HOU "
THE DRAIN LAYER ASSIGNED TO THIS 'EITJItS A VAYrUIsiS �SSi[E*It11�THISTATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORTH.IN IHErATTAH ?` 01DITNS� lol,I,WORK SHALT,BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDA PS;A L O$I"AREt U MEMS4', P T IE ATTACHED CONDITIONS.
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ISSUED BY DATE PECTED INSPECTED BY
3/22/2017 11:25 AM
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TOWN OF SOUK WINDSOR INSPECTION REPORT
PERMTI'NO:. I l006q,3 CONTRACTOR.
LOCATION: 9 -7 Z o L4. 60
TYPE OF WORK.
DATE INSP NEEDED: DATE INSP: ,',
INSPECTED BY.
WORK IN
PROG
SEPTIC UNK.PUMPED;SMASHED,FILLED WITNESSED ❑YES ❑NO
AS-BUILT.
INPUT. DATE
S/molloYlfbrms 2514Town of South Windsor INPSEC WREF011T14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl' No:;: TOWN OF SOUTH WINDSOR. PUBLI WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, Cl'0607.4 FEE $25.00.
Name of Ftrttt, l Phone:.No; r.b '�" 5
Address of 1=6 i. .
Location of proposed wctfk ( -
Describe fully nature of C rtlt t.lt:(jtt88VJ
$ - `a } Ill,`� E�•-T , �t�`
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Starting data "" " :CaII Before Dig You �
Pt EASE Nfyf IE;THI: OS}F ti. t •PER11 t*SCN f PAVEtiEfitT �k7Ci{PYi'1C`Gftt 1Pt.ia( Mt+tT 1$ >ltfWfff�t�► l ESTII�JtTC THE
PL`IO At�i AP fS fi�ESt�QhESI LE R'�k} f=ttL1»' i4t.Cf� 'i'OF f-IE 'irl#IuiAi(tifl;t�t f i"#�XG ii< i1R81 Pt,AO tViEN�,tNr�t tlbiN{ Af~IV°
iH0�i1;<ASE��'{h!F�A'I"CN{5R�4,.Cst71�8,k:ElcltaTkl.'t1`hftt 0,g1�`R�LAR�7t�f=�'01AIN'� 5�'�t�AGI`�i 'CS- TI•-1i�!�`ERIi+tPiN�td'('FATCtd tS
TYPICALLY COMPLI=71~D WiTFiIN A YEAR r7F:THE TEMP(3RARY PATCH 13UT IT COULD.BE LATER THAN A YE,4R.
Check.Applicable: E :.N..o Pavement;Curb or Side.. lk.Cut: .Pavement.Cut ❑ Coo Cut. ❑ Sidewalk Cut
:Existing Driveway,No Changes IDProposed.:Driveway Wideriing ;❑ Proposed New Driveway..
Water Supply:; ❑. P:.ublie Water ❑ Well Sewage Service ❑ Public Sewer ❑ Septic
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Show sketch of proposed work or furnish Irxiate'North This seetiott fse•fi let#otttu.7oarrt
two copies of.separate:draw.l.'ng
No.cuts
Vh
Est. Patch Sizes}. sf
i
Est:PvL Thickness in:
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Est.Patch Unit Price$ isf
I=st-Patch Cost:$.;
Est:;:Curb Replacement
� 1 s
.Est.Curb Unit Price$
Est. Curb Cost
:Est.Sidewalk Replacement. sf:
EO.SideWAIKUnit Price
Est.Sfdewalk'Cost :..
Est:Traffic Hours
$ :Est:Traffic Unit Cost$; Mr
,
Traffic`CoM.i6t:
s. .. ........... :_,,...
Amt.of Deposit
DRIVEWAYS must be Sft or more from the property Iine per Total.Due:$ -
Section 2"i7 of the zoning regulations
( }Cash: ( }Check#,_
Applicant is responsible for co6Iacttng the Police inept,and C..B.Y..D
PERMITSHALL BE KEPT ON IORSITE AT ALL TIMES Paid 13y
AGREE TO FURNI-SFI.TO THE TOWN'OF SOUTH'W1NDSOR THE AMOUNT BOND REQUIRED AND TO REIMBURSE THE TnWN OF SOUTH
WINOSOR FOR ANY EXPENSES;INCURRED BY THE TOWN FOR MAINTENANCE OR REPA4R WORK IN.CONNECTION WITH.THIS PERMIT AND
THA I AIUI FAMILIAR WITH AND WILL ABIDE BY THE RULES:AND'REGULATIONS FOR.PERMITS AS OUTLINED: THE.TOWN:OF:SOUTH.;
WINDSOR's STREET CUT PERMIT MANUAL:
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Street:Excav:3tlon Permit 2014
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