HomeMy WebLinkAboutStreet Cut Permits 185 Bourbon Street (2) 1700030 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 03/16/2017
GIS ID: 12300185 x
FEE: 0.00
MUNIS APPLICATION# 201700230 H ,' ;4 y °IrsXPIRATION DATE:
APPLICANT Ntia L- LOCATION
NAME: EVERSOURCE �Y h t ADDRESS {1$SIB( ,URBON STREET
ADDRESS: 112 PROSPECT HILL R4T ' 1WNERLLEYVE KEITH A&FRANCES M
EAST WINDSOR,CT 0�08�4 � x " ,1�5 OCJRBON STREET
T w` 5 � SQUTHWINDSOR,CT 06074
PHONE
WORK DESCRIPTION: EXA, �9 IQI�ISER G SiZV�1GfiT 4�Q$ N F1i;OM ACROSS THE
STR ET.
:My5
APPLICANT AGREES TO FURNISH THE TOV 1 I;?LF SO�ma'y;-V l)00,' �H1 AM iT4QI P ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AIXPE�]SS I1UIREF�$ STIIE1T( W�*Tz4FR,I�IAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TIC tJPP It ANT IS I+ ILIk41tr4 ID GILL ABIDE.BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TO WNbF S01TH WIIIDSO 'S STRERT CUT P12MIT MANUAL.
gVo
Cl Inr r/".
ISSUED B DA° INSPECTED INSPECTED BY
3/16/20171I:3I AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
- - - -
- --
k A
5k
lk 4.z
�4 9 ,,
18
Mao
MAW
�r
AMW
•Y �y�
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:: CONTRACTOR: c.a
LOCATION: i '�
TYPE OF WORK: t l <,
DATE INSP NEEDED: DATE INSP: l/2--
INSPECTED BY: �
WORK IN
PROGRESS; t°.,a f—s a'' �Ys`�.=~ r ,.� .:l(� •I 1�`:y s-t
SEPTIC TANK.PUMPED;SMASHED,FILLED WITNESSED ❑YES ❑NO
AS-BUILT•
INPUT: DATE;
S/malloy/forms 2014Tan of SaM Windsor INPSEGTiOWIMPORT 14
..
APPLICATION FOR STREET EXCAVATION PERMIT
f
Appi. No: TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00
Phone Name of FtErn t�lS ' a lyo,t
25
Address of FiYrrt At
L -
Ip�'Cod
Location of proposed worts: :.: : %} r�`'`.`
Describe fully nature of permit s L�9�'ll! '
C3 ;• '�
Starting dlt¢��""� '" J�.r ._ __ _ Call Before You Dig:Np
_:...:.......... ,:. ........:.. .,::;..... ;.:.. ` ._.: -tl it+Ji�S[iY�:IE-101 � ;THE
pLEASC NIC ;TIC }�>LP3rt F T AMAI ti.i�i f�IIEMENT#/t1'Cr1 t A�Ii3; Uti Pl/k �1YI1�3 t IS1 ARC. M r..
y4PI�UA U�l6,FiESStSl�ll~f7I HFtILLtNAL�r�35T ah THE:PIRt+AAI`l1Cyi'1�I'A"CCH At t'rU1R tPf.ADf"Il+�$I�I C.INOLiJC�3Q:A4�'f
tt�lDili AS ;.1 f'A`I QSA �BURS aTl , fAt= iribMl+Ft ROL 1�N43 Cti<±•TQfN'$Ga�17I�tU CCIS'if;, T.H6 f #t�tit ! T iA' kt,IS
TYPICALLY COMPLETED Wt 1 HlN A.YEAR 01=THE TEMPORARYPATGH IiUT ST COULD 8E LATER THAN A YEAR.
Check Applicable: No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway,No Changes ❑ Proposed Driveway Widening Q proposed New Driveway
Water Supply: ❑ Public Water 0 Well: Sewage Service: ❑ Public Sewer ❑ Septic
-
"Show sketch of proposed work or furnish Indicate North 1`lais sebttolt to be flllcd out E3Ve�itrl
two copies of separate drawing
No.cuts -......::. :.:,
Est. Patch Size(s) at: '
Est.Pvt.Thickness In:
r
Est.Patch Unit Price$
Est.Patch Cost
Est.Curb Replacement^ ....:3t
i Est.Curb Unit Price$ /ft
Est.Curb Cost.
Est.Sidewalk ReplacementAI
sf
' Est.Sidewalk Unit Price$ /sf
I Est.Sidewalk Cost
Est.Traffic Hours
Est.Traffic Unit Cost$ /sir I
k
Est.Traffic Controls.....
iI
1� Amt.of Deposit
DRIVEWAYS must be aft or more from the property line per Total Due 9
section 2.17 of the zoning regulations a
( )Cash (').Check# .. _•,.:._: ,; ,r
Applicant:is responsible for contacting the Police Dept.and C.B.Y.D Paid i3
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Y..:..:....:... .:.:.. ...:..... . .. ..:::. ._:...::..
...
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE;TOWN..F SOUTH
W1ND8OR.1 0R PiNY EXPENSES INCURRED BY THE TOWN FOR.MAINTENANCE.OR REPAIR WORK IN COMEC`f lON WITH THSS 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.
SS_t,
+ : Date _- 1
- Print arns ad' Lang
S6v tExcavation Perrr it.2014
cal/ d �t�7�. a3 /.�'
t4i
!� F-
11.
11 V) ,
1 LO
O a
E-0
I'
00
4
�' � !/ ��'�.....................: _ ... ..._-.-:.. �......... _.... ti..rF .. .....-.. �..Ff .a4u?a4'�.+�...r..�r.r..�.�a�r'•�..r:.w:.�•r
N ILD
1{{.
1
" l
-z.
:
}
The material contained on this map Title,,
shall be considered proprietary to
Eversource Energy and user (which is _
S11
defined ci
s on person or entity ..... .... ........
who has received the map through
Infissrrna iort'.slzq is not 'ttarar#U �7 d Eve" di Energy
;sale, purchase; exchange, gift, or 9y �� / �
ur
otherwise shall keep it in confidence �ssE,
ut es rftr. res onsrbM y.. an nd or.$tare u�get� to:call
and shall not furnish or disclose it ��e �=u iet9 r;for fu! r i € itnoftc g.at �8 13 -989-0.90� ENERGY
to any third art without the prior ... _
written perm ssion of Eversouce Energy::: Flatted. 10—Mar-2017 8y: gisewrt