HomeMy WebLinkAboutStreet Cut Permits 515 Avery Street (2) 1700113 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 06/20/2017 "s Y
GIS ID: 06300515 t
MUNIS APPLICATION# 201700750 nt FEE' 0.00
4 ;, EXPIRATION DATE:
W
APPLICANT ±t LOCATION
NAME: EVERSOURCE P,
ft
ADDRESS 5#S A CRY STREET
ADDRESS: 112 PROSPECT HTLIv RI }' QWNFR I3URKI W JOSEPH
EAST WINDSOR,Cl 0�6088 t L ` E '' 15 iV RY STREET
PHONE
1« 5 5 SOUTH�WINDSOR,CT06074
��
5 it s 3'zt F 4,a 4z
WORK DESCRIPTION: EXh AVAi lkE" OREL( IC�E&99 TI EErSTUMP GRINDING
W.
4fE <J, 1'_ sie'.='t T,
APPLICANT AGREES TO FURNISH THE TOVi�(5FOCFfTHVlja�q�.3' AM { �y0 g4 �SQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY Is'XPL'I IESNC(JI�RETI B TFTE Tt FOR. IAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TIE APPLrGA i'a TS>iAI IIT� R WIfiI W�L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN QF SO[JTIII+IDSOR'SSTRI? U]y''FvIIT MANUAL.
/�
ISSUED Y DATE INSPECTED INSPECTED BY
6/20/20I73:02PM *** PERMIT TO-BE KEPT ON JOB SITE AT ALL TIMES***
----- ---------------- - - -..
---- ------
��• � S L�S Y 4 •� ��: '
��i 3°+����,t i �x ��j 'i `�� sty' �,��➢r
1� ^
%ta two
�� LF•e w s ���sy '� '
��yy�.- ,9'a a �r'"�b �� ?5'`�t.s- .a;�•,.�X� 4i`. � 1.,1��'rr1 �F� 4
r9,0
s
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:. 1'7c7��1_ CONTRACTQR:,,
LOCATION:
TYPE OF WORK: 20 ,
DATE INSP NEEDED: DATE INSP: -
INSPECTED BY;
WORK IN .
PROGRESS._ ... (�•, Gt�,� � - - c�-t'c �orto fac
o .USc?t GIL , as �f � Deal"
L ' j
SEF-aC-TANK:PUMPED;5MASH9D,FILLEi3 WITNESSED ❑YES ❑NO
AS-BUILT;
INPUT: C►^'�` DATE' - -
APPLICATION_ FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDS.M CT 000- FEE $25.00
Name of F rM n
0. Q Pho e N
Address ofFtrrn: 4
Location of proposed worki-
VMS
Describe fully nature of permit requ. eAv '
:. .
..... ... ..
.Call Before You Dig
Starting el,�te "",
PLEASE NOTE: THE DEPOSIT EO.R.7FiE PERMANENT PA1LEIulENT PATCH AND CURB REPLACEMENT IS,A PRELIMINARY ESTIMATE.:;THE
APPLICANT IS RESPONSIBLE FOR.THE FULL FINAL COST OF THE PERMANENT PATCH:AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA;CURB LENGTH;TRAFFIC CONTROL AND'THE TOWN S CONTRACT COSTS.. THE PERMANENT PATCH tS
TYPICALLY COMPLETED WITHIN A YEAR:OF`THE'TEMPORARY PATCH BUT IT COULD:BE LATER THAN A YEAR.
Check Applicable;: No Pavement,Gurb or Sidewalk Cut ElPawclitt Cut ❑ Curb Cut ❑ ldewalk Cut
D Existing Driveway',No Changes .se I. fi Veway Widening Q Proposed New Driveway
Water Supply:_ ❑ Public Water [IWell Sewage Service: 01 Public Sewer ElSeptic
Show;sketch of proposed work or furnish Indicate North i s + tsxt4'befllled nut�y 7o�rn' Aj
t two copies of separate drawing
Nu.cuts -
i
4
• Est.Raton Se.(s) ,
e .
- �r E'st:P. Thickness
Est. Patch Unit.Price$ $f
Est.Patch Cost•$: :..
i Est.Gurb Replacement.
Est..Curb Unit Price:$.. ...
u
3. Est.Curb.Gost,> ... .........
Est.Sidewalk Replacement: ...... >
Est.Sidewalk Unit:Price
Est..Sidewalk Cost-:.
Est.Traffic Hours. lb
Ea Traffic Unit Cost$ !hr
Est.Traffi:c:'Contra...:.. :....._.,..:.
I
Amt.of Deposit$:
r
DRIVEWAYS must be aft or more from the property line per ; ,
Total Due
section 2.17 of the zoning regulatlons
( )Oash O Check#
Applicant:is;respon$Ib!e i r contacting the Police Dept.and G:B.Y.D
PERMIT SHALL BE KEPT ON JOBStTE AT ALL TIMES Paid By.�
.::•
AGREE TO FURNISH TO THE TOWN OF SOUTH WIN05OR THEAMOUNT OF BOND REQUIRED.AND TO REIMBURSE THE TOWN OF SOUTH
WINDS08 FOR ANY11 EXPENSES INCURRED BY TH.E TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTtOIV WITH TH1S PERMIT AND
THAT i AM FAMILIAR WITH AND WILL ABIDE SY THE:RULES AND REGULATIONS.FOR PERMITS AS OUTLINED IN THE TOWN OF'SOUTH
WINDSOR'S STREET OUT PERMIT MANUAL.
ti,, — D e.. ""r,,
St
P ir5t N ✓� r1 t .iMma
l
Street EzcavatlowPermlt ZQ14
3
9 '
i
1
6.5
i
5. 1
7 I:
Q•i��
i
= I
5
M
k
r �
5.5
e
S
li
0
a
O -
t
The mdtanpt pontgrtea on fttfe itTup Title
afml be;doasu7erpd propribta ►a
Ever64Utdp Enatgy and seer ,whmts is �r
daffhod as and ppsnn or��t kY�9 #si 3
wpo has reCbSVbl1 he trW thrq ri
sold,pdrehpss bicehonge Y# ae� fnfomotort ahpwn:iP nol guoraryt9gp:ar0i Everaource Energy E O.
o#ftgrvf�se�1 shal kdep it rgAYNS-0pCe astVrtt�u ntr fe,�ppnsibifity. C,Anttt{aE0'J�-,Stre urged to cull
.and shall nbt umieh,or d+aclasd at Eydrsautdg l:aergyyfor further illfB'rtnvira6 at 1-800-.989-0900 ENERGY
to an third art ......_
y p y'withbut the prier
+.written permission of Eversouce Ener '
. .. .... ::.......... 9Y• Pooped:20-Jrin-2017: �EY;.9isewrY ,.