HomeMy WebLinkAboutStreet Cut Permits 743 Graham Road (3) 1700084 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 05/19/2017
GIS ID: 37500743 FEE: 0.00
MUNIS APPLICATION# 201700570 EXPIRATION DATE:
APPLICANT LOCATION
NAME: EVERSOURCE ADDRESS: ` 743`GRAHAM ROAD
ADDRESS: 112 PROSPECT HILL ROAD OWNER: BILLERA JOSEPH E& SUZANNE D
EAST WINDSOR,CT 06088 743`GRAHAM ROAD
SOuTH-WINDSOR,CT 06074
PHONE
WORK DESCRIPTION: GAS SERVICE EXCAVATION TO INSERT S-TEELx SERVICE WITH PLASTIC
EVERSOURCE ENERGY
APPLICANT AGREES TO FURNISH 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 MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPLICANT IS FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S TREET CUT PERMIT MANUAL.
113
ISSrJED BV DAT INS ECTED INSPECTED BY
5/19/2017 11:23 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:: 7 CONTRACTOR:
LOCATION: r m l
TYPE OF WORK: 6; —S .�
DATE INSP NEEDED: DATE INSP: < /
INSPECTED BY: ,vejD '
WORK IN
PROGRESS: :,v��3
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SEPTIC TANK,PUMPED;SMASHED,FILLED WITNESSED ❑YES ❑NO
AS-BUILT:
INPUT: (. w— DATE: S_f 12 77
S/moltoy/fhrnms 2014 Tom of south Windsor INPSECfIOWWOU 14
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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 $25.00
Name of Firm Phone No,— ?fop`—Aga-jaQJJ
Address of Firm Zip Code
Location of proposed wor. GL . 4 n all }�
Describe fully nature of pertq° r Nested � � �
G
Starting date Call Before You Dig NoADVIA01036040,
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut L4-Pavement Cut <urb Cut ❑ Sidewalk Cut
El Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Wafter Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This sectlon to be.filjgdf out by.Town
two copies of separate drawing _.
No.cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price$ fsf
Est.Patch Cost
Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
Est.Curb Cost
Est.Sidewalk Replacement sf
Est. Sidewalk Unit Price$ !sf
Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ !hr
Est.Traffic Control
Amt.of Deposit$
DRIVEWAYS must be 31t or more from the property line per Total Due;$
section 2.17 of the zoning regulations
( )Cash ( )Check#
Applicant is responsible for contacting the Police Dept.and C.B.Y.
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 MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND
THAT t AM FA_ -1 WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR'S CUT PERMIT MANUAL.
l laatea
Signed;-_ Print Name
Streetxrta on Permit 2019