HomeMy WebLinkAboutStreet Cut Permits 58 Sele Drive (3) 1700078 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 05/02/2017 r
t GIS ID: 81800058 FEE: 0.00
MUNIS APPLICATION# 201700462 ^s EXPIRATION DATE:
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APPLICANT' 1 7,0t LOCATION
NAME: EVERSOURCE
ADI)RE 1 ` `v55$ SEI,E DRIVE
ADDRESS: 112 PROSPECT HILIS1 }t;Al 5 i' y OWNER FAO 01ENNIS HAN&MICHELLE YEUNG
EAST WIN DS0R,CT#6#l8 '`� :- E S ELS DRIVE
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C}UTH WINDSOR CT 06074
PHONE ti r, +Y , � w� tiYz
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WORK DESCRIPTION: GA
�. 11" ,s �� ^� � ��v �,�,�a��t,�U4 ♦u:,3 E` �APPLICANT AGREES TO FURNISH TH TO 01
REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FQR ANY;IENF�S IIWQT fl�l $�7 TEE�OW1 F() MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND T E ,I0A T Ibr�FAI I IAR WITH Dy VI°LL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS�OUTLINED IN THE TOWN`bF S(}iJxH VI1+IIlSQk'STREE CUT17MIT MANUAL.
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ISSUED BY DA E INSPECTED INSPECTED BY
5/2/2017 3.43 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO11 S� �l {CONTRACTOR:
LOCA71ON: 5�c\ ' br k v
TYPE OF WORK: La ex
DATE INSP NEEDED: DATE INSP: ` lr
INSPECTED BY: S
WORK IN .
PROGRESS_; T -
sEPTIC TANK PUMPED;SMASHED,FILLED WITNESSED ❑YES ❑NO
AS BUILT
INPUT: DATE: 19, '
5VWolloyjfbnms 2014 Town of South Windsor INPSWtI0fJltEl:0 14 _
APPLICATION FOR STREET EXCAVATION PERMIT
Ap.pl.No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WNDSOR,CT 06074 FEE $25.00
Name of (rtrr n Phone No. ... 0D `'o`� o 11
Address of Ffi�si`: Code.
Location of proposed�w�or�<
Describe fuNy nature of permit r ee d. C ,
. .
- -
Starting de ... - Gail Before You DlgLLNa
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE.FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB L ENGTFi,:TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS r THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A Y5AR OP THE TEMPORARY PATCH BUT IT COULD BE LATER..THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sldewalk,Cut
❑ Existing Driveway, No Changes. ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
i Show sketch of proposed work or furnish Indicate North r'Lh_is;-aftt fir befilled atttlti'r Tolrtt ;:
two copies.of separate drawing
No.cuts.:-
..
Est:Patch Size(s): sfl
Est Pvt.Thickness..........:.:.:...::....::::::::::in.
Est.Patch Unit Price* fsf
Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price 7%t
S/WW ? Est.Curb Cost'-.
................... . ...
f i I
Est.Sidewalk Replacement sf
r Est.Sidewalk Unit Price
'5'
$ ... IsIf
Est.Sidewalk Cost S ..._. -
Est.Traffic Hours hr
Est.Traffic Unit Cost$ _ /hr
Est.Traffic Control$.
Amt,of'Deposit$
'� ...... ...-.
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DRIVEWAYS .must be 3ft or more from the property line per Total Dore 3
section 21.7 of the zoning regulations
( :}Cash ( )Check#
Applicant is responsible for contacting the Police Dept.and C:B:Y.D
PERMIT"SHALL SE 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 TH15 PERMIT AND
THAT I AM F. Mt WITH AND WILL ABIDE BY THE RULES AND fREGULATIONS FOR PERMITS:AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR S! CUT PERMIT MANUAL.
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P'n Date
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Street'(fiav,,ptF Permit 2014
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The material contained on.this map Title'
shall be considered proprietary to
Eversource Energy and user which is
defined as any'person or entity • .... {/fet� _
who
has reoeEved the mop through WERSSS DRACC
I Information shown is not uarontee and Eversourre Energy
sale;purchase,exchange,gift,or l'assumes no responsibility.9 Contifep MAN urged to call 9Y p
O.nd shall
at f keep o In confidence :Eversource Energy for further iir.66L Lion at 1-800-999-0900 ENERGY
and stCall not furnish or diseldse St
to any:third party without the prior
written ermission of Eversouce Ene 7 Ploffed:1a—Rpr—?V7 .Ey:gisewrt
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