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HomeMy WebLinkAboutStreet Cut Permits 36 Summit Drive (4) 1700057 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 04/03/2017 GIS ID: 87800036 k FEE: 0,04 MUNIS APPLICATION# 201700318 N EXPIRATION DATE: APPLICANT LOCATION NAME: EVERSOURCE y ADI�RES -6..SUMMIT DRIVE ADDRESS: 112 PROSPECT HILI,r ROAD :;y'OV4�IVER RUIZ FRANCISCO J&AMBER EAST WINDSOR,CT 06088 M63MIIT DRIVE SOUTH WINDSOR,CT 06074 PHONE a 4 4 a WORK DESCRIPTION: INSAL GAS SIWRVJENO RQAD Ct7T i -� u r Si ti5 APPLICANT AGREES TO FURNISH TH `E OWN©FOt1Tli3WIN1�8{ 1�THE AM( ITzOF ByND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AN,Y'EXPEI :SES 1NOURI Eb B TEE TQWhT R MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE A�PI'LILATTIS FAMII IAI�W>Ff ANb�VIL'L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TO WN'OF SIO T PH WINDSQc'.S STREET CUT pial MIT MANUAL. ISSUED BY DATE INSPECTED INSPECTED BY 4/3/20171.43PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** f - �& . V f , S ry t � T � yY � ti l �t t i K'k �' i� ,L:•�.�'r l ...jam �� �� ti d 'pow, 1 r 3 11� .AB.,E� t• l: 4 a y� Sty 70VM OF SOUTH WINDSOR INSPECTIQN REPORT PERMIT NO.: I'70t, ,5� 7 CONTRACTOR: .VeC;0%)rc e LOCATION: a fn TYPE OF WORK: e DATE INSP NEEDED: DATE INSP: INSPECTED BYo._ WORK 19 PROGRESS` • SEPTIC TANK.PUMPED;SMASHED,FILLED WITNESSED ❑YES ❑NO AS-BUILT: --- . INPUT+ - DATE: S/molby/lbrms20i4Town oPScuth WindsorINPSWWITREPORTI4 APPLICATION FOR STREET EXCAVATION PERMIT Appl, No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT PArWIt No. TOWN HALL '1540 SULLIVAN AVENUE SOUTH WINDSOR,.CT 06074 FEE $250.0: Name ati(~IttI -C�t,. Phane:Ncr, Address of:Iltirrt P Q(o0 , y S . Location of proposed>vor- ,r�-�� -. __ . , _ _ Describe fully nature of permit requast�d i1 M .. �... .... .4. :: .. .. .... ........ ............... .. ....__..,-2 Starting date ' Call Before You Dig Nc 134 '7 ... PLEASE NOTE. THE DEPOSIT FOR::THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT 1S A PRELIMINARY ESTIMATE, THE APPLICANTIS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB.REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH;TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT°PATCH IS TYPICALLY COMPLETED WITHIN A YEAR-OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. .. Check Applicable, lo:Pavement;::Curb:or Sidewalk Out ❑ Pavement Cut ❑ Curb Cut. ❑ Sidewalk Out ❑ Existing Driveway;No Changes ❑ Proposed Driveway Widening. ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service;: 0 Public Sewer Septic Show sketch of proposed work or furnish Indicate North Th°is}stt t !beflll y:Tawt�two copies of separate drawing — _ No.cuts.. Est, Patch S t - --•, 'ze vt P .Thickness Est. c Hess in.: Eat. Patch Unit Price$ ei Est.Patch C .... I' '.: ' E Cost$ Est,Curb Replacement ft Est.Curb Unit Price$�-!ft - " Eat....:. C rb COW:$ Est s Sidewalk Replacement :S'd sf • Est:Sidewalk Unit Price$ /sf Est.Sidewalk Ctlst II> J�(wot .r Est..Traffic Hours.;. _ .......... Est:Traffic Unit Coat$ Ihr I Est.Traffic Control i _ Amt.of Deposit$;.... ...... DRIVEWAYS must be 3ft or more from the property line per Total Due z.._ :::section 2.17 of the zoning regulations. : (: )Cash (. )Check# ! i Applicant.is responsible for contacting the Police Dept.and G:eY.D ' PERMIT SHALL BE KEPT ON JOBSiTE AT ALL:TIMES Paid By 1 AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR.THE AMOUNT OF BOND REQUIRED AND TO REIMBURSETHE TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN:CONNECTION WITH THIS'PERMIT AND THAT 1 AM I1;IAt~k WITW AND WILL ABIDE BY THE RULES AND RE.GULA'f IONS FoR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WIIVDSt7R; , l<7 CUT Pill" l (►DUAL r. Signed Print Name: . . I.C.- .. Date..-, Street Excavatlon Permit 2014