Loading...
HomeMy WebLinkAboutStreet Cut Permits 19 Scantic Meadow Roa (2) 1700243 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 12/20/2017 GIS ID: 81000019 FEE: 50.00 MUNIS APPLICATION# 201701853 EXPIRATION DATE: F . r APPLICANT ,` LOCATION NAME: EVERSOURCE ADDRESS 191CANTIC MEADOW ROAD ADDRESS: 112 PROSPECT HILL,R6Ab QWNETt MCGgAW SANDRA L EAST WINDSOR,CTT ,608K 1Q SAIVTIC MEADOW RD .Ql7TH"WINDSOR,CT 06074 PHONE , Y WORK DESCRIPTION: EMINRGIJT�GY GAS LIyK ON:SERV�CE k APPLICANT AGREES TO FURNISH THE3TOVVI*T Q 90UTI 1INi5SR THE A1VOIVT OF IO1VD REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY1, Pl;1VSES THE TQWI FOI MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND T1f1�APPLICANT IS FAMILIAR WT1I AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN U'F SOTJTH WITiDS R'.S ST E I QUT FiRM1T MANUAL. ISSUED BY DEA INSPECTED INSPECTED BY 12/20/2017 2:23 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** J�14 fi}J t '`r 1 14 u Lsf R L A � M '2 Az- 3 I z..t .41 14 h 411 1 TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: ©d V3 CONTRACTOR: LOCATION: &0 TYPE OF WORK: D 0 c-c,' DATE INSP NEEDED: DATE INSP: e , INSPECTED BY: WORK IN r PROGRESS: �� L(.. -S• reef C SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ONO AS-BUILT: INPUT: DATE:___T 1 S/molloy/forms 2014 Town of South Windsor INPSEMON REPORT 14 ANFUL AIIUN FOR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT 1640 SULLIVAN AVENUE Date: SOUTH WINDSOR,CT 06074 FEE$25000 Name of Firm Phone No.,�,k � Address of Firm f L L Zip Code Z� , Q Location of proposed wort r-& l fi j - Describe fully nature.of permit requested LM L2 ro Starting date / -I ✓I` -Approx.time for completion I W 1 / "7 Cali Before.You Dig No.` c) D p 70 Existing Water Supply: ❑Public Water ❑Well Existing Sewage Service: ❑Public Sewer ❑Septic PLEASE NOTE: THE DEPOSIT FOR THEPERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A `PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWNS CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY LOMPLL 1'fEID liifi'THIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. -Show sketch otproposed work or furnish This section to be filled out by two copies of separate drawing: Irdoate.North Town of South Y-11ndsor No.cuts Est Patoh SEze(s} sf Est.P.A.Thickness in. Est.Patch Unit Price$ /sf Est..Patch Cost$ Est Curb Replacement ft Est.Curb Unit Price$ Ift Est.Curb Cost$ --. -- Est.Traffic Unit Cost$ /hr c: Est.Traffic Control$ .� Amt.of Deposit$ Total Due S (.)Cash { }Check#. Applicant is responsible for contacting Paid By the Police Dept.and C.B.Y.D 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 I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES.AND REGULATIONS FOR PERMITS S OUTLINED IN TOWN OWN OF SOUTH WINDSOR'S STREET CUT PERMIT UAL. Signed: �L " ''it.� )ate: h- `� ! 7 7 �Title: � Driver's License#: PLEASE ALLOW AT LEAST TWO WORKING DAYS AFTER APPLICATION FOR ISSUANCE OF PERMIT WORK MAY NOT BEGIN UNTIL A PERMIT HAS BEEN ISSUED . PERMIT SHALL BE KEPT ON JOSSITE AT ALL TIMES Street Excmtfon Permit 08 REV 10-22-08 c3: �'A a �9 O 19 e s y m 0 v W ' @ 3fl(nts) O EB :51 3' _w m 0 GJ .A O O V . Q � a t� c cn _ cn .cva" a rn w i3'1 cti `o W -0 a io w u" o 1G m_ V 7 C+ m N U• The material contained on this map Title: shall be considered proprietary to Eversource Energy and user(which is defined as any person or entity Ot s /fir /+�►� Ri/+► who has received the map through 9 gy E Y ERV`U�\ti.E sale,purchase,exchange.gift,through information shown is not- uaranteed and Eversouree Ener otherwise)sholl keep it in confidence assumes no responsibility. Contractors are urged to Coll ENERGY and shall not furnish or disclose it Eversource Energy for further information at 1-800-989-0900 ENERGY to any third party without the prior written permission of EverSa U as Energy. Plotted:04-Dec-20$7 I BY:9isewrl