HomeMy WebLinkAboutStreet Cut Permits 52 Dart Hill Road (2) 1700143 - TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
...................
DATE: 07/03/2017
GIS ID:25800052 '
t FEE: 0.00
EXPIRATION DATE:
MUNIS APPLICATION# 201700820 40 i
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APPLICANT S' , s "t LOCATION
NAME: EVERSOURCE
z _h ADDRESS �52-"DAkT HILL ROAD
ADDRESS: 112 PROSPECT HILL ROAD = OWNER BROOT ES TYLER A&
EAST WINDSOR CsI Ufi0&8
l DART HILL ROAD
s '�' OUTIIWINDSOR,CT 06074
PHONE '
WORK DESCRIPTION: GAS 5.4,g7k
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APPLICANT AGREES TO FURNISH TH TO i O aOUTi 1 DS( THEyAIVIOUNT 0, BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR A1�3 �);XPEN E'INCURI A Y.
E TOWN1 FOR. AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE AP�PtLGANT;IS FAIVIT.IAR VT11 A?1DYTL L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OFtl ITH kYIND50 .'.:S STREET BUT PBRMIT MANUAL.
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ISSUED BY DA° E =SPECTED CTED BY
7/3/2017 11:24 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: I l dQ l q 3 CONTRACTOR: `p' 'ti���
LOCATION: oa
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: i/A i-8
INSPECTED BY: b z)
WORK IN
PROGRESS: 4 E 5r5A f&-
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT:_-- DATE: r'
S/molloy/forms 2014 Town of South Windsor INPSEMON REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT.
+Appt:No. TOWN OP SOUTH WINDSOR PUBLIC WORKS DEPARTMENT. E�ermit Na
TOWN MALL f540 SULLIVAN AVENUE. SOUTH WIIND.SOR, CT b.607.4 FEE. $25.00.
fVame of fFttt� : :• n _. ._ .. Phone`No
Address of RI' t ;.r,: f dip Codel ; :.
...
Location.of proposed
Describelullynature of permit's '!_
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Starting date Call Before You DIg No „ � ► "'
PLEASE NOTE: THE DEPOSIT F,OR THETERMANENT PAVEMENT PATCH AND C.URB.REPLAG,EMENT IS A PRELIMINARY ESTIMATE,,'THE
APPLICANT.IS RESPONSIBLE FOR THE FULL.FINAL COST OF THE PERMANENT PATCH AND CURB.REPLACEMENT;INCLUDING ANY.
INCREASES`IN PATCH AREA,CURB LENGTHS TRAFFIC,CONTROL AND.M. ETOWN'S CONTRACT COSTS, THE,PERMANENT'PATCH1%
TYPICALLY'.COMPLETED.WITHIN AYEAR O.F;TNE -EMPORAR'(PATCH;Btfi IT MULD BE LATER THAN A YEAR.
Check Applicable: 0 No Pavement,..CUrY.or Sidewalk Cut ❑ Pavement Gut El Cur4011t D Sidewalk Cut
0 Existing Driveway,No Changes ❑ Proposed Driveway Wldening I] Proposed New Driveway
Water S-ppply:; .jD Public Water 0 Well Sewage Service: O Public Sewer 11 Septa
".,,Show.sketch of proposed'work.orfurn'rsh Indicate North Tlii sco06MR�i filletlwtut'iittTo�it`
two co ies of separ tedrawing
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No.cuts.
Est:Patch Size(s) sf
4 Est,Pvt.Thickness in..
3
Est:Patch Unit:Pried:$ . lsf.
E$t.Patch cost
Est.Curb Replacement: it
t Est Curb Urns Prioey;. ,_
EsL rb.Ccat$ .. _.....:...
Est Sidewalk,Repiacemertt sf
-T S
1:1 Est;Sidewalk Unit Price
+ Est.Sidewalk Cost$. _
Est.Traffic Hours lit
Est.Traffic Unit Cost.$
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;!Est.Traffic.Control$ :
Amt of.Deposit$ ........... _ ....... y
DRIVEWAYS trust be 3ft or more from the property,line per Tota1 Due,$
section 2.17 of the zoning.regufatlons
Cash O Check#
Applicant is.responsible for contacting the Police Dept and C.B.Y.D..
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES' Paid:$y
I AGREE TO FURNISH TO T'HE TOWN OF;SOUTH W INDSOR THE AMOUNT OF BOND REQUIRED AND:TO REIMBURSE THE TOWN OF SOUTH
WINOSOR;FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAfR WOR!(IN CONNECTION WITH THIS:PERMIT AND
THAT I AM FgMI 11,01TH AND WILL ASIDE'BY THE'RULES;AND REGULATIONS FOR.PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR S CUT PERMIT MANUAL..
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St`nib ` Pt`intl�arxte 1" Dat
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Street',`,.;'." ors Perm1t 2014.
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me naatandl dgtitginad bn tt�i$Fngp Tine:
eitglt t{p;card red Oo-rirttgry to
✓:xdrssurce E ona user rrwhich is
de�rnel#Y7s a rBi1r1 or lnt�
who has rlacAtKeit ihb tromp 1hrP9N ...r
spas p5ir6h•gse e>slaange gift sY •inEotmatton shown is not guarddteGtf and.Eversouree Energy
ossumes rip t§� nailiili} CtiERS
n[(p'ofQt..0-Are ur ed to call othertyiee}dhoil xaeRp ri rR confdenFe p° y ENERGY
ddrl sh611 not aumish or drs61q.66 of ?rels¢utEq`EY[eygy for further'NJ PM gtic)A ql 1-800-989-0900
o any third party withcut tire'prior • ' -
wntten_permission of Eter@ouce Energy. '; PlolM6:1.0-Jun-3717 .9Y•gisewrl