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HomeMy WebLinkAboutStreet Cut Permits 510 Abbe Road (2) 1700190 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 08/30/2017 GIS ID:06300510 FEE: 0.00 MUNIS APPLICATION# 201701153 PIRATION DATE: ,� {• l 5 APPLICANT''g r i < 3 i >, LOCATION NAME: EVERSOURCE } `t' ADDRESS S 10'`AVERY STREET ADDRESS: 112 PROSPECT HILT:WAM5 OWNER TEEL GREGORY J EAST WINDSOR,CT 060$ f, S�Q VERY STREET h' SQFJIFIWINDSOR,CT06074 PHONE fi WORK DESCRIPTION: EXkAV*ATEERfQM BEHINIIIJRB II1+TE T( OVSE TO INSERT REMAINDER OF 4A911S. be, N K 7:5 y i APPLICANT AGREES TO FURNISH THBtTOWN�F SOUTH r1NDSOR-T EAMOUI�11hQF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR YENSES INCURRED, THE�TOWIa15FpI�MAINTENANCE OR REPAIR WORK IN A �XB D,I3Y CONNECTION WITH THIS PERMIT AND THE t�PPX ICANT I`S I3AIVIILIAR V(!1TH AI1pWi L ABIAE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN 3F S011TI I INbSdkI&STREETIZUTYPPRMIT MANUAL. cl ISSUED BY ATE INSPECTED INSPECTED BY 8/30/201711:59AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** f� y 4 4 w ( 1 sue ry` 3 Y t G, y U' v ME r f � s-y i k 1 1 iF vti V.' } T S s: � � �4•'t,n 4 y. q TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.:. 11.00P40 CONTRACTOR: LOCATION: S l 0 lkver a _-S reeT TYPE OF WORK: re roc;I - c. `e- i2i c.e- DATE INSP NEEDED: DATE INSP: i , !� INSPECTED BY: � WORK IN J PROGRESS:_._ �,L " i X��- ' � D &G 21' r wti� ✓e5��-ZA ---�, SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑YES 0 NO AS-BUILT: INPUT: i✓ DATE: S/molloy/forms 2014 Town of South Windsor INPSEMON REPORT 14 APPLICATION FOR STREET EXCAVATION PERMIT Appl. Noz.. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALF,:; 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00 Name of Fil'tt1_ a 'U + " Phone No. Address of it'f�= ::' a9 Tis' ai . Location of proposed wo '` Describe fully nature of permit'"Cetteeted G "4�' ! C 1a. ::.d r Starting -'"'" ,"' Call Before You Dig 1�qi t ,1 1 _ PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT S A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH:AND CURB REPLACEMENT,INCLUDINGANY INCREASES IN PATCH AREA,CURB LENGTH;TRAFFIC.CONTROL AND THE TOWN'S:CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT:IT COULD BE LATER THAN A YEAR. Check Applicable: ,No Pavement,Curb or Sidewalk Cut 11 Pavement Cut 0 Curb Out 0 Sidewalk Cut Q. Existing Driveway;No Changes ElProposed Driveway.Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water © Well Sewage Servloes ❑ Public'Sewer 0- Septic `Show,sketch of proposed work or furnish Indicate North 1hli o tie' 1ted:o two copies of separate drawing No.cuts.. Est. Patch Sizes}. of Est..Pvt.Thickness................ ,in. Est. Patch Unit Price$ lsf Est.Patch Cost$u Est. Curb Replacement Est. Curb Unit Price$ 11t Est:Curb Cost$ I. Est..Sidewalk Replacement sf Est. Sidewalk Unit Price$ /sf i Est.Sidewalk Cost$ _r Est.Traffic Hours hr Est.Traffic Unit Cost Est.Traffic Control. Amt.of Deposit$ DRIVEWAYS must be aft or more from the.property line per Total Due —.•_.--:•: Section 2,17 of the zoning.regulations r Cash ( }Check#_� =� Applicant is respo:nsibie,for contacting the Police Dept.an'd C.B.Y.D PERMIT SHALL:BE KEPT ON JOBSITE AT ALL TIMES Paid By 3 1-77 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 CO NECTION WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE.RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL, g Date:Print P , Z :1 Street Excavation Permit 2014 . ......................... �� t 6 5 2 . 2 ' 5.5 i i Apt r-F y 3' w to jA.. n.. I. p t C�7 cn i .t�. i 510 �r N ! I i ::::::::::::::::.....::::.....:::.............. �I,l li l�tG matenzil'sNtl#alhsd dh'tF1#i-rtmpp TI#le; I shA hp �€+da�8a�teist+�toiy to �v6yetxfjde E+ser.�y-Gird tisx�lv7i�3h defined Ge aeY pr r�or.o and tY R [/.�► vlha hps;K�ca154edtNe�pp4hlough Iniocmafion eritiwnis not uorai#e4d and Eversourae Ener `�'' s4#seur¢hpse c1yA a Yt or g '9Ftsery¢tke):shnK..keep rt ih eonhdenp8 epmee ng rnBpdnsibi6ty Cortrgt:#QYB bre u-qed:10 cal3 9Y c and shall not famish or disclose it ky4t9yrurgL�Enpti}y`.for further 1nfoi/nptjon of 3 8QF3-989-0900 EIV€RC7Y `to any laird party without the prier ! wrr ken srmFSglOn of Eversvuce Energy.. Plotted:`<S—Au M7 ey:gicewrl i