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HomeMy WebLinkAboutStreet Cut Permits 365 Graham Road (2) 1700227 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 10/25/2017 GIS ID: 375003654iFEE: 50.00 MUNIS APPLICATION# 201701527 ; :. EXPIRATION DATE: APPLICANT LOCATION NAME: EVERSOURCE ADDRESS 365-3$5 GRAHAM ROAD ADDRESS: 112 PROSPECT HILL RdAD OWNER WILSO I CHRISTOPHER&LISA EAST WINDSOR, CT 06088 365.GRAHAM ROAD 26 SOUTH--WINDSOR,CT 06074 PHONE L , WORK DESCRIPTION: INSTALL 1GAS-MAIN TO NEWSUBI7zUISZON APPLICANT AGREES TO FURNISH THtTOWN OF SOUTH W1NDSpR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY EXPENSES TNCURRi; BY D TH)a TOWN,FOR'MAINTENANCB OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE APPLICANTdS FAMIL YAR WITH AND'WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWNOP'SOUTH W.INDSOR'S STREET CUT PERMIT MANUAL. f4 ISSUED BY DATE INSPECTED INSPECTED BY 1 0/25/201 7 2:53PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** IR tF 4 v - 'i J - f I �- TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: V7©cW "7 CONTRACTOR: LOCATION: (�7� �1 S j!�L, Lin TYPE OF WORK: / 06" S &U DATE INSP NEEDED: DATE INSP: s r� INSPECTED BY: WORK IN PROGRESS:_ S In"I G: u - � _ 11a ,? I'X 4kgl New SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: I - v S/molloy/fortes 2014 Town of South Windsor iNPSECTION REPORT 14 APPLICATION FOR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $50.00 Name of Firm ED L< (; (-9 R to M Phone No. 6�'D -Z-.9 2'-2 z Sd'b Address of Firm-1 1 .�. e Fo cS 2 E cs;- R I g�, , E'T (A)I AM s"D f- , CV"' Zip Code D A 065 Location of proposed work 3 6 55- 3 t5 5 G 0 WC lk') — f F J1-,9T&IS 0 r- &', 0 l0t D U Describe fully nature of permit requested i) d O GIM MAIO 'T L ( "S' ' is Ib l S o d Starting date 11 •— d f' Call Before You Dig No,2 o 1 7 D :3 4 PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut Wavement Cut Cl Curb Cut ❑Sidewalk Cut ❑ Existing Driveway,No Changes ❑ Proposed Driveway Widening 0 Proposed New Driveway Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public Sewer ❑Septic Show sketch of proposed work or furnish Indicate North This section to be filled out-by Town two copies of separate drawin No.cuts Est.Patch Size(s) sf 0 . Est.Pvt.Thickness in. Est.Patch Unit Price$ !sf Est.Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price$ /ft Est.Curb Cost$ Est.Sidewalk Replacement sf Est.Sidewalk Unit Price Est.Sidewalk Cost$ Est.Traffic Hours hr Est.Traffic Unit Cost$ /hr Est.Traffic Control$ DRIVEWAYS must be aft or more from the property line per Amt.of Deposit$ section 2.17 of the zoning regulations Total Due$ Applicant is responsible for contacting the Police Dept.and C.B.Y.D PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES O Cash ( )Check# 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 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. Signed: � Print Name ,E t-e-O L Date: Engineering/permits/Street Excavation Permit 2017 U0ID # 8E72I q� s_J It Itc.a�� ra—•. -- s3; �•1�1 f1�� � Y wafts .► . MAI �, 11 N j�Y'� +J��If:`'jl r - - tad t(•' � t a LI � JI ,,,tea; li - Qp -a- 1 1� i FUG 1 �I I 1 4 ,I [.'.4.r7 �5+ YWl. W{'gy ppfE : tea. z � O 5 T 355 365 t6 4 I 385 38S w C.) ig Z16 & � a 4„sT14 --q 0 4"ST Ip �y GRAHAM RD, A o c s� I � Q 39a C2 J C 71 A V II A ,p W W O1 The material contained on this map Title: shall be considered proprietary to Eversource Energy and user,(which is defined as any person ora entity A (/�► who has received the ge,gift, or EVERS.. SCE sale, purchase,exchange,gift, or Information shown is not guaranteed and Eversource Energy otherwise)shall keep it In confidence assumes no responsibility. Contractors are urged to call 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 Eversouce Energy. Plotted:19-0ct-2a17 IBy:g 0-1