HomeMy WebLinkAboutStreet Cut Permits 81 Cadbury (2) 1700168 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 08/16/2017
GIS ID: 15900081 FEE: 0.00
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MUNIS APPLICATION# 201701093 `R EXPIRATION DATE:
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APPLICANT '` LOCATION
NAME: EVERSOURCE i ADDRESS 81S eADBURY
ADDRESS: 112 PROSPECT HILU`ROAD a OWNER CHIARFNZA ANTHONY R&PATRICIA N
EAST WINDSOR,C �GS?8 h $� `CADBURY
SQUTHINDSOR,CT 06074
PHONE
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WORK DESCRIPTION: GAS$�tVXQEiE VICE LANE
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APPLICANT AGREES TO FURNISH THE O I OF OLD H WIND OR\THE AMaUI ftF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANC>J�PEN E$INCi�RRFI . Y HE TC�'UVI FOI MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APP�lezT I.S FAMII TAtt WITH�D`WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN(3R SOiJTH W�1ID5(II':STTtEET(BUT PERMIT MANUAL.
ISSUED BY D °TE INSPECTED INSPECTED BY
8/16/2017 12:28 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR:_r�eaa u re-e_
LOCATION:
TYPE OF WORK: &,j
DATE INSP NEEDED: DATE INSP: iZ2L5-//
INSPECTED BY:
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: c^.yyL DATE:
S/molloy/forms 2014 Town of South Windsor INPSECfION REPORT 14
APPLICATIC?N FOR STREET EX AVATION PERMIT
Appl.No:, TOWN OF SOUTHIMINDSOR PUBLIC WORKS DEPARTMENT Permit No,.
TOWN HALL 1540 SU4U AN AVENUE SOUTH_WIND:SOR,.CT 06.074 FEE $25.0011
Name of Fih>1<t ... .._ _` 1 -h Phone:No.
Address of Fit' ` .. 7i Codq.
Location of proposed worl 13
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des rib ..1 mature of permit requegl�r
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Starting date WCalI Before Y.ryu DI p a ,
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PLEASE NOTE: THE.DEPOSIT FORTH. PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT 1S A.PR.ELIMINARY ESTIMATE, :THE
APPLICANT IS RESPONSIBLE FOR'THE.FULL FINAL CAST OF THE PERMANENT`PATCH AND CURB REPLACEMENT,INCLUDING ANY,;.
INCREASES IN PATCH AREA,;CUR8 LENGTH;TRAFFIC,CONTROL AND THE TOWN'S CONTRACT CASTS. THE PERMANENT PATCH;IS:
TYPICALLY COMPLETEb WITHIN A YEAR OF THE TEMPORARY PATCH BUT`IT COULD BE.:LATER THAN A YEAR.
Check Appl1c91;i1e:: 0 No Pavement,Gurb or Sidewalk Cut 0 Payempnt Clat [I Curb'Cut O Sidewalk CUf
0 Existing Driveway;.No Changes. O Propesed Driveway Widening Proposed
:New Driveway
Water Supply.: O: Public Water 11 Well Sewage Service: ❑ Public Sewer 0 Septic
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Showsketch of pro used work or fumtsh
p .:indicate North Ntsfsia : Con:ttf:ba<titlattarti+ yMTar
two copies.of separate drawing -•..- _.
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No..:cuts.:
Est.Patch Size(s) sf
ly
": = St.PIA Thickness in.
Est. Patch Unit Price$ /sf
Est.Patch Cost: ;. . .. ......:..........
. f.
Est.Curb Replacement ft
Est.:Curbt Unit-Price$: _ /ft'
F.
i
! Eik.:`S.Idew lk Replacement. of
' Est.SIdewalk.(Jnit Price
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Est.Sidewaik Cost
Est.:Traffic Hours ..:.: ...........:..- :.:. ..:: ktY,
Est.Traffic Unit Cast$::;' .::.' /hr
Est.Traffic'Controt:,$: I
A(tnty:of'Deposit`$ ..:.
OAV.t.WAYS must be aft or more from tits property tine per Total Due- t
i'l ection 2e.17 ofthe zonlri. ;regulat ons..
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Applicant is responsibie far,ont.qpg 1. follce Dept.and C.B,Y.D
PERMIT$HALL BE KEPT ON JOSSITE AT.ALL TIMES: 1 Paid:BY:..:........:.:
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I AGREE TO FURNISH TO THE TOWN OF SOUTH WIN IDSQR THE AMOUNT OF BOND REQUIRED AND T0'REIMBUfRSE THE TOWN OF SOUTH:
WINDS FOR ANY,....P€NSES INCURRED BY THE:'TOWN t=OR MAINTENANCE OR REPAIR WOF KiN CONNECTION WITH THIS:PERMIT AND
THAT I AM 1FAltl ;.WITH AND WILL AB1DE;.BY:THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED fN THE TOWN OF SOUTF! -
WINDSOR S,i. ;CUT PERMIT MANUAL.
Signed ...: , I' Print Name
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:Date;.
Street:Eti til3 Permlt¢014 , .y
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The material contained on this mop Title:: `•
shall 6e considered prcprietgry to `
Eversource Energy and user which is I -
defined as any person or entdy 1 _
Who has received the map through - ' � ,
svla,purchoae,exchange,gift, or IniormaYion shown is.aot guaranteed and Eversource Energy E• �•�9� RI S
otherwise)shall keep it in confidence assumes no responsibility. CoOragw-.9 are urged to call w�C'n�c�/ ,
shall not fuyritsh.or Aiaclpse it
Eversource energy for further rilEC'rrp4ton�at 1=800-989 0900 ElyGf3
to any third parity without td'e prior i.i -
.written permission of£versouce Energy: P1ottM:2E,lul 2a17 By 916BMr1 �.