HomeMy WebLinkAboutStreet Cut Permits 32 Abar Lane (3) 1800005 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 01/24/2018
GIS ID:00300032 FEE: 50.00
MUNIS APPLICATION# 201800102 '}�c a EXPIRATION DATE:
APPLICANT' f" s �_ LOCATION
NAME: EVERSOURCE r q ADDRESS 32 ABAR LANE
ADDRESS: 112 PROSPECT HILL}I��AD {)WNIaR I{ARASEDWARD A&KAREN C
EAST WINDSOR,C (Nff8$ 12 A$At LANE
i math matV INDSOR,CT 06074
PHONE 4
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WORK DESCRIPTION: GASI�II�1PIACI SkVICE AT 32&33 EBALi T„t1TE
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APPLICANT AGREES TO FURNISH THE OW J O OU1`9 mpSBR M.AMOLINT OF Bt7ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY, CPTSES INCURRE) 3Y'1 ATE TOE FIJI MAINTENANCE OR REPAIR WORT{1N
CONNECTION WITH THIS PERMIT AND THE APPiICANT IS FAMIT IAR Wl'I H AND Vf/ILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN 01 SOUTH WINDSOl '>> STREET CUT RE1tMIT MANUAL.
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ISSUED BY INSPECTED BY
1/24/2018 2:38 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: lU0005 CONTRACTOR: P 0 irk
LOCATION: Jack ,
TYPE OF WORK: &OL.5 I elf- w,Id I/e, -
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS: 5VU-SO,"Ae L e
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SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT: '
INPUT: v DATE:
S/molloy/forms 2014 Town of South Windsor INPSEMON REPORT 14
I
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 $50.00
Name of Firm Ifr OA Phone No.
Address of Firm IIX PAQ S E 4 1LL o 2 Zip Code i
Location of proposed work Aba r
D scribe fully nature of permit requested 6*5 �.fJ�[+� � R� 2[.L Se-ruice 0-4 .5.2
Starting date Call Before You Dig No !CFO,ley/'1-�33
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE '
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES,IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable. El No Pavement,Curb or Sidewalk Cut M Pavement Cut ❑ Curb Cut ❑Sidewalk Cut
C] Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town I
two copies of separate drawing �-
0 No.cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
I
Est. Patch Unit Price$ /sf
Est.Patch Cost$
Est.Curb Replacement ft
Est. Curb Unit Price$ Ift
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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$ M
Amt.of Deposit$
DRIVEWAYS must be aft or more from the property line per Total Due$
section 2.17 of the zoning regulations
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Applicant is responsible for contacting the Police Dept.and C.B.Y.D
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Paid By
I AGREE TO FURNISH TO THR 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 9 REET CUT PER IT MANUAL. ,,ie
Signed: Print Name Eta".�Y�'l�i..S Date:
Engineering/permits/Street Vcavation Permit 2017
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