HomeMy WebLinkAboutStreet Cut Permits 40 Beldon Road (2) 1700181 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 08/28/2017
GIS ID: 09300040 FEE: 0.00
IrrXPIRATION DATE:
MUNIS APPLICATION# 201701143 fi
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APPLICANT t �, LOCATION
NAME: EVERSOURCE ADDRE S 40 BEWON ROAD
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ADDRESS: 112 PROSPECT HILStZi'7All QWNER DAVIE ROBERT N&DENISE
EAST WINDSOR, CT 608$ }013LllON ROAD
2 SOUT�I WINDSOR,CT 06074
PHONE
WORK DESCRIPTION: EXas�� pAbiSTA'LT,GAS SER�?ZCE W�ORITRET TO LEFT SIDE OF
HO13F�51' O}£NIATION WILL• TTMPTrTd 1\�1Q1E°25FT OF ROAD
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APPLICANT AGREES TO FURNISH THE TOV I QF OUTI 41V"INI? 'o THE AMOTINT4Q BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR Alld�t'.EXPEI ES INCCJRRTID$,r'FFIE TOW1�T#FOR�"MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TIDE APPLICANT 19 21 WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWNYF SC3JH WINDSOR S STREET CUT IT MANUAL.
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ISSUED BY DATE INSPECTED INSPECTED BY
8/28/2017 8:44 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: /7 j212 I �� CONTRACTOR: f
LOCATION: 6ela®n
TYPE OF WORK:_
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: (3
WORK IN (�
PROGRESS:-- - �"� `V o o� ru r �.
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑YES ❑ NO
AS-BUILT:
INPUT: f - DATE:
S/mdlloy/forms 2014 Town of South Windsor INPSEMON REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT .....
AP'P No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT EItEtNo
TOWN HALL 'i540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 RFEE ,c�0�:�+�'q�5
Name off=li'm h
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.P one No.
01..'.
Address of Frrtn Q 7tp Code
Location of propnsed"tlo
#i1!i�iml'lbe fuI :natureAS
pe It reu' ci
Starting date :"4 ilf B+�fo Yoi� i Nor ,
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PLEASE NOTE':THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND a OR REPLACEMENT iS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
` INcA ASES,IN PATCH AREA,CURB LENGTH,.TRAFFIC CONTROL AND THE TOWNS CONTRACT COSTS. THE-PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE.TEMPORARY PATCH BUT iT COULD BE EATER THAN.A YEAR.
Check Applicable: ❑No Pavement,Curb or Sidewalk Cut Cf Pavement Cut 0 Curb Cut ❑ Sidewaik Cut
❑ Existing DNeway;No Changes ❑ Proposed Driveway Widening ❑Proposed New Driveway
Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public Sewer r 13 Septic
77
Show sketch of proposed work or furnish '• `
i p i Indicate.Noith Thll,�Wflan to:W*11led>:out�b -.
two copies of separate drawing
Est:Patch Size(s) . sf
st;P.t.Thickness in.
Est:Patch Unit Price$ fsf
Est. Patch Cost;$-...... ..".
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Est.Curb Replacement.
................ .....
J. Est. Curb Unit Price$ !ft
Est.Curb Cost:$. ...... .:...:...:.....:.
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Est.Sidewalk Replacement, sf
. ..
i,
Est.Sidewalk Unit Price
Est.Sidswalk Ccstr
Est.Traffic Hours : hr
} Est.Traffic UnIt Cost$ Ihr
Est.Traffic Control ._.......
Amt.of Deposit$;:.,
...........
DRIVEWAYS must be 3ft or more from the property line per Total Due.;
........... .......... ............. ..................
section 2.17 of the;zoning regulations
{ )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 By: :... ... .. .. ...
.
IAGREE TQ FURNI8HiTOTHSTa •U- F1(C:1f4i3S3t .Ali.vT C3W 1 ,Fit=IDAiND TO RE1MBlJRSE .;. ;.: - 1 $ ` ; `
WINDSOR,FOR ANY.EXPENSES I.NCU....RRED BY:THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WI`iH THIS PERC�ItT Al D
THA`C I AM:FAMILIAR WITH AND WILL ABIDE 13Y THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
I,,:MANUAL.
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FitgUtrilrsg rrti ..sI Excavation Permit 2017
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ihs rr alenal combined on this mop TRW
9Aa11$�cons�8i 0,1.014090. 1
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Evsrgoyrce Energy rJnd us&r,gi. . is
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8fltdf kJ5 dnpraor;or 4n}rty
((p Vie$rdLetvad 5tre Riirp tftroygh Informollpn shown is not cuarenleed end Eversoures Erwrgy ?
sole,purchase excho nge,gift or ` �
:otherwise)shell keep it in eonfcrlence ossymes rtip r.span city Co,iirfttMOrS ara urged to call ENERGY 1
.: and shall riot furnisn.or disclose it Eversource Energy for furtisi SEtvn^nption at,1=800-999-0900:
to an ihirtl arty without We prior ..
i
written permssion of EversouceEnergw, wo.ted:25-Auc-�oti .ava'sewrS
... ....
Molloy, Catherine
From: callcenter@cbyd.com
Sent: Saturday,August 26, 2017 10:00 AM
To: CBYD
Subject: Locate Request- 20173500043
Attachments: 20173500043.PDF
(CALL BEFORE YOU DIG -CT) 08/26/2017 09:59:00
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1-SW SWINDS -W3
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*** REMOTE BATCH ENTRY ***
***** ROUTINE *****
TIME..09:59 DATE..08/26/2017
REQUEST NO...20173500043
LATITUDE..41.823553 LONG ITUDE..-72.588391
TOWN......SOUTH WINDSOR
ADDRESS...40
STREET....BELDON ROAD
NEAREST
CROSS STREET..HILTON DR
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TYPE OF WORK.....GAS SVC INSTALL MACHINE EXC
AREA IS MARKED...YES
REMARKS:
EXCAVATE TO INSTALL GAS SERVICE FROM STREET TO LEFT SIDE OF HOUSE
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START DATE......08/31/2017 START TIME..08:00
CALLER..........MS HILLARY BROWN
CALL BACK.......
PHONE#.........860-292-2247
FAX#...........
ALT. PHONE#....203-213-9611
EMAIL ADDRESS...HILLARY.BROWN@EVERSOURCE.COM
CONTRACTOR......EV E RSO U RC E
ADDRESS.........112 PROSPECT HILL RD
CITY............EAST WINDSOR
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