HomeMy WebLinkAboutStreet Cut Permits 338 Deming Street (2) 1800001 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 01/02/2018 or
GIS ID:27600338 FEE: 50.00
MUNIS APPLICATION# 201800002 x{ EXPIRATION DATE:
APPLICANTx : r ' LOCATION
NAME: EVERSOURCE f ADDRESS 338'DEMING STREET
ADDRESS: 112 PROSPECT HILL OFt#D f OWNER IIARSEN SUE W
EAST WINDSOR,CT 06Q8 " ' 0 I EMING ST
WINDSOR,CT 06074 2
PHONE
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WORK DESCRIPTION: EXqklV l TO TNSTAIZ G�1S SER�/T E Ay
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APPLICANT AGREES TO FURNISH THE T0wl.N OF SOUTH k/INDS IR timi AMOUNT OF 86ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY=ERP LASES INCUR7LFT $YWE`>O FORMAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APELICANS 1 AVITT IAR WT'H Alp WELL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OP SOUTII WINDSOR'S STREET CUI I'E1tMIT MANUAL.
ISSUEDaX INSPECTED BY
1/2/20189:37AM ** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 1ROOD , CONTRACTOR:. LeCs e v) e
LOCATION: 33 l7 W7 'h
TYPE OF WORK: x Lg �y , n� 1j 64<
DATE INSP NEEDED: DATE INSP: S
INSPECTED BY: AD
WORK IN
PROGRESS: iVe,t 5Gi
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES 0 NO
AS-BUILT:
INPUT: C, DATE:
S/mollay/forms 2014 Town of South Windsor INPSECIION REPORT 14
L-L f �'APPL ATION 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 $50.00
Name of Firm n Phone No. f ��
Address of Firm D Zip Code
Location of proposed work i e1
Describe fully nature of permit requested
Starting date la off? Call Before You Dig No
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASE&IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Nubiie Water ❑Weli Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
0 No. cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price$ Jsf
Est. Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
Est.Curb Cost$
Est. Sidewalk Replacement sf
Est.Sidewalk Unit Price$ /sf
Est.Sidewalk'Gost$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ /hr
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
{ ) Cash ( ) Check#
Applicant is responsible for contacting the Police Dept.and C.B.Y.D
PERMIT SHALL BE KEPT ON JOSSITE AT ALL TIMES 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
WINDSO4rmi
'Excavation
PERMIT MANUAL.
Signed: Print Name tiLJ 0 ! Date:
Engineerr t Permit 2017
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The material contained on this map TIt�B'
shall be considered proprietory to
Eversource Energy and user(which is
defined rc any person a eift, EVERS-URGE
who has received the map through Information shown is not guaranteed and Eversource Energy EVER SS"purchase,exchange,gift,or 9 gy
and shall shall keep o in confidence assumes no responsibility. Contractors are urged to coil ENERGY
and shall not furnish or disclose it � Eversource Energy for further information at 1-SDD-9t39-09D0
to any third party without the prior
written permission of Eversouce Energy,. Plotted:19—Dec-2017 I ey.gi—rl