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HomeMy WebLinkAboutStreet Cut Permits 35 Cadbury (4) 1700195 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 09/07/2017 GIS ID: 15900035 a t Y"'tom FEE: 0.00 MUNIS APPLICATION# 201701206EXPIRATION DATE: l �$ APPLICANT `; i �_ . LOCATION NAME: EVERSOURCE 4 ADDRESS 35CADBURY ADDRESS: 112 PROSPECT HILT Rt3AD t QNER 1a�BURY THOMAS R&LISA M EAST WINDSOR Cry 0lfl8 5 ,' CADBURY k 4 C SOUTHUINDSOR,CT 06074 PHONE 5 tX f e 4 r WORK DESCRIPTION: REIAIG�S� I�RVICELIVE ,2= 4 f APPLICANT AGREES TO FURNISH THN O, bF 30�IT T yStI TD",s{1��1�E t�MQU3 I;O BiF ND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR A17rX )1 E5 IbTCClR IS�Y� 'FiE TQV;Vl`�FOR M FOR AINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND T :E APPLICANT ISFAMI T�,R V P1 A [D"W LL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN QF SOC13'H WIN S(R'S S ROUT PERMIT MANUAL. ISS D BY DATE INSPECTED INSPECTED BY 9/7/2017142PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** 20 tit" a �fr i . fi � Yy Cr S . sj y s•x �'f 041 F + TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: , ' CONTRACTOR: CC't° LOCATION: .ate' I Ad6y,� �J TYPE OF WORK: P-� v1 cg _- DATE INSP NEEDED: DATE INSP: .27 L6 INSPECTED BY: WORK IN PROGRESS' SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: G DATE: �-11 S/molloy/forms 2014 Town of South Windsor INPSECTION REPORT 14 APQLICATION FOR STREET EXCAVATION: PERMIT Appl.No; 'TOWN.OF SOUTH WiNDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1540:S LL17W`VA AVENUE SOUTH W:INDSOR.CT:0.6.074 FEE $25.00 .;1 p Name of Flttta 1 B _> 'Ph ne:No Address af:Flrm. I (: r. ...... = • ode Location otproposed woi - Descnbe fI Iljt,natur~ of Mitre :-. .. u�. Starting,q JCail Before You y, 3. PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AKIRCURB REPLACEMENT IS A PRELIMINARY ESTIMATE..THE. APPLICANT:IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT;INCLUDING ANY INCREASES IN PATGH.AREA,CURB.LENGTH,TRAFFIC CONTROL AND THE TOINN'S CONTRACT GOS7S, THE PERMANENT: .PATCH IS TYPICALLY:COMPLETED WITHIN PtYEAR OF THE TEMPORARY PATCH BUT IT COULD'.BE:LATER THAN A YEAR. I Chec�c;.Appllcable:.- Q. No Pa..je#,t,Garb or Sidewalk Cut ❑.Pavement:CUt O. Curfj;.;C at:. '[J Sidewa k Cut ❑ Existing Driveway:Na Changes f1:Proposed 17riveway Widening ❑° Rroposed New.Driveway Water Supply' 0 Public Water. 0 Well Sewage Service: ❑ Public Sewer ❑ Septic.. .... Show sketch of ro osed work or furnish. P P Indicate Northftt';r sectlorr:tg a f�fed vr3111 t�v" air , two;copies of separate drawing No.:riufs... - Est.Patch Size�sj:Ei -- 'Noy,t4 Est.Pvt.Thickness. in.:_ Est.Patch Unit Price : - ' Est.Platch Cost$ j ! Est.Curb<Replacemertt iC Esi.Gurb Unit Pnc, Est,.Cu::rb.,Cos t ..:.�. y .:.Est.Sldewalk..keplaiiw2r ent. .:.. ... sf Est:Sidewalk Unit Price:$::.:. fsf Est.Sidewalk Cost$_ i I Est.TrafficMours . ffii' I: Est.TrafficAinit C©st$: ihe' Est.Traffic'Control : P r mt:of Deposit$.. • i DRIVEWAYS must'be aft or more from:the prgperty line per: Total;D.U. 6 section. : • ATof:the.zon rtg:regulations - Caski f )"Check;# ..........:::: Applicant is responsibI&for contacting the Police Dept.and C BY:D j PERMIT SHALL BE KEPT. N JOSSITE.ATALL:TIMES I�aid.ey = • -- _ I AGREE TO FURNISH TO7HE TOWN-OFSOUTH WINDSOR THE AMOUNT-OF..BOND REQUIRED AND TO RRIMBU.RSE THE TOWN OF SOUTH WINDSOR FOR ANY:'EXPENSES INCURRED BY 7HE TOWN F,OR MAINTENANCEOR REPAIR WORK IN CONNECTION WITH THIS PERMIT ANp: THAT l AM; [4t ''R WITH AND WILL ABIDE BY THE.RULES AND REGULATIONS FGR f�ERMITS AS.OUTLINED IN THE T04VN OF:SOUTH WINDSOR S CUT PERMIT MANUAL. .y y .,. --- -; PtintN ' ,- t. SiTeetce�t`,;,tXt'Pertnit2U14;