HomeMy WebLinkAboutStreet Cut Permits 32 Cadbury (2) 1700177 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 08/23/2017e.
GIS ID: 15900032 FEE: 0.00
MUNIS APPLICATION# 201701129 K r XPIRATION DATE:
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APPLICANT' ` r' {� LOCATION
NAME: EVERSOURCE v i ,s h ADDRESS ' 32 CADBURY
ADDRESS: 112 PROSPECT HILI;RDAD > QWIVI R MURD`QCH DOUGLAS C&MARYBETH
EAST WINDSOR,CT 0b0132CAIBURY LANE
4� k ��SQtITH�WINDSOR,CT 06074
PHONE
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WORK DESCRIPTION: RE1SIR riAB'SERVICE y i z',
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APPLICANT AGREES TO FURNISH THI;}T OWN D 50UH WINDSt}Ij Pff
1a.AMOjJNT QF 16ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR Al;�l 9"kPEriiSES I1 CI IRREI Y TfiE TfJ1jf7N�FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND ThE APPLLICANT,,A Fmd`l1_M WVTH ADD�WiLL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN IMF SOUTH V�INDSORx:S TT MET CRIT PEfitMIT MANUAL.
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ISSUED BY DATE I1VS E1~TED INSPECTED BY
8/23/20173:15PM ** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: . L-I 00/-77 CONTRACTOR: Ey'ec_14U s c e
LOCATION: ,Li
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: �? l
INSPECTED BY: Q�Z
WORK IN
PROGRESS: ' ;` DO� C%
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE:
S/molloy/forms 2014 Town of South Windsor INPSECfION REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl, No-. TOWN OF SOUTH WINDSO:R 'PUBLIC WORKS(DE PARTMENT Permit No.
TOWN HALL 1540 SUED- I ANNFAVENUE SOUTH WiNDSOR,CT 06074 FEE
Name of Firm... . U .. _,_ Phone No, b?"
Address..of Firth ... .. .
Code
Location of proposed wor77.7
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of rmlt ra"' est�tl:Describe f lyi,natur -: qu
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Starting d :': Call:Befdre You Dig No
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PLEASE NOTE THE DEPOSIT FOR,1148 PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE.THE
APPLICANT:ES RESPONSIBLE:FOR THE FULL FINAL COST OF THE;PERMANENT PATCH,AND CURB:REPLACEMENT,INCLUDING ANY
ttdCREASES KPATCH 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 COULDSE LATERTHAN A'YEAR.
Check Applicable.: GQ No Pavement,Curb or.Sidewalk..Cgt 0 :Pavement'Cut 0 Curti Cut O Sidewalk Gut,
O Existing Driveway;No Changes ❑ Proposed Driveway Widening E Proposed New Driveway:'
Water S'uppty: Lei Publ'ii-fitter ❑ Well Sewage Servide.,. Q: Pubtic Sewer ❑ Septic
Show sketch of,proposed work or furnish Indicate North Tf�t_:s't't�`ttoCi to be tilled+�trl by T
:two::copies of separate drawing !
No.cuts..._
Est.Patch
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Size(s)
- Esf..:P::.vt Thickness in
Est�:Pstch Unit.Price. s.
Est:PatCh.Gost
Est:Curb Replacement;..._ _ .fl%
Est.Curb Unit Price:$: /it
Est.Curb Cost- :.,.. . .:...
i
Est.Sidewalk Replacement W
Est. Sidewalk Unit Price$
Est;Sidewalk Cost _:...:.:....:.:::::`:.:.:.:::::':'::_.
Est Traffic Hours
Est.Traffic Unit Cost,$ ? t`
Est.Traffic Control$��.
1 Amt.of Deposit'$_...
DRIVEWAYS must be.3ft or more tram the property line per: ;. ;Total,Due$'
Section 2.17 of the zonintg regulations
:)Cgsh (: )Check
Applicant Is resporsfble for contacting the Pulice Dept.and;C.B:Y.Q
PERMIT SHALL BE KEPT ON JOBSITE AT ALL.TIMES Pald`By
1 AGREE Tc?FURNISH TO THE.-TOW
BTOWN.OF,SOUrH WINDSOR;T.HE AMOUNT QF.e6.ND:REQUIRED AND101REIMBURSE THE.TOWN.OF SOUTH
WINDSOR FOR A -EXPENSES INQ,URRED BY THE TOWN FOR MAINTENANCE OR REPAIR'WORK IN CONNECTION WIT>t.THIS PERMIT AND
THAT I AM ANttkt,'R WITH;AND W1l:L ABIDE'BY THE RULES`:ANp REGULATIONS FOR PERMITS AS;:OUTLINED:W THE.TOWN yOF SOUTH
WINDSOR$ CUT PERMIT MANUAL. ly
Signedr . ` t'1W it3alt _..
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.Street. Permit 2414 M`
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The maigrrl dpjtfa�Yed on tfifo p1ap: Title's i
iJ he apfflrtier✓3U propttakgtjy 4.
Jetalitc8�y.uad user fiWh�eh is
i ttC#4ng'd as uny er80Yf Or 9h1 CYi .. rlc:
Nd1n has;`recervetls the.rpop 3�iCDYgtf Intg{rrtatt �{
sale,purchase,excfiange,gift,or M cff8wn is not gu^(C-411wo and Eversource Energy E;EVESR. . ,���. E r
otherwise`coal, keep It.�m ooniadence �6s ufie5 no roponeibil:ry. OKAY t44i-are urged.10 toll
and shalt not furnish or discbse tt I'i:Vefsauf;C.¢E,parcyy for further i?31$!,M41 a1Y'at 1-600-•989-0900 ENERGY -
ti.any third pony without the prior _ - - -- —
written permission of Evereouce Energy: l Plotted:26—Jut-2077 :BY.gise,... wrf