HomeMy WebLinkAboutStreet Cut Permits 44 Elm Street (2) 1700060 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 04/04/2017
GIS ID: 30600044 FEE: 0.00
MUNIS APPLICATION# 201700327hXPIRATION DATE:
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APPLICANT ;sa� LOCATION
NAME: EVERSOURCE t ADDRESS �44: L14�STREET
ADDRESS: 112 PROSPECT HIL4540AI� OWNER I�RULL` LEANOR
EAST WINDSOR,CTif06U,8$ ` 44 EIr1VI STREET
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UTH WINDSOR,CT 06074
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WORK DESCRIPTION: EXCAyYATXON F+DR GAS SEIl VICE alb 8E7Q59
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APPLICANT AGREES TO FURNISH THE OWN bF SOUTHIIDStR 3'H 1GIQT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AT tYNF�S'TTCU 1V. �EY TIC11IT;FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT.AN ICANT IS FAMILIAR wImATD'�JUIII ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN bF SOUTH WII*1DSAT ' ;ST T CUT PERMIT MANUAL.
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1SSUED BY INSPECTED BY
4/4/2017 9:46 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.; CDNTRACTQR
LOCATION: S
TYPE OF WORK;
DATE INSP NEEDED. DATE INSP:
iNSPECTED BY: 60
WORK IIV
PROG
• SEPTIC TANK.PUMPED,SMASH9D,FILLED WITNESSED ❑YES ❑NO
AS:BUILT•
INPUT. DATE',._
S/moitoyj%rms tom"Gown of south Windsor Irv6ECF WltERORT 14
AP,I'LICAT.110 FQA STREET EXCAVATION PERMIT
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Appl. No, TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT` Permit No
TOWN HALO U 40 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25 00
Name of Firm- = ' Phone No. 'r
Address of ;.. ►. Code_:�� I +�
Location of proposed woIs; ` '
Describe fully nature of permit:regiaed
Starting date :'` -k Call Before You Dig N0
PLEASE NOTE: THE'DEPOSITFOR THE PERMANENT PAVEMENT PATCH-AND CURS REPLACEMENT I.S A PRELIMINARY,ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FIN AI�:COST:OF THE PERMANENT PATCH AND CURB.REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWNS CONTRACT CASTS; THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF.THE"TEMPORARY PATCH';BUT IT COULfl S1E LATER THAN A.YEAR.
Check:Appl able:.. 0 No Pavement,Curb.or.Sidewalk Cut 0. Pavement Out 0 Curb;Cut Sidewalk::Cut
El Ekisting Driveway, No:Changes '0 Prapased.Driveway Widenii i ;D Proposed NeW:Driveway
Water:$upply: Q Public Water ❑ Weil: Sewage Service: IQ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North 7hCaeecrt'tc.6efllle atft ftEu7ct+�ys
two:copies of separate drawing """"
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I ,.111 K €(`No cuts
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Est.Patch 00o. .. .. -
...;•:::...:::.::...... ;: :Est.Pvt.Thickness':.... ...:..::. : in.
b Est.Patch Unit Price$ /sf
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;Est..Patch Cost$ `
Est.Curb..eplacement
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`Est.Curb Unit Price.$ lit.
Est.Curb Cost$: .:.:::_................... ...__.._.......
Est.Sldewalk Replacement sf
�.Est Sidewalk:Unit Price$' Isf E
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Est.Sidewalk::Cost... .
`:Est.Traffic Hours hr
I Est:Traffic Unit Cost$ 'INr.
F Est.Traffle Control.,$
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AMt.:rsf Deposit$,:....:.,..........
DRIVEWAYS must be 3ft or more from the;property line per k Totel.Due.' .; ..
section 2a7 of the,zonino regulations
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Applicant is responsible far.eontacting the Police Dept.and,C.B,Y.D i
PERMIT SHALL BE,KEPT'.ON 013SITE AT ALL TIMES f?attl By --
I AGREE TO.FURNISH TO THE TOWN'OF SOUTH WINDSOR THE AMOUNT OF BOND.REOUI;RED AND TO REIMBURSE THE TO
WINDSOR:FOR Y.-EXPENSE 1Ncunft8D.i3Y THE TOWN FPR MAINTENANCE OR R EPAIt�WORK IN CONNECTION WITH THIS HERMIT ANQ'
THAT I AM.FAM 4 {.WITH.AND WILL ABIDE I3Y THE RULES AND REGULATIONS FOR.PERMITS AS OUTLINED IN THE TOWN OF SOUTH:
WINDSOR'S CUT PERMIT MANUAL
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