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Home My WebLink AboutStreet Cut Permits 27 Cadbury (2) 1800010 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 02/15/2018 GIS ID: 15900027 FEE: 50.00 MUNIS APPLICATION# 201800194 EXPIRATION DATE: APPLICANT LOCATION NAME: EVERSOURCE ADDRESS: 27 CADBURY ADDRESS: 112 PROSPECT HILL ROAD OWNER: SERKOSKY DAVID J&DIANA R EAST WINDSOR,CT 06088 27 CADBURY SOUTH WINDSOR,CT 06074 PHONE WORK DESCRIPTION: REPAIR SERVICE LINE W/048E820341 APPLICANT AGREES TO FURNISH 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 THE APPLICANT IS FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. C, 61 ISSUED BY DATE IN PECTED INSPECTED BY 2/15/2018 3:54 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: CONTRACTOR: J42,542 0 CLIO, LOCATION: C TYPE OF WORK: lI DATE INSP NEEDED: DATE INSP: INSPECTED BY: ,a WORK IN PROGRESS: f�c.ak �I SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: ro-- DATE:_ri j cl S/molloy/forms 2014 Town of South Windsor INPSEMON REPORT 14 APPLICATION FOR STREET EXCAVATION PERMIT r Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $50.00 Name of Firm F—n Phone No. a' Address of Firm OL Zip Code Location of proposed work 0� Describe fully nature of permit requested r "C4 ICC Starting date g Call Before You Dig No gosva PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑Sidewalk Cut ❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public Sewer ❑Septic Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing 0 No.cuts Est. Patch Size(s) sf Est. Pvt.Thickness in. Est.Patch Unit Price$ /sf Est. Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price$ Jft Est.Curb Cost$ Est.Sidewalk Replacement sf Est.Sidewalk Unit Price$ /sf Est.Sidewalk Cost$ Est.Traffic Hours hr Est.Traffic Unit Cost$ /hr 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 { O Applicant is responsible for contacting the Police Dept.and C.B.Y.D )Cash Check# PERMIT SHALL BE KEPT ON JOBSITE 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 WINDSORMSTTRMIT MANUAL. ,,``y� E Signed: Print Name W 0 1 Date: N I's lis Engineering/p rmi /Str t Excavation Permit 2017 �. - � N 4-1 0 LZss o x py N v 6 Al 3} k EAL I a; c is o 7 O r Vqo , N The material contained on this map Tide: -- [ shop be aonsrdered prapYietory to =Eversau Yce Energy anduser(which is defined as any person or entity _ _ �: who has received the mop through thfpnndttm shown is not u sale purchase,exchgnge gift,or 9 aroaeteatf #Euega�,trase Energy ... othenrise)shall keep R in confidence x9Urtde3 f FalsponsibiGty. `4j'gq'€pr °pre ur }fy,call - I�� y.1t and shall not furnish or disclose it a'ra Pu�:4 1 for further e3SFat �=989-©900 ENERGY ito any third party without the prior -, -- �written permission of Eversouce Energy. �MothI&05-Feb-201i ei—1