HomeMy WebLinkAboutStreet Cut Permits 499 Oakland Road (2) 1800036 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 04/20/2018
GIS ID: 65700499 FEE: 50.00
MUNIS APPLICATION# 201800519 EXPIRATION DATE: 04/20/2019
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APPLICANT LOCATION
NAME: EVERSOURCE ADDRESS 449 OAKLAND ROAD
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ADDRESS: 112 PROSPECT HIL ZbAb OWNER �� 1�AVON LIZMARIE&FREDDY
EAST WINDSOR, 7AKLAND ROAD
f v {510T7 FL WINDSOR,CT 06074
PHONE r ;
WORK DESCRIPTION: EXk&AX.. TE TO h�TSTAI L-G ,S SER ICF� y
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APPLICANT AGREES TO FURNISH THEr 01!�NhOFOUTH'V�i/INDSfJR THE AM0�7N�"OFOND REQUIRED AND TO REIMBURSE
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THE TOWN OF SOUTH WINDSOR FORA F FOR"MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TT. PI'�I ICAI*IT IS FAMIE : 1WI ICI Ip WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN ERMIT MANUAL.
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ISSUED BY DXlV0S`PE•CTED INSPECTED BY
4/20/2018 11:29 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUM WINDSOR INSPECTION REPORT
PERMIT NO.: 00o.3CONTRACTOR: U6CS00 rr- C
LOCATION: /V 9 (/a�Q
TYPE OF WORK: 3 0 5)"L 1 J S s5ff
DATE INSP NEEDED: DATE INSP: / w//
INSPECTED BY: AD
WORK IN
PROGRESS: 'k
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SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑YES ❑ NO
AS-BUILT:
INPUT: DATE:
S/molloy/forms 2014 Town of South Wirftr IMPSELMOW REPORT 14
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APPLICATIONTCO'<R��S�DTSRSEJ& EXCAVATION PERMIT
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Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN BALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $50.00
Name of Firmn Phone No.
Address of Firm D Zip Code 0 0
Location of proposed work o_n
Describe fully nature of permit requested
Starting date 4FTt I Call Before You Dig No
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY
INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public Sewer ❑Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
0 No. cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price
Est.Patch Cost$
JvEst.Curb Replacement ft
Est. Curb Unit Price$ Ift
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
( )Cash O Check#
Applicant is responsible for contacting the Police Dept. and C.B.Y.D
PERMIT SHALL 13E 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
WINDSOR'S ST T PERMIT MANUAL.
Signed: Print Name C W� Date: '�d
Engineering/p rmi /Stra2t Excavation Permit 2017
6 SIATER ST
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The material contained on this map Title: Q D
shall be considered proprietary to (J
Eversource Energy and user (which is
defined as any person or entity i
who has received the map through Information shown is not guaranteed and Eversource EnerEa gy
sale, purchase, exchange, gift, or assumes no responsibility.g Contractors are urged to call gyj,r^�
otherwise) shall keep it in confidence Eversource Energy for futher information at 1g 800-989-0900 ENERGY
and shall not furnish or disclose it gy
to any third party without the prior
written permission of Eversouce Energy. Plotted: 10—Apr-2018 By: gisewri