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HomeMy WebLinkAboutStreet Cut Permits 19 Jean Lane (2) 1800020 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 04/13/2018 GIS ID:47100019 FEE: 50.00 MUNIS APPLICATION# 201800453 EXPIRATION DATE: APPLICANT LOCATION NAME: EVERSOURCE ADDRESS: 19 JEAN LANE ADDRESS: 112 PROSPECT HILL ROAD OWNER: POWERS ROBERT E&JACQUELINE P EAST WINDSOR,CT 06088 19 JEAN LANE SOUTH WINDSOR, CT 06074 PHONE WORK DESCRIPTION: REPAIR EMERGENCY GAS LEAK 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� 11® W18, ' ISSUED BY DATE NSPECTED INSPECTED BY 4/13/2018 8:50 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: OD CONTRACTOR: LOCATION: J'a C a t-� TYPE OF WORK: F WC 4 ,e�L!� g a ,S LUG ��- DATE INSP NEEDED: DATE IN SR. 1118111 INSPECTED BY: WORK IN r PROGRESS: f SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑YES ❑ NO AS-BUILT: INPUT: L DATE: f S/moloY/fotms 2014 Town of South Windsor IP pswrm REPORT 14 I APPLICATION FOR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $60.00 Name of Firm 'FrtAg-0U'teL Acer, Phone No. A10 Address of Firm "ClPcc-T ,L►- jc S� pap yr, Zip Code Location of proposed work /91 rear .. Alf& La ram- Describe fully nature.of permit requested Akt.GCAVe y L.Eo+r— I Starting date t Call Before You Dig No 010 PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑Sidewalk Cut ❑ Existing Driveway, No Changes © Proposed Driveway Widening © Proposed New Driveway Water Supply: ❑ Public Water ❑Well Sewage Service: 11 Public Sewer El Septic Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing 0 No.cuts Est. Patch Size(s) sf Est. Pvt.Thickness in. Est.Patch Unit Price$ /sf Est.Patch Cost$ i Est.Curb Replacement It Est.Curb Unit Price$ /ft 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$ I DRIVEWAYS must be 3ft or more from the property line per Total Due$ section 2.17 of the zoning regulations Applicant is responsible for contacting the Police Dept.and C.B.Y.D OCash OCheck# 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 WINDSOR's STREET CUT PERMIT MANUAL. Signed: Print Name Date: Engineering/permits/Street Excavation Permit 2017