HomeMy WebLinkAboutStreet Cut Permits 6 High Street (2) 1700114 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 06/21/2017
GIS ID:42000006 FEE: 0.00
MUNIS APPLICATION# 201700762 EXPIRATION DATE:
APPLICANT" LOCATION
NAME: EVERSOURCE ADDRESS: 6 HIGH STREET
ADDRESS: 112 PROSPECT HILL ROAD OWNER: HALL BRIAN J&REBECCA LYNN
EAST WINDSOR,CT 06088 6 H1014 STREET
SOUTH WINDSOR,CT 06074
PHONE
WORK DESCRIPTION: GAS SERVICE EXCAVATION TO INSTALL SERVICE
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.
ISSUED BY DATE INSPECTED NSPECTED BY
6/21/2017 2:55 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECi'ION REPORT
PERMIT NO:: M o o wf CONTRACTOR: S U efs O it C Q
LOCATION: f�}�'►r s r ree-r
ME OF WORK:
DATE INSP NEEDED: DATE INSP:
Uw7P D 1: r) `J
WORK IN
PROGRESS:
SEPTIC TANK.PUMPED;DIED,PILLED wi Nmm ❑YES ❑NO
AS-BUILT:
INPUT: Gam- DATE: ,
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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 $25.00
Name of Firm kritkaAL4 Phone No. ko°-A
Address of I"irtn _ Code_
Location of proposed work _
t7es vibe fully nature of permit reti
Starting datt3 Gall Before You Dig Np ' ,
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A'PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS"
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut'
❑ Existing Driveway,No Changes El Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: O Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This 900 to ft DIM- 1-10
two copies of separate drawing
No.cuts
Est. Patch Size(s) sf
Est. Pvt.,Thickness in.
Est. Patch Unit Price$ tsf
Est.Patch Cost$`
Est.Curb Replacement It
Est.Curb Unit Price$ it
Est.Curb Cost$ _s
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price$ !sf
Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ thr
Est.Traffic Control
Amt.of Deposit$
DRIVEWAYS must be aft or more from the property line per Total Due
section 2.17 of the zoning regulations
{Applicant is responsible for€ontacting 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 FAMI WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR'S CUT PERMIT MANUAL
Signer Print Name-ft t ii ri Dow
Street Permit 2014
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Drabek, Bernard
From: callcenter@cbyd.com
Sent: Monday, February 26, 2018 11:45 AM
To: CBYD
Subject: Locate Request- 20180900435
Attachments: 20180900435.PDF
(CALL BEFORE YOU DIG -CT) 02/26/2018 11:42:01
-5G -Cl -CW -F5
-GV 2-SW SWINDS
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***** ROUTINE *****
TI M E..11:42 DATE..02/26/2018
REQUEST NO...20180900435
LATITUDE..41.853374 LONGITUDE..-72.560686
TOWN......SOUTH WINDSOR
ADDRESS...75
STREET....HIGH STREET
NEAREST
CROSS STREET..SKYLINE DR
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TYPE OF WORK.....GROUNDWORK DRAINAGE MACHINE EXC
AREA IS MARKED...YES
REMARKS:
FOOTING DRAINAGE-WORKING AROUND ENTIRE HOUSE FOUNDATION &GNG FROM HOUSE T 0 CATCH BASIN ON
SKYLINE DR SIDE IN TOWN R.O.W
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START DATE......03/02/2018 STARTTIME..00:01
CALLER..........MR STEVEN ROLOCUT
CALL BACK.......
PHONE#.........860-916-1970
FAX#...........860-668-2570
ALT. PHONE#....
EMAIL ADDRESS...ROLOCUTCONSTRUCTION@GMAIL.COM
CONTRACTOR......ROLO00T CONSTRUCTION
ADDRESS.........32 FARMSTEAD LN
CITY............SUFFIELD
STATE...........CT
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