HomeMy WebLinkAboutStreet Cut Permits 902 Foster Street (2) 1800153 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
a s xb•s DATE: 10/16/2018
GIS ID:33600902 4ry r 2N FEE; 50.00
MUNIS APPLICATION# 201802031 �� SPIRATION DATE: 10/16/20I9
APPLICAN I !0
y LOCATION
NAME: EVERSOURCE r s ADDREI�i 90�"FOSTER STREET
ADDRESS: 112 PROSPECT HILLR(RIk G� w5� ��� �i C?vTER' h y a?SMANNARINO BUILDERS INC
sE fi t d ! rri �0 EL ROAD
EAST WINDSOR,Ct q' 88
PHONE Y ,tjyt k t f
WORK DESCRIPTION: INSAI�IC�AS rItVIC3E �` t �rA21szaw ��st5 ' Sk n
APPLICANT AGREES TO FURNISH THE Yi;O U ICI D REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AI�"�''$�J P LS I1TC D$S Cr BST 1 N3�1cOR 1kTAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TIAAI"1PIiAN I3 T`A r1TtTAR WI F�I�IIl ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOTIT WIIVDSOR'S 3TR1ETITPEIMIT MANUAL.
ISSUE BY DATE SIN'SPE'CTED INSPECTED BY
10/16/2018 2:38 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH.1NINDSOR INSPECUOR REPORT.
PERMIT NO.: '/' DO 1.�,3 CONTRACTOR: �'ti7Sd�a rC
LOCATION
TYPE OF WORK '
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: /'►
WORK IN.
PROGRESS. ?-VI CL o+/� .j�1i1 tCk (�',^F 7 �"✓^�j
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SEPLTC TANK PUMPED, SMASHED, FILLED wrmE:SSED ❑-YES NO-
AS-BUILT:
INPLiT: DATE.._ )-
446110y/fbm 2M4 T=n of Soulh Windsor INPSk ON REP64T H
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APPLICATION FOR STREET EXCAVATION PERMIT
Al;pl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $50.00
Name of firma Phone No.
Address of Firm D Zip Code Q
Location of proposed work qVa Fo-ckr .
Describe fully nature,of permit requested fyj &arj I Ui
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Starting date Call Before You Dig No !ag_ j
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT.,INCLUDING ANY
INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Tow_n
two copies of separate drawing
0 No.cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est.Patch Unit Price$ Isf
Est.Patch Cost$
Est.Curb Replacement ft
Est. Curb Unit Price$ !ft
Est.Curb Cost$
Est. Sidewalk Replacement sf
Est. Sidewalk Unit Price$ Isf
Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ /hr
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
( )Cash ( ) Check#
Applicant is responsible for contacting the Police Dept.and C.B.Y.D
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 ST T PERMIT MANUAL. 4 i , ,``y�
Signed: .— Print Name W 6 I Date: Ig
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