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HomeMy WebLinkAbout157 Graham Road (2) 1900004 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 0311 1/20 1 9 GIS ID: 37500157 n s ^ y G J z K FEE: 50.00 MUNIS APPLICATION# 201900392 k =4, _ Nit EXPIRATION DATE: 03/10/2020 �v+ APPLICAN I'";,f ,` r i s �YsV, LOCATION NAME: EVERSOURCE r �DDRE"S t F57 C AHAM ROAD ADDRESS: 112 PRO SPE CT HI Ld,4ID�r+ � �piyER {� � .ANZADANIEL r V a E r ,s ', Oki: f h r v �BOA 646 EAST WINDSOR, PHONE it 4 1 WORK DESCRIPTION: IN TAULY'GA1,0SERU�E W/Q• `00108 8 ``"h` 1'Wqu ash M� iRt fi-" APPLICANT AGREES TO FURNISH THE TQ QP'' �3b'Z0Um y 'k INDC�I2 TIRE AMa{ II OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANt)[F ENSES 1NC,ITItREDiTOWN FOit MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TIDEPLLANT T FAMILIAR VV IH-AND'WILL ASIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED �JINTHE TOWN(7F S U H I3 1�1DSOR'S STI2EF�'T CUT P1✓RMIT MANUAL, Y 'l D har^� • 'k W ' �'. J.. ISSUED BY�7 DATE 1NSPPJCTED INSPECTED BY � 3/11/20I94:03PM #** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** Ps �h r:,'k ttYLy 5 rr w tI YP 4 ( 4 d`�'� L� 4 +F '1>S k Y f F i,r• 1r^ :: y 54 rwmc ti P� � � Y 2t fe �� S' ZKi �� ' �• i a�. - 4� •��5�� Sr i a:S`r� gr ��,us + �,S J7 E ���ry �4r � tt �'1�i rv�f rr 1 � S,>rh'�• +� 5 r1 , ' Ry, �t��W Y �F )• M�,.:S,Z••ti S Krt S t` � •�+ 4 s,rY�C v � tii ri tk i E I TOWN OF SOUTH WINDSOR INSPEC'OON REPORT PERMIT NO.: D. CONTRACTOR;. Ui� LOCATION: ✓ TYPE OF WORK-_. a / � DATE INSP NEEDEn: DATE INSP: s INSPECTED BY I3 WORKAN PROGRESS: �i_ y ` • '�- J h AAM SEPTIC TANK PUMPEb FILLED : W1TlVESSED YESC] N0 AS-BUILT: INPUT' DATE: S/moiloyfibms M Town of South Windsor•INPSWWN WPM 14 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 $50.00 Name of Firm -Fr) Phone No.9 C1— Address of Firm D I Zip Cade Location of proposed work 4 Describe fully nature.of permit requested V irl i Starting date t Call Before You Dig No 'NO--PF 300096ee PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT;INCLUDING ANY INCREASES-IN MATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut © Curb Cut ❑Sidewalk Cut ❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening L7 Proposed New Driveway Water Supply: ❑ Public Water ❑Well Sewage Service: CJ Public Sewer ❑Septfe Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing No. cuts Est. Patch Size(s) sf Est.Pvt.Thickness in. Est.Patch Unit Price$ /sf j i Est.Patch Cost$ Est.Curb Replacement ft 1 Est.Curb Unit Price$ A �. i Est.Curb Cost$ + Est.Sidewalk Replacement sf Est.Sidewalk Unit Price$ fsf Est.Sidewalk Cost$ E Est.Traffic Hours hr Est.Traffic Unit Cost$ /hr ' I 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 ( ) 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 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 LW Date: 1 Engineering/4rmi /Str t Excavation Permit 2017 F