HomeMy WebLinkAboutStreet Cut Permits 6 Gulley Drive (2) 1700059 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
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DATE: 04/04/2017
I G S ID: 39300006
FEE: 0.00
MUNIS APPLICATION# 201700326 EXPIRATION DATE:
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APPLICANT f t`'w LOCATION
NAME: EVERSOURCE ` ADDRI;"�S ¢CzTJLLEY DRIVE
ADDRESS: 112 PROSPECT HILV?R0AI OIVER B.ONNLRLTNDA W&
EAST WINDSOR, Cx61C�VT.I1Y DRIVE
k OUTH'WINDSOR,CT 06074
PHONE
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WORK DESCRIPTION: EXAV�4ATON FARA 5 3I;RVCE (Q$E7�(�Q61 * ,
APPLICANT AGREES TO FURNISH THEY'TOWN bF SOUTI4 WiNUSbi THE A1VI(}C7I7`T OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR A%.Y WNSFS INOW'. B THE TbWI 101 :1VIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TIiY{APPLICANI�IS FAMILIAR vIxII AND WH L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN bF SMH WINDSQR'S STREET OU T PEIIIHIIT MANUAL.
ISSUED BY TE INSPE' TED INSPECTED BY
4/4/2017 9:40 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUT'H WINDSOR INSPECTION REPORT
PERMIT'NO:: I 7 CONTRA rqR:
LOCATION: ' u
TYPE OF WORK: n � �U► � � c3 C ��on �
DATE INSP NEEDED: DATE INSP:
IiVSPEGTED BY: �� � .•
WORK III
PROGRESS'
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- SEPTIC TANK.PUMPED;SMASH9D,MED WITNESSED ❑YES ❑NO
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AS-BUILT: � -
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INPUT:
DATE. f
S/molloyMrms 2K4 Town of South Windsor INPSWWN'WOI[r 14
APPLICATION FOR STREET EXCAVATION PERMIT :;— ...-
Appl. No. TOWN QF SOUTM WiNDS.OR PUBLIC WORKS DEPARTMENT Permit No.
TOWN H...ALL. .1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00 �
Name of; tlrit;l•.._ .... :.tea _ __- _ _ -Phone No.
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Address o#.;firm '' r_ > iO;Code..
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Location of ,roposed V!hriE .. Dr. .
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Describe full; naturE of ermlG r�ctuested
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Starting date g
"-- Cal!Before You C}i No
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT.IS A PRELIMINARY ESTIMATE. THE
APPLICANTIS RESPONSIBLE FOR THEfULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT;:INCL.UDING ANY`
INCREASES.IN PATCH AREA CU... LEt+tGTH;TRAFFIG CONTROL AND THE TOWN'S CONTRACT COSTS '.THE PERMANENT PATCH.IS
TYPICALLY COMPLETED WIT:..HIN A YEAH OF.THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR..
Check Applicable: O No Pavement, Curb a Sidewalk Cut ❑ P,avement Gut ❑ Curb Cut 10 SldevvEtlk Cut
❑ Existing Driveway,No Changes C1.:Proposec!Driveway Widening. 0 Proposed New Driveway
Water Supply: D :Public Water ❑ Well Sewage:.Service;: :!7' PU..bfic:Sewer ❑ Septic=
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Show sketch of proposed work or furnish Indlcate North
two copies of.separate.drawing
.: IllcLits..
Est Patch:Size(s) sf
Est Pvt.Thickness. ....,.,, in. [
-
Esti
:a
.;Patch liu t Price.
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: Est:Patch Cost
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' Est.:Curb Replacement
Est`C:urb..UniC Price$ fit
Est:-Curti`Cost a
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[ Est~Sldawalk Replacement sf
Est Sidewalk Unit.Price
.... . . .... ..
li:st::S[ae%valk°•.Cost$ -..._ I
4
Est.Traffic Hours.
1
I 'Est.Traffic Unit Cost
Est..Traffio.Control.S
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DRIVEWAYS must be 3ft or more from the proper#y line per ,total:Due:�. i
{ set fion 2'17 of the.zoning re flu16ktl.ons "`
IIO C46h O Check#
Applicant is responsible for contacting the Police Dept;and C.B.Y.D
PERMIT SHALL BE:KEPT ON JOBSITE AT ALL TIMES I 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 INGURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND
T+�AT I AM FA.M ,, WiTH,AND WILL ABIDE BY THE RULES AND RI;GUI ATIONS FOR::..
OR PERMITS AS OUTLINED IN THE TOWN OF SOUTH 1
WItdDSORS 1CUT PER
MANUAL. i
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