HomeMy WebLinkAboutStreet Cut Permits 220 Kelly Road (6) 1800086 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 06/28/2018 1, -i t,
GIS ID:49500220 FEE: 50.00
MUNIS APPLICATION# 201801103 EXPIRATION DATE:
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APPLICANT y 2 x t r
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NAME: EVERSOURCE AD S 22Q KEL&ROAD
ADDRESS: 112 PROSPECT HILLNHUOC&NHU
EAST WINDSORy CT 06 Y,
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PHONE !` �e (UfiH�VIIJDSOR,CT 06074
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WORK DESCRIPTION: EXCAT
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APPLICANT AGREES TO FURNISH THE T,�D3; o-Vf' WIN12S(7R''1' �,a. ��N,I OP 13�J! U�kEQUIRED AND TO R$IMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN Yv �E T ES 1NCURRF j t HE AWN R 7R�F Wy It*TENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE� I't:CAl*T IS�'AMI£1 i R'WIT' ANI �V SIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF§OUTIST,)yR I�SOR' TREET IJ I ERMITs MANUAL.
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ISSUED BY SPECTUD, INSPECTED BY
6/28/201811:35AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR a-re Yt'
LOCATION:
TYPE OF WORK.54�1 ? o 'S 7' L �
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS: Eve s��-• r►-+�; 4 r?� �f'- 7.,,
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SEPTIC TANK PUMPED,SMASHED, FILLED 1lU1TNESSED ❑YES [] NO.
AS-BUILT:
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INPUT: ll` DATE;
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APPLICATION FOR STREET EXCAVATION PERMIT
Arpl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. .
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $50.00
Name of Firm Fn Phone No. a-
Address of Firm D Zip Code Q 0
Location of proposed work
Describe fully nature of permit requested kf n S
Starting date Call Before You Dig No I S&,5(D n(PM
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY !
INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement, Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑Sidewalk Cut
11 Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
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Water Supply: ❑Public Water ❑Well Sewage Service: ❑ Public Sewer ❑ Septic
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Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
0 No.cuts
Est.Patch Sizes) sf
Est.Pvt.Thickness in.
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Est.Patch Unit Price$ /sf
Est. Patch Cost$
' Est.Curb Replacement ft
j i( Est. Curb Unit Price$ fit
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Est.Curb Cost$ !
�:-
�' Est.Sidewalk Replacement s#
Est.Sidewalk Unit Price$ /sf
Est.Sidewalk Cost$ i
Est.Traffic Hours hr I
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
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Amt.of Deposit$
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DRIVEWAYS i. , .corn the property line per Total Due$ I
section 2.17 of ,,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 I
WINDSOR�STTRM]T MANUAL.
Signed: Print Name C W a Date: U 14
Engineering/p r�tslstrez Excavation Permit 20I7
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Molloy, Catherine
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From: Molloy, Catherine
Sent: Tuesday, September 11, 2018 10:11 AM
To: 'Brown, Hillary N'
Subject: 220 Kelly Road
Morning Hillary,
The Director of Public Works received a complaint from a resident that the gas patch at 220 Kelly Road (work order
SE820971) has settled and it needs to be addressed asap. Please let me know when you will be addressing this issue and
I will relay the message to my boss.Thanks
Catherine Molloy
Administrative Assistant
Engineering Department
860-644-2511 x344
fax 860-644-7280
catherine.molloy@south1 rndYor.ors f
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The material contained on this map Title:
shall be considered proprietary to
Was
Eversource Energy and user (which is
defined as any person map
through
g EVERSA.OEURCE
who has received the u hInftih itsale, purchase, exchangege thr, gift, or ormaon sown s no 9uaranteed and Eversource Ener9Y
otherwise) shall keep it in confidence assumes no responsibility. Contractors are urged to call
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to any third party without the prior
written permission of Eversouce Energy, Plotted: 16-Jun-2018 By: gisewrl