HomeMy WebLinkAboutStreet Cut Permits 157 Graham Road (3) 1900004 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 03/11/2019
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GIS ID: 37500157 ' S w f� FEE: 50.00
MUNIS APPLICATION# 201900392 �1�. \ r x ,XPIRATION DATE: 03/10/2020
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APPLICANTst LOCATION
NAME: EVERSOURCE " of ADDRESS y,155'�GAHAM ROAD
ADDRESS: 112 PROSPECT HI 'R 7t D ' rr °r 5 r3 y �} r R 5 €LAN,Zy DANIEL
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EAST WINDSOR, Qfa0, 8 zt 3t y ti
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PHONE
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WORK DESCRIPTION: INT�ILG�1S
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APPLICANT AGREES TO FURNISH THE TO Q ¢O Ir yV L? f 1 TIE AIyIOTJNTz QRZOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR A'1�IY'EXPBzNS, "ES'1 �I7�$I'3HE , a FOIE MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TIaE PI L� �IVT I kMILTAR*1 1{H A�?1D,Vv�ILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OI SOLI TI3,4INDSOR'v STRIaT Q }T 1t RMIT MANUAL.
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ISSUED BY DATE gSVMTED INSPECTED BY
3111/2019 4:03 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWJN OF SOU MMINDSOR INSPEGHON REPORT
PERMIT NO.: 7 D.t CONTRACTOR._
LOCATION: j2
TYPE OF WORK: lI S' 71f 1. v 1
DATE INSP NEEDED: DATE INSP ,%y `
INSPECTED BY: 0
WORK:.IN
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PROGRESS;, S ?� 3 5
SEPTIC TANK PUMPEQ,'SMASHED, FELLED WITNESSED ❑-YES NO*
AS-BUILT:
DATE:�_�, ..
5/in6Boy/fiomw 2014 Town Qf So4 th w*66.10SONON PgpbKT 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 $50.00
Name of Firm V U jrU, a Phone No. a�
Address of Firm Zip Code 0
Location of proposed work I
Describe fully nature of permit requested V in L
Starting date '2111119 Call Before You Dig No
'Wo#F 300096Rg
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY
INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑Public Water ❑Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnlsh Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
-' Est.Patch Size(s) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price$ /Sf 3
3
Est.Patch Cost$
Est.Curb Replacement ft
Est. Curb Unit Price$ /ft
Est.Curb Cost$
Est. Sidewalk Replacement sf
Est.Sidewalk Unit Price
Est.Sidewalk Cost$
Est.Traffic Hours hr R
Est.Traffic Unit Cost$ /hr k
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
O Cash O 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 j
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'S ST PERMIT MANUAL. y� �},
Signed; Print Name 0 ti Date: f "1
Engineering/p rmi /Str t Excavation Permit 2017