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HomeMy WebLinkAboutStreet Cut Permits 151 Sand Hill Road (4) 1900090 PERMIT NUMBER TOWN OF SOUTH W I N D S O R, CT STREET CUT PUBLIC UTILITY DATE: 06/07/2019 GIS ID: 79800I51 MUNIS APPLICATION# 201901161 FEE: 0,00 EXPIRATION D r ATE 06/06/2020 fZ rY + 2 • APPLICANT' 4 NAME: EVERSOURCEAll 0 ~ ADDRESS: 112 PROSPECT HIL RC ;Ap LOCATION } t ADDRESS �'151+'SAND HILL ROAD ` tQNER SO[JT WINDSOR TOW N OF 56 EAST WINDSOR,CI r(j08 s PHONE 15U SULLIVAN AVENUE 21 WORK DESCRIPTION: SA11PLT, FROMOLLINS L1�I T`©J 1IATDI+L RD INSTALL GAS MAIN 'IO GOLI.INS Lh1 TO POLICE SAfiX�(�N.IISALL GAS SERVICE APPLICANT AGREES TO FURNISH THIiTOWN pF SOiYTFI WI1r1I� R I, AMOII�7T QF BAND REQUIRED AN THE TOWN OF SOUTH WINDSOR FOR AN7PENES INC CONNECTION WITH THIS PERMIT AND TIAN I �'>aL7CT I IN S FA WIT �TRIIED$ T Tp D TO REIMBURSE FOR PERMITS AS OUTLINED IN THE TOWN OF SOIy1'H WINDSOR,S ST .TUP�R<II�IAINTENANCE OR REPAIR WORK AND UVI�L ABIDE BY THE RULES AND REGULATIONS FIiMIT MANUAL. ISSUED BY o �' DATE:IIVS'I'E�'TED 6nr20194:04PM INSPECTED BY * * PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***_ I f. rr C n, t 1 j t § i + h YY 4 S S • µ w t•aa"t f 4._• 5 t r Ftf . 4 11 1 E ` _ 4 'yu '•• t - r t v t.. E t I TDWjN OF S0OTH'.WlMD50R REPART PERMIT NO.: I CONTRACTOR: G� . . v rC LOCATION: I lac - TYRE OF WORK-bLlkll I al _ DATE INSP NEEDED: MATE INSP: � � l� INSPECTED-BY: WOR ..IN PROGRESS:_ xlw f��s ij-�.�z��� ,w �J( �w GAS. SEPTIC TANK PUMPEU,,SMASHED,FILLED ..__- 'WITNESSED D-YES ❑ NO* AS-BUILT: ' INPUT: DATE: 10 r Via- (q 5/malloy/forrt�s ZON To=of South Windsor MpiliCRDN Ifpbgr 14 vat. I g00s..s W 1'�OLtc� aN APPLICATION FOR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 05074 FEE $50.00 Name of Firm C f+`C I✓. PiRS Phone No.gGO- SI-1-C)C'.109 Address of Firm eftsT Zip Code CX=Q98 Location of proposed work 1 '"T BOND Ir+ Describe fully nature of permit requested OF i.-^-s JF CCAUt4S t 1 we -To �R, C - S�PaX0f�j �%-LS VVL) �_>_F_P u tCS,-- -ram—116tAC� S'L►AT�oN. Starting date 1• t•200 Call Before You Dig No 2-019.Z3o 753 PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES,IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut X Pavement Cut ❑ Curb Cut ,Sidewalk Cut I ❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway t Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public Sewer ❑Septic Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing No.cuts Est. Patch Size(s) sf Est. Pvt.Thickness in. Est.Patch Unit Price$ !sf 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$ Eat.Traffic Hours hr Est.Traffic Unit Cost$ /hr 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 AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR F ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THAT I l� F MILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS A5 OUTLINED IN THE TOWN OF SOUTH WINDS J'S�F-T_CUTPE�RMITMANUAL. Signed: Print Name lYX-6-fitJE Alelt�LIKCCO Date:fo . 1 ot Engineering/p rmits/ beet Excavation Permit 2017 =�-Ir� tr-����-+�,I��r� . I�,s>;,►�. �.e�v��s�. •cam