HomeMy WebLinkAboutStreet Cut Permits 665 Nevers Road (2) 1900127 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
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DATE: 08/05/2019 4 y`
GIS ID:62400665 j FEE: 50.00
MUNIS APPLICATION# 201901683 "' s 1JCPIRATION DATE: 08/04/2020
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APPLICAN�gf ,, h Y• LOCATION
NAME: EVERSOURCE y ADDRESS bB5 r�1VERS ROAD
ADDRESS: 112 PROSPECT HILL,RBI) QWNERJORSEHOE LANE ASSOCIATES LLC
DRIVE
EAST WINDSOR,Cal'
PHONE
WORK DESCRIPTION: INSItiA.y�SRVaTCE gVQ> TN'Cr FROM t� ROSB;. IE ROAD TO LEFT
SIDI OI II ri� �UI~r , PR
APPLICANT AGREES TO FURNISH THEOWN QF SQUPIzIN] 52 H1;AMOUNT�QF BAND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AT%Yi'H PENSES JIVCYJIrREtiD B EaT{W1 43I� vfAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TIC APp&ICA T ISeFA11NJILAR W�I�H�,��D WTI L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN C7F Otf]TI ,WINDSQR'. .STRI;EI CUT T' IIT MANUAL.
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ISS E DATEiINxSPECTED INSPECTED BY
8/5/2019 3:31 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH N REPORT
PERMIT"No.:.-.� .L�t..� CONTRACTOR:
LOCAMON:���.—�v t Vomit < -a
TYPE of WORK:
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DATE INSP NEEDED, DATE INSP:.
INSPECTED BY: 43 i
WORK.IN
PROGRESS:
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SEPTIC TANK PUMP01�SMASHED; PILLED WITNESSED ❑-YES C] NO
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DATE: . {
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S/mcltayjtrms 2014 Town of south Windsor,11VPSiMdN[(ObW 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appi. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS,DEPARTMENT Permit No. E
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00
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Name of Firm tir lJI Phone No.(9 Z) — 2I (o _7 C)(3
Address of Firmer f f"o S' Q f C-T bd I I� K'2 6ce 'fir'1 /,I ib s , Zip Code 0
Location of proposed work
Describe fully nature of permit requested h�C tC B11C��� f I ('y15
F (-Z) m VIM OLD D r? C F lV S I �� of H D u,3�
Starting date. /Z-- Za l Call Before You Dig No Z r)!? 3 f D / L?
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE j
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY i
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'$CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR, i
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut 13 Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
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❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
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Show sketch of proposed Aork or furnish Indicate North This section to be filled out by Town
two co •of separate dra ,ing
r No.cuts
e ° Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price$ /sf
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Est. Patch Cost$
Est.Curb Replacement ft
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Est. Curb Unit Price$ /ft
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price$ /sf
Est.Sidewalk Cost$
Est.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
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Applicant is responsible for contacting the Police Dept.and C.B.Y.D Cash ( )Check#
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
WINDSOR''S STREET CUT PERMIT MANUAL.
Signed: C �! Print Name_"'r,
Street Excavation Permit 2014
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