Loading...
HomeMy WebLinkAboutStreet Cut Permits 9999 Quarry Brook Dri (6) 1.900038 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 05/03/2019 ' GIS ID: 74109999 FEE: 50.00 MUNIS APPLICATION# 201900826 EXPIRATION DATE: 05/02/2020 r ' kom APPLICANT LOCATION NAME: EVERSOURCE ± 1 ADDRESSLJAIRY BROOK DRIVE ADDRESS: 112 PROSPECT HILIL RA OWNER 50Ul/yyTI ;WINDSOR TOWN OF i � ifiLLIVAN AVE EAST WINDSOR, T,060881' ,.y.•y PHONE e k�, WORK DESCRIPTION: EAAMI ATE TO NSTALi GAS 1 AIN AI1TD'SE VI E s s�• a APPLICANT AGREES TO FURNISH THE�T0�IVN�OF SOUTHINDf4R TiI$AMOTJN 1 pP BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ARTY^EXPENSES II� URREI ,B Y THE{TO FO1 x1vIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND ThE AP�'LICAI�IT IS F4A MTI IA,R y�rT I M . W1LL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED 1N THE TOWN tF SOUTHINDS�R'S STREE`I BUT IT MANUAL. r ISSUED BY DATE"1S�ED INSPECTED BY 5/3/201910.27AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** o rrf •I } r r, k r +r C s� ✓ cif o 4 '�Y N '2 'h r 1 � i✓ Ef i. i r "m OF SO.UTH.WIHDSQRINSPECRON REPORT NO.: Lai. CONTR ►CMR:,PERMIT LOCATION:.V TYPE OF 1NQRK: 3 DATE INSP NEEDED: DA?E INSP:. v.I17 ft� INSPECTED BY: a WORK-AN PROGRESS: > 4 — a SMASHED' FILLED .,"ESSED ❑-YES C3 NO SEPTIC TANK PUMPED,S ► INPUT: DATE:_ 1NP Sima{tay/fomss 2014 Town of South Windsor S ON REFOItT i4 r •t t L.a Iava• a %0aav9a%L.a. a a_ravrtiVr •t ■v■. ■ �. .•.•■ . Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $50.00 Name of Firm} Phone No. a' Address of Firm D 4 Zip Code C� Location of proposed work 20 Describe fully nature of permit requested V tsS c Starting date Call Before You Dig No ( 0 36y PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE, THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS_ THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑No Pavement,Curb or Sidewalk Cut f`6 lavement Cut ❑Curb Cut ❑Sidewalk Cut ❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑Proposed New Driveway Water Supply: © Public Water 0 Well Sewage Service: I] Public Sewer ❑Septic Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing 0 No.cuts Est. Patch Size(s) sf Est.Pvt.Thickness in. i Est.Patch Unit Price$ /sf Est. Patch Cost$ 1c. C' s Est.Curb Replacement ft 4 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 t Est.Traffic Control$ Amt.of Deposit$ DRIVEWAYS must be aft or more from the property fine per Total Due$ section 2.17 of the zoning regulations O 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 WINDSOR' ST T PERMIT MANUAL. -- r r a { Signed: Print Name �CCU^ A f I SO Date: Engineering/p fs/Str t Excavation renna 4ua.