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HomeMy WebLinkAboutStreet Cut Permits 9999 Chapel Road (7) 1900116 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY e DATE: 07/25/2019 GIS ID: 18009999 ! � MUNIS APPLICATION# 20I901547 FEE: 50.00 EXPIRATION DATE: 07/24/2020 APPLICANTx TMpCATION NAME: EVERSOURCE s ' ADDRESS ' ; 9994 CHAPEL ROAD ADDRESS: 112 PROSPECT HILL ROAD OWNER S�4 IV O "SOUTH WINDSRO =r ItO S�J�Lt �1N AVE � L EAST WINDSOR,CT 0608& PHONE r 5 z y 5 T JIM WORK DESCRIPTION: CHAPEL R�),�tIx 'Ai 'HN%NI'ERSECTIO�kI OE IJINCrTOi�&R9AD TIE INTO NEW GAS MAIN � . APPLICANT AGREES TO FURNISH THE TOV�F�I 4 su`OUTFT WINDSQR THE AMQUIWOF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY ES CU D3, TT E:TO NANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE A1'k'��CA1�`I IS'�AMII 1AR WI��I AND WILI4BII3E BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OFlHallpq QU I`H WIIVD�SOR'S STREET CUTLPRMIt MANUAL. ISNIJED DATE INSPE ED INSPECTED BY 7/25/2019 1:23 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** k i t F f \ L 1 J r iA 4-1 gX T L'y w TQYYJR©F�SQUTN:w1NNOR INS�'EC1'�N NOW PERMIT No.: � CONTRACTOR: � LQCAIIQN: ca A Vz:9/1 ZU TYPE OF WQRK: DAA INSP NEEQED: DATE INSP.. i i• e INSPECTED Bl1': WORK:IN : PRQGRESS: 'wK ,.,.� tiuJzr. . . � .._. � . • :Yam.: G.t ���., • . SEPTIC TANK PUMPED,SMASHED;FILLED INTI'NESSED ❑YES Cl NO' AS-BUILT:._ INPtXT: DATE: $fmolto`yffirms 20147own of South Windsor MPWMdN IMPOW 14 APPLICATION FOR STREET EXCAVATION PERMIT <Appl, N:a: TOWN Olt SOM WIN»l4, PUBLO II WORKS DEPARTNE F' Perrnr(Na.. TOWN HALL 104E-SUL>LW N AVENUE SOUTIf WINDSOR,CT 0111074 FEE $50 0 Nq a cif Flrrn E-�- Phone No, &t&��� '�l:O>��f. Address of Firm ZIp Gode Loeetion of proposed work .' _.. . Describe fully n aWre,of permit retested :ae Ii Starting date C Call Bisibre Yrou Dtg Na II _. _ .. PLEASE NOTE THE DEPOSIT 5011 THE PERT ANENT PAVEMENT PA'r'Gfl AND=WW REPLACEMENT IS A MLINIINAAY ESTIWM. THE � APPLIOA1 T IS RESPONSIBLE FOR-THE R JLL FINAL COST-OF THE PE.. ANENT PATQ1 ANQ CORE REPLACErVIEK INCL_-��DIN,Q ANY { INCF-�E5 IN RATCt=f AREA,GU# T LENGTHF TRAFE�IC CQtd'I l L Altlt3.1'I1E TO�IVN.S CQNTRtAO COSTS TIdS PERMAJ«iEN7 PATCH IS f INPICALLY COMPLETED WITHIN,A YEAR€F- THE TEMP6RARY PATCH'BUT IT CO=AE LATER THANIAY&R. Check Applicable ❑No PevelrieInd.Curb or Sidewalk Cut X.Pavemen Cud ElCurb Out ©S'ri<tetirslk but El i✓zi 009 Driveway:,No Changes C1 t rc posed Ddvewayr VVideni g ©.:Proposed Nd w Drlveway 'Water Supply: 0 Publie Alater ❑Wetl Sewage Set ridea El Fublic Seer CI.Septic i Show sketch of'proposedwork or furnish. Indieste North T le secd-ortto,be filled,o e yTow Town- two coplis of separate drawing Nq,cuts t=st,Patch sbw($ sf l Est.Pvt "rh ckness in.. Est.Patch Unit Price Est inn Cost$. Est.Curti Replacement ft ; Est;..C4rb Unit;Ptice$ lit i Est.Curb Cast� Est.,Sidewalk Replacement sf Est.Sidewalk Unit Price:$ /sf � Es#.Stdewall�Cost Eat.Traffic Hours hr f: Est.Traft Unit.Cost$° fn r Est.Troffic Control F E Arnt,of Deposit$: DRIVEWAYS must be aft or more from the property line per Total Due section 1.17 of-the zoning.regulations {.. )Cash: 4 a Check# Applicant is responsible for eantacting the paiice Dept,and C.B.Y.a j PERMIT SHALL BE KEPT©N JOBS1TE AT ALL TIMES-- Paid By. I AGREE TO FURL+WR Ta THE TOWN OF SOUTH WINDSOR.THE AMOUNT OF SOND REQUIRED AND TO REIMBURSE THE TOWIi OF SOUTH WNDSOR FO - ;Y EXPENSES INCURRED 6Y THE;TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THAT !AM I IAFt_WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOP,PERMITS AS OUTLINED IN TH1=T{}Whf{? SOUTH VVINDSO EST Ct1T PERIVt}T MANUAL. Signed: Print NameCn gate: Engineering/per treet Excavation Permit:-2017 �i .. .. 0 4 l. ' . . wit Wow ��i; z X , I � IP. WVI 5 0 dam.+ aw y Tij 40 •.. r"" .� 'pry"' '� rit ti::t� _ '" 0 � +} �1 lon, ar 0 `T esa a # ' INV I PRtF"�t#1 lY}t €RtiAR71E�IV:3hQinf�rntl;tlbrrarlitiismsp.rINkietxklsf�#eFpfa .f��ta .tio:�+ivrtheasCEldUt}es:: lA anclU�er wkiiyh>sttai define tht+(i h sate;. 6stse,.axahan p f} ,. d asp Sr r3rntR�.,wfio:iuseived ilia IVlap. 9 t 9p 9it4 or gt tia se}:sir�ll:kBep.lt.ln cGnfi riot ahsi SYtall otiurttish tt:io arty IN :¢arty.v. bout e pF}orwr dn pefrmssrorr of Nortfieaat Wml fies, MO.The lodatfasWo ft andergruUnd ar averhead equiprnenf shOWh:.hbrenn*t a .10ew upon uifir#}ripiltu�&aitaFSw.%ta.of the ifea Riarecif:906 are no#duartimeed}a he accurate or enmplete. t?# 7'=so Ten fiat r "asim cajPrtahi>