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HomeMy WebLinkAboutStreet Cut Permits 59 Cadbury (3) 1600225 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 01/03/2017 GIS ID: 15900059 x •, FEE: 0.00 MUNIS APPLICATION# 20I601887 IXPIRATION DATE: 4 l APPLICANTLOCATION r NAME: EVERSOURCE ADDRESS �5� CADBURY ADDRESS: 112 PROSPECT HILI.R V OVViVER 1VICGRAY ROBERT D&LESLIE E EAST WINDSOR, CT 0' 88 r 59 CIAI7 BURY SOUTH yVINDSOR,CT 06074 PHONE syv r 1 it Mo WORK DESCRIPTION: NEW S K G�. I IZV. r t �W n y APPLICANT AGREES TO FURNISH THEM OIW, Of SOUTHii, INI?SOI 7 HE 1M( T1I;T I OFI BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY"EXPENSES INCURRED$5�THE TO WhIYFO MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TIE AlpIIGANT IS FAMi1AR WI`fIi AiD�WJLL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN�551 SOFTH W iNDSU '.5 STREET CUT F' IV1IT MANUAL. No 110 q ISSUED BY DAT`B INSFECTED INSPECTED BY 1/3/201710:29AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** x „ts•y k v� . W�4 'sue Lai e �r z rlrtF . h r 'hNR �' gg k`\ x APPLICATION FOR STREET EXCAVATION PERMIT Appl,No:; TOWN OF SOUTH WINDSOR-PUBLIC WORKS f7EPARTMENT Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00 Name it Firm � ..��Sp U C-, Phone No. Addrei of aim 111.:.2 f S B t)t *l���r--E—V:1 l—f� R Zlp Code a RJR Locetlo i of proposed work DescribIe sully nature of perm It requested_ AY 8 � a} ... l . Starling kltta Lit Call Before You Dig Nli.- L$ D PLEASE NOTE:THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE.THE APPLICA INT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY I IES 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,Goff 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 Stow sketch of proposed wo 9pr furnish Indicate North 11+69.aeclionkafii#fitted ou[f7x Town,;' two cop as of separate drawing .. No,cuts _ (s) _. a Est,Patch Size sf Est.Pvt.Thickness..... In. Est.Patch Unit Price$ !sf ESL Patch Cost Est.Curb Replacement fl x Est.Curb Unit Price$.:..:::...... .....:.:..ifs y Fat CurbCosi$..... ... _ Esc Sidewalk Replacement sf :: } a Est.Sidewalk Unit Pi It /sf i:.Eat Sidewalk Cosi — Est.Tragic Hours. fie Est.Traffic Unit Cost.$ Av v Est Traffic Control$ AmL of Deposit$. . DRIVEWAYS must be aft or more from the properly fim per -Total Due 3.. -. ._..._. sectioq 2.17 of the zoning regulations i).Cash (}Check#_-,........................-. Api I Is responsible for contacting the Police Dept.and CB.Y.0 '.PERM SHALL BE KEPT ON JOBSTTE AT ALL TIMES `Paid By .... ..-- ........ ........... ..-. .. 1 AGREE TO FURNISH TO THE:TOWN OF SOUTH WINDSOR THEAMOUNT 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 WrTH THIS PERMIT AND THAT I f1M FAMILIAR WITH AND WILL ABIDE BY THE RULES AND.REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDS01i STREET CUT PERMIT MANUAL. yP- Signed: �.�y„�l(�,.. :.Flint Name !L 1•-9— G E-8401111 Date: 12. ^20 fpk Street 2 Ovaticn.Pemat 7014. . TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO-: A,41Q D-a S✓ CONTRACTOR: - LOCATION: L2r TYPE OF WORK: Z°&J 1 P� DATE INSP NEEDED: DATE INSP: INSPECTED BY; L6 ' WORK IN PROGR ".See SEPTIC TANK.PUMPED,SMASHED,FILLED WITNESSED ❑YES ❑ NO AS-BUILT: INPUT: C DATE: S/molloy/floms 2014 Town of South Windsor 1NPSIS+'f ffREPORT 14 a: z A- r{ a t , J� fi . 8 W 69 .c i yJ AW `2 I' +y 4� h] cis 1 -s (n _'. AW 4 y I t r t F J � 1 X 6 l S A W The material coniatned on this mop Tiile: shall be considered ro rieto Y to versource tnergy an .user w IcFTi is i dafinatl as any person or e"lty "' who has received the mop through sale,Purchase,exchange, gitt,or Wor�ilatttirt�hewrl is no}guar©?tlesd acid EyerSaulcQ Energy EVE" 1. R E` oth¢rwtse)shall keep it in confidence 60igvtek4a.responslb1 y Conf'r+octote•Cite ur.od;o calf and shall not furnish or disglose it EwOfsou[e�.E.stergy for further infarrrint�on:at i 800.'-.989 0900 ENERGY to any third Party without the prior written permission of Eversouce Energy: Plotted:28-Dec•-2016 BY 9lsewrl '