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HomeMy WebLinkAboutStreet Cut Permits 160 Dart Hill Road (3) 1.700004 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 01/23/2017 GIS ID:25800160 s .� FEE: 0.00 MUNIS APPLICATION# 201700058f'Z t EXPIRATION DATE: � 44 APPLICAN I� LOCATION NAME: EVERSOURCE a ADDRESS dC0�tID4eRT HILL ROAD ADDRESS: 112 PROSPECT HIL00'� )E1X} r OWNER COLLII S ANN J EAST WINDSOR, C P;6130k251 SOMER9,CT 06071 PHONE k WORK DESCRIPTION: EiCwk, TO INSOS'SING WILL START NOVA pNLY,t IF ILiQ F PATCH V�I LIQfl,RI WHERE WE CAN a s i n ;�° APPLICANT AGREES TO FURNISH THETOWN QFOC7T�I�l'iN�3SQi�THE AM{ I1VT�0)~BND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY`'2`XPENSES I COL1RItEl2 8Y I E TOWJ1 FOI��MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TI APPLICANT IS I AMI IAR WIT....IN. W,iLL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN Win SO`LITFI�IND-S&$STREE CUB I' IT MANUAL. r ISSUED BT INSPECTED BY 1/23/2017 1:46 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** �5 G rCi[ S Y SJ4 li AT 'r Y t k; }r++ FE4 r 12, yv n 'a i TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.:_ CONTRACTOR: E L?J CS e _ LOCATION: i ao I)a c ,;� 44 l TYPE OF WORK: i ►n s i c t � �� �, ; c DATE INSP NEEDED: DATE INSP: INSPECTED BY: f 21 WORK IN . rr PROGR e SEPTIC TANK PUMPED;SMASHED,FILLED WITNESSED ❑YES ❑NO AS-BUILT: d INPUT: C' '�"' DATE: j.'/ -2 .. S/moltoy/rams 2014 Town of South Windsor MPSWMICREPOU 14 APPLICATION FOR STREET EXCAVATION PERMIT App1.No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT`06074: FEE: $25.00 Name of Firm L V ,cS' f>E a� Phone No Address of Fir', + Ip C . a . Location of proposed y :. ............ Describe fully nature of permit requQs#eat Starting d6t, �- ' ` " ' Call Before You Dig.Na O .I J.PE.Plyl©I ,, iO pEIC1811t "f1 AtJ�AAifENTP�k1f�AIT€BATCH ANU CUFi13EPlAC!_MENT iS A PRELIMINARY ESTIMATE:THE APPLICANT IS RESPONSIBLE FOf3 THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TF AFI✓IC CONTROL AND THE TOWNS CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable'r 0 No Pavement;Curb or Sidewalk Cut W. Pavement Cut © Curb Cut ❑ Sidewalk Cut ❑ Existing Driveway; No Charges 0 Proposed Driveway Widening © Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage:Service; ❑: Public Sewer ❑ Septic Show'sketch of proposed work::or furnish.. Indicate North se �gr)xia 1r �lle �nut b1f1�+��iCff two copies of separate drawing li No.cuts Est.Patch Size(s). sf JP l Est.Pvt.Thickness..............._._.-. in. Est..Patch Unit;Price Of S Est.Patch Cost$........ . Est.Curb Replacement ft: Est.Curb Unit Price$ J'J1 G Est.Curb Cost A., ' it Est.Sidewalk Replacement if a Est.Sidewalk Unit Price$L Isf ; I ;.Est.Sidewalk Cost,� Est.Traffic Hours . : ter Est.Traffic Unit Cost$ {t` 'I t :Est.Traffic Control,�:: i - . `.Amt.of Deposit$ . _........_..._...:,....:r: DRIVEWAYS must:be aft or more from the property line per Total Due section 2.17 of the,zoning regulations 4 ( )Cash O Check# Applicant is responsible for contacting the:Police Dept.and C.B.Y.D PERMIT SHALL.SE KEPT ON JOBSITE AT ALL TIMES Paid By I AGREE TO FURNISH TO THE.TOWN.:O.F SOUTH WINDSOR THE AMOUNT OF BOND REOUIRED AND TO REIMBURSE THE TOWN OF$OUTH .. ....... .. ......... ....... WINDSOR FOR ANY EXPENSES INCURRED BY TH.E..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. Stgned �,. ;.. Print Name `,R: . 'I !M'a' Date: Street Excavation Permit 2014: c� do 00 posy $`c F - - - lop .S' 3 •ii • � . r. T � 45 Y q �y ;1 N r I t•, 7 3i it tS �i z