HomeMy WebLinkAboutStreet Cut Permits 515 Avery Street (3) 1700113 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 06/20/2017 "s Y
GIS ID: 06300515 s '�
MUNIS APPLICATION# 201700750 t� w FEE' 0.00
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EXPIRATION DATE:
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APPLICANT LOCATION
NAME: EVERSOURCE ti
ADDRESS '5#S AVERY STREET
ADDRESS; 112 PROSPECT HILIv R.4 I7 }' QWNFR 4. I3U[�i W JOSEPH
EAST WINDSOR,C�'0F6088 t 5iVRY STREET
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SOUTHWINDSOR,CT 06074
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WORK DESCRIPTION: EXAUEE TO,REL E(� � EI EYF4 4 4 a Y,
i CU TIEE'STUMP GRINDING
APPLICANT AGREES TO FURNISH THE TOV i�(5F�SOCITH�WI D qI T }M(,1UI T7y_ BO ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY E'XPL'I`IESICUREI BY TIIE Tt FOR. IAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TIE API'LY(;�NT TSyFA11iII)�IR W1fiI Wl ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOW13`QF SOUTI�VIrlNDSOI_.ls STRE U]y`T'F vIIT MANUAL.
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511
ISSUED Y DATE INSPECTED INSPECTED BY
6/20/20I73:02PM *** PERMIT TO-BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:. 170011._ CANTRACTM,
LOCATION:
TYPE OF WORK; 2a.-�f�
DATE INSP NEEDED; DATE INSP; -
INSPECTED BY; 33 C
WORK IN .
PROGRESS._ ... �•, Gt.�,� � , - c��c�t 'orto lag
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SEPTIC-TANK:PUMPED;SMASHED,FILLED WITNESSED ❑YES ❑NO
AS-BUILT;
INPUT: L►^'�` DATE' - -
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00
Name of Firs , ' C 0 ;. .
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Address of; crtrn, ;. tad 1 �
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Location of proposed work . `"
Describe fully nature of permit requ'tied E '
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Starting d�lte r . g
PLEASE NOTE: THE DEPOSIT EO.R.7FiE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS,A PRELIMINARY ESTIMATE.:;THE
APPLICANT IS RESPONSIBLE FOR.THE FULL FINAL COST OF THE PERMANENT PATC-A CURB REPLACEMENT,1NCLUDlNd ANY
INCREASES IN PATCH AREA;CURB LENGTH;TRAFFIC CONTROL AND'THE TOWN'S CONTRACT COSTS.. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR:OF THETEMPORARY PATCH BUT IT.COULD-BE LATER THAN A YEAR.
Check Applicable,. No Pavement,Cutb or Sidewalk CUt El PAY Cut ❑ Curb Cut ❑ Sidewalk Cut
0 Existing Driveway',No Changes ❑ hrgpttsedLEfi:Veway Widening Q Proposed New Driveway
Water Su -ply,, ElPublic Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
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Show sketch of proposed work or furnish Indicate North ! GIs` tZttt4'befllled dui y 7e�rn
t two copies of separate drawing
No.
Est.Patel Size All `
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E'E'st:P. Thickness ir, �
Est. Patch Unit.Price
Est.Patch Cost..$:
i Est.Curb Replacement :ft
i Est.Curb Unit Price:$.. ...
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3. Est.Curb.Costa, ...
Sidewalk Replacement::....... &f
Est.Sidewalk Unit:Price$ /sf
Est..Sidewalk Cost.$: 4.
Est.Traffic Hours-:
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E"Traffic Unit Cost$ !hr
Est.Traffi:a Contr...I..
+ Amt.of 1)epostt'$:.......:::.:. .. .-.. .._ 1
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DRIVEWAYS must be aft or more from the property line per
Total Due
section 2.17 of the zoning regulations
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Applicant:is<respo r contacting the Police Dept.and'C.B.Y.D
PERMIT SHALL BE KEPI ON JOE3StTE AT ALL TIMES Paid By�
................:................. ....
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I:AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED:AND TO REIMBURSE THE TOWN OF SOUTH
WINDSO8 FOR ANY EXPENSES INCURRED BY THE TOWN FOR AINTENANCE OR REPAIR WORK IN CONNECTION WITH TH1S PERMIT AND
THAT! AM FAMILIAR WITH AND WILL ABIDE BY 1F1E RULES AND REGULATIONS.FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR'S STREET OUT PERMIT MANUAL.
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The rl�dtan, aontgnaa on tots inupAI
Title
drat be;dorssldaroa proprlata ►a
Evereoutoo Enatgg ono srser ,whorls is� .
daffnotl ds any pa6snn or 4ai .
who has<rel o1V6l1}he trWp thr�pgh fnfomio shown:i .+? EVE.RA lif#iw 1
doll,pdrehpss exahonge T.
ae� t1?r1 a not guamryt9ap:arlti Everaoures Energy
otflgrvfisel shot kdep it rgafdeAae astltrtlwu ntr fa�ppnsibility. Cnttt{cGl'r$,5tre urged to cull ; e
.and s w not�Urnistr,or di6+Flast it EVarsOu'�tw"5�aergy for further irifdrril'atren at 1-800-.989-0900 ENERGY
to any third porty'witbM the'pridr -
twritten permission f Eversouce Ener
. .. .... :..o....... 9Y: Plotted:20-Jun-.2o17: �EY;.9isewrY��� ,.