HomeMy WebLinkAboutStreet Cut Permits 451 Rye Street (4) 1800098 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
�r 4
DATE: 07/I8/2018 it 'S
GIS ID:78600451 x f ) FEE: 50.00
MUNIS APPLICATION# 20I801242 i' EXPIRATION DATE:
T2t ' 2i �;r, n
APPLICANT <' ti � ? ` LOCATION .
NAME: EVERSOURCE ADtDRES 4��I ItI STREET
P` ` ,
ADDRESS: 112 PROSPECT HILLROAD 5 RTE ROSALIND M
EAST WINDSOR, Cv Obi}$ s4} )5I aR ISTREET
,*
a& ��x�F � ,�� yINDSOR, CT 06074
PHONE u Yr n a
i . `}.Y�c rr .fit r n N
i?S 7+
�u 7,b fiRtiti as
WORK DESCRIPTION: EXCrATlrt t "2'J21r1� I( LFSsT PISFf�°' TASTOX ON GAS MAIN
co RD ,RYETRE 4 ;
4
APPLICANT AGREES TO FURNISH THE OW1 CAPr�[TIIJSpI��fiSIACi} Ipg � D REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR A, D'BY' I (�WNQAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND T14, ILI/�M WITH�A 'D �ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS A�S1 OUTLIN�E,D�INN THE TOWN pFiSC�UT�I WIIVI7SQ�S STRI�TtCI l f: IT MANUAL.
ISSUED BY DATEINSPEC` ED INSPECTED BY
7/1 MOI 8 9:43 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
eta w'^acik�sVF
S �* ` 1if�trot y�5�
VS -
"
( votx9Ea
r
wka
, yt'gt '. .
7
• �"'�r„ S`�Y '�}�t0 �y��'y rG�Nlrr yi i�.Fri ,� ''�` lfn
t
7
f
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 8 000 CONTRACTOR.
LOCATION: ne , e
t
TYPE OF WORK: ' �' kxl }es�" �'off. �✓1
DATE INSP NEEDED: DATE INSP:_..z to
INSPECTED BY:
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑YES ❑ NO-
AS-BUILT:
INPUT: DATE:
S/molloy/forms 2014 Town of South Windsor INPSEMbN REPORT 14
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 FEpE� $50.00
Name of Firm +�� Phone No.
Address of Firm 11'2- Zip Code
Location of proposed work C
Describe fully nature of permit requested C t
bD� !1 C- (Y)OLLI'I
Starting date Call Before You Dig No 26l
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut kPavement Cut ❑ Curb Cut ❑Sidewalk Cut
❑ Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑Proposed New Driveway
Water Supply: ❑ Public Water ❑Well Sewage Service: [] Public Sewer ❑ Septic
Show sketch-of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
0 No.cuts
Est.Patch Size(s) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ /f#
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price
Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
DRIVEWAYS must be aft or more from the property line per Amt.of Deposit$
section 2.17 of the zoning regulations
Total Due$
Applicant is responsible for contacting the Police Dept.and C.B.Y.D
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES ( )Cash ( )Check#
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 AN REGULATI OR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: Print Name �Q1 m� =�tJ M0i1� Date: ✓I
Engineering/permits/Street Excavation Permit 2017
J
MCCR�4T,y �
RD.
m
P3702
2 ,x z' vok-c ho
O P 1745 texCcz V(ZI I are
1:315 1"926.2' S2.4'
The material contained on this mop y ,
shall be considered propfieta to Title: �!'S�•,`1�{`/'\I
Eversource Energy and user which is c6 frd
S
defined as any person ora entity f� 5/g�(_l n C'�IC = �
who has received the map through v 4 1 1 O e v G
sale, purchase, exchange,gift, or ENERGY
otherwise) shall keep it in confidence i�
and shall not furnish or disclose it
to any third Party without the prior Information shown is nat guaranteed and Eversource Energy assumes no—ponsihil',,tyty
written permission a(Eversource Energy. Contractors are urged to call Eversource Energy for further information at 1-800-989-0900 Date: — U—
0�
r
MccRgT �
H RD.
P3702
2 'x 2—' vax ho 1-e,
G P1745 Ie)cCavC,th n
a
1:315 V-29.2'
The material c3ntained on this map Titie shall be consicered proprietary to
Eversource Energy and user(which is /{�+� }�/�
defined as any person or entdy E �..�I RS"U CE
who has hose
a the map through Y I<re MW \
sale, purchase. exchange, gift, or W1v�L•'lt/ll �v
otherwise) shot keep it in confidence ENERGY
and shot not furnish or in,
it
to any third party without the prior Infermatian shown is not guaranteed and Eversource Energy oasumea no responsibilittyy
written
permission of Eversource Energy, Contractors are urged to call Eversource Energy far
further information al 1-800-989-0900 a e' — u—