HomeMy WebLinkAboutStreet Cut Permits 340 Buckland Road (5) 1800152 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 10/15/2018
GIS ID: 15300340 FEE: 50.00
MUNIS APPLICATION# 201802022 EXPIRATION DATE: 10/15/2019
APPLICANT LOCATION
NAME: EVERSOURCE ADDRESS: 340 BUCKLAND ROAD
ADDRESS: 112 PROSPECT HILL ROAD €? NEI : J HANNQUSH FAMILY OF SOUTH WINDSOR
I22 ttM STREET
EAST WINDSOR,CT 06088
PHONE
WORK DESCRIPTION: INSTALI✓NEW GAS SE VTCI W SE821353
(EVERS JRCE WILD DQ.TEMPOKARY ANTI PERMANMENT PATCH)PER JD
APPLICANT AGREES TO FURNISH THE TOWN OF SOUTH Wit*IDsoRTHE"AMOUNT ELF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY PENSES INCURR6 ICY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE:Ai'PLiCANT IS 1 AMiLfiAR WITH ANI?WILT,ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN O�SOUTH WIN" DSOR"8 TREET CUT PERMIT MANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
10/15/2018 10:28 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: J X I CONTRACTOR:
LOCATION: 3 `-) �C `.)cG'�c%�
5
TYPE OF WORK:
DATE INSP NEEDED.: ;• `' �
DATE INSP.
INSPECTED BY: i
WORK IN
PROGRESS: 6:4 5 rv; -3 q
IUAA
SEPTIC TANK PUMPED,SMASHED, FILLED WrMESSED ❑-YES ❑ N6
AS-BUILT: .
INPUT: DATE: P \�
SA161 yfib s W14 Tour of South Wirer mpswrmW RESORT 14
_ - APPLICATION �
FOR STREET EXCAVA_OPERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $60.00
Name of Firm Lrk LQ C E" Phone No.
Address of Firm //r1 A AdSPEtr 1+1 i'.l. IRA Zip Code GOSrP'
Location of proposed work 34/p B"IGLAWD t4 t i.L (Lb
Describe fully nature of permit requested `' Al S t'Mr L.L OU a W 6/'!'S 1S f _ V{G£„
Starting date Call Before You Dig No ca 0 D
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN's CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR
Ile
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut /`"1Pavement Cut ❑Curb Cut ❑Sidewalk Cut
❑ Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public Sewer ❑Septic
Show sketch.of proposed work or famish Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
Est.Patch Sizes) sf
Est. Pvt.Thickness in.
Est. Patch Unit Price$ /sf
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
Est Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price$ /sf
Est Sidewalk Cost$
Est.Traffic Hours hr
A a Le �� 3y 6 A�o&j . 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 REiMRSE 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. EGULATIONS FO PERMITS AS a1TLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL
Signed: l�t� d A.+ '"..._.. Print Name Pbw r' kkft6'&F-0 Date. /b N Its
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The material contained on this map Title:
shall be considered proprietary to
Eversource Energy and user (which is 2�1 �\,
defined as any person or entity J t b I� EVERSAEO?U
RE
who has received the map through Information shown is not uaranteed and Eversource Ener-sale, purchase, exchange, gift, or 9 9Y
otherwise) shall keep it in confidence assumes no responsibility. Contractors are urged to call ENERGY
and shall not furnish or disclose it Eversource Energy for further information at 1-800-989-0900
to any third party without the prior
written permission of Eversouce Energy. Plotted: 30—Aug-2Q18 By: gisewrt