HomeMy WebLinkAboutStreet Cut Permits 10 Gilbert Lane (2) 1800116 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 08/21/2018
G15 ID: 353000I0fk t , Lsr L�`y S 4 y FEE: 50.00
MUNIS APPLICATION# 201801473 ,z £z �f ti ;y� EpgIRATION DATE:
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APPLICANT J JOCATION
NAME: EVERSOURCE 10g ILBE T LANE
ADDRESS: 112 PROSPECT HILL ROAD � h �� r r�k} pWNER ,! + #>lVC€ MOORTHY RAJA&
ri +iK,y� �, ` \,rE� n� vl`,4'rvC YbxyLER LANE
EAST WINDSOR, Cl 00088�; "
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WORD DESCRIPTION: INS TA\LA1 $R4V I4LV�7k7ZKIfiT FROM Ifl�GTIJl?ER�TNE TO
99 RID E ROx4 �tJ-` E820 3
APPLICANT AGREES TO FURNISH THE TCiW1a(01FA< U,I I INDSC7IR?TIIF�Al ?UNTt bF$f?NDd1ZEQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANI 1? SES INCURRED BYE HE Tt WN F{�R 1 I OWNANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE A�' CiT5 FAM1I W1TH AI1p WII� t IDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN O>yOUT WiN;DS1J &TR$ET BUT PERMITIVIANUAL.
ISSUED BY Y AST INSP$C INSPECTED BY
8121/2018 2:57 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH.WINDSOR INSPECTION REPORT
PERMIT NO. SWl I CONTRACTOR: f' �l . Z1l'JC-
LOCATION:TION:
TYPE OF WORK: All , . 9 R ,e►1�9e fL o�
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ATE INSP NEE�ER, DATE INSP:
F
INSPECTED BY:
WORK;IN
PROGRESS; t �S'v c 00V IL/
SEPTIC TANK PUMPED,SMASHED, FILLED WI'MESSED ❑YES ❑ NO'
AS-BUILT:
INPUT: ®ATE:
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$ftudoymnns 2M4 Town of South Windsor.IPlFSkMW RROU 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 FEE $50.00
Name of Firmn Phone No. � �'
Address of Firm D Zip Code Q
Location of proposed work t f O
Describe fully nature of permit requested V
LD b Q a �gd
Starting date 717 ?n _ Call Before You Dig No I O (p O
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY
INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement, Curb or Sidewalk Cut O Pavement Cut ❑ Curb Cut ❑Sidewalk Cut
❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public Sewer ❑Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town 1
two copies of separate drawing
No.cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est.Patch Unit Price$ Isf
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ Ift i
f
Est.Curb Cost$
F
4
Est.Sidewalk Replacement sf II
Est. Sidewalk Unit Price$ !sf I
' I
Est.Sidewalk Cost$ j
Est.Traffic Hours hr
Est.Traffic Unit Cost$ fhr
t
Est.Traffic Control$
Amt.of Deposit$
DRIVEWAYS must be 3ft or more from the property line per Total Due$
section 2.17 of the zoning regulations
( ) Cash ( )Check# i
Applicant is responsible for contacting the Police Dept.and C.B.Y.D
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Paid By
I
I AGREE TO FURNISH TO THE TOWN OF SOUTH WiNDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH i
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 AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR'S ST MT RMIT MANUAL. 11 ,,``y�
Signed: Print Name W ! Date:
Engineering/p r�tslstrWt Excavation Permit 2017