HomeMy WebLinkAboutStreet Cut Permits 100 Cadbury 1700176 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 08/23/2017
GIS ID: 15900100 40 lfFEE: 0.00
MUNIS APPLICATION# 2017011128 k ; EXPIRATION DATE:
APPLICANT' S 'h.;, LOCATION
NAME: EVERSOURCE ff ADDRESS ,100 CA;DBURY
ADDRESS: 112 PROSPECT HILT:R-6A0
O�UNFR I�IULXC+;CARMEN R
EAST WINDSOR, OTQOOM 7BURY
I SOUTH VVINDSOR,CT 06074
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WORK DESCRIPTION: REPAIR GW S V�GE T '
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APPLICANT AGREES TO FURNISH THI'TOWI O SOUTH WINDS `TIII;kAMOiJIt[TQF BAND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR I, INCURRED B THE TOWNFO IAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TIRE
APECAT IS FAMIi IARITII AI�[D AIL L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SO H WINDSO U STREET CUT1T` PERMIT NUAL.
ISSUED BY DATE V4§ CTED INSPECTED BY
8/23/2017 3:12 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: J 7®Q/ 7 CONTRACTOR: C y ES<-v �'
LOCATION: -, DD
TYPE OF WORK: A a/Io i C t ►�2 �'L�
DATE INSP NEEDED: DATE INSP: /
INSPECTED BY:
WORK IN
PROGRESS: `X +� �1 �'
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SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES [] NO
AS-BUILT:
INPUT: DATE: ry
S/molloy/forms 2014 Town of South Windsor iNPSEMON REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. NO,: TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT PermitNo
TOWN_F ALL 1540:SIJLLII%AN AVENUE.SOUTH WINDSOR CT 06074 FEE $25.00
Name of F1.1'rta:.....
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Address of Firm.. .. . . ;.,-.. .. ., - dip Coder -
Location of proposed iQ#tc '
Describe fyfly#ti#Ui;,of permit requested -
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$tatting date Cal!Before You Dig Np
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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 PA ,GH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN":CONTRACT COSTS THE PERMAN..ENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR<OF THE TEMPORARYPATCH BUT IT COULD BE,LATER THAN A:YEAR.
Check.Applicable: 11 No Pavement,Curb or Sidewalk CUt D Pavement Cut ❑ Curb.Cut EV°'Sidewalk Cut
❑ ExMing:Drlvew2ly,No Changes ❑ Proposed Driveway Widening 0 Proposed New Driveway
W.. ter Supply: Public Water P WeII: Sewage Service: Pufilic:Sewer Septic
Show sketch of proposed work or furnish indicate North .fit hTs" ctitilftbUtlad Out b tT+auyt.
two Co. 1 sbi separate drawing
:. No..Cuts
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Est.Patch Size(.,): .. sf
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. Est.Put:Thickness in
: .
• Est.Patch Unit i'rice$- _,Jsl
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Est.Patch Cost$
Est.Curb Replacement.,,;,: (x:
Est..Curb Unit F(IM$ !ft
Est.Cur4 Gost
Est:$Idewalk`Replacerneitt sf
Est.Sidewalk.Unit Price$ /sf
Est Sidewalk;Cost ..-.
.........::............
Est.Traffic Hourstr
Est.Traffic Unit Cost$ /hr:
Est.Traffic Control::$:-:::
Amt:of.Deposit$.
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DRIVEWAYS must be aft or more from tle:.property:lfne.pet>
Total Due
section 20171,of the zoning regulations
Cash
!. }Check#
Applicant is responsible for:contacting tho Police Dept and:C.B.Y.D
PERMIT SHALL;BE KEPT ON JOBSITE AT ALL TIMES Bald BY-
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I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR TFiE AMOUNT OF 60ND.REQUIRED AND TO REIM6URSl;THE TOWN OF SOUTH:
WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PER AND;
THAT I AM; A`Mlll.' WITH AND.WILL ABIDE BY., THE RULES AND:REGULATIONS FOR PERMITS AS OUTLINED.IN THE:TOWN OF SOUTH.
WINDSOR S T CUT PERMIT MANUAL.
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