HomeMy WebLinkAboutStreet Cut Permits 100 Windsorville Road 1700012 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 02/16/2017
GIS ID: 95700100 FEE: 0.00
MUNIS APPLICATION# 201700133 tXPIRATION DATE:
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APPLICANT LOCATION
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NAME: EVERSOURCE t ADBRES$ �100rTDSORVILLE ROAD
ADDRESS: 112 PROSPECT HILURO'D k dWNER GHILDIt,EE GILBERT&JENNIFER
EAST WINDSOR,CT fl.688 6 I I I .TOWER RD
k SOUTH WINDSOR,CT 06074
PHONE ti `
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WORK DESCRIPTION: INS�IAALfL CAS S R IGE TQ I EW H0 7F�E
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APPLICANT AGREES TO FURNISH TH0901 Al OI SO�TTI VINDSOR THE AM( IJ1 TOR BDND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR A14YE�PENSES INCL RIiEI?$�'T E Tp G'�1 I OIt MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TIIF�APPLICANT IS FAMILIAR WI`I V.
AIiTD WIII ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TO WN b SOUTH WIIcIDSOR'S STRlET OIIT 15EItMIT MANUAL.
ISSUED BY DATE 1NFETED INSPECTED BY
2/16/20I73:20PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:: -7 f 0 ol. CONTRACTOR:_
LOCATION:
TYPE OF WORK: =
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN ,
PROGRESS:1.
SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑YES ❑ NO
AS-BUILT:
INPUT:
S/molloy/forms 2014 Town of South Windsor INPSEMOT 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 FEE $25.00
Name of:FflTn Ph
No _ Z Z�
Address oftYft1i Cade
Location of proposed-W.. 1 _ 1f'`� .
Describe fully nature of permit requsfd 1+ x'ti
Starting date Call Before You Dig
PLEASE NOTE: THE DEPOSIT FOR.THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB.REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN.A YEAR.OFTHE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: El No Pavement,Curb or:Sidewalk Cut ....Raxement"Cut,:.;:❑ Curb Cut [I Sidewalk Cut
❑ Existing Driveway,No Changes El Proposed Drveway'o eriiri ❑ Proposed New Driveway
Water Supply: Cl P.ublic:Water ❑ Well Sewagectfstf4 ,1. ❑ Public Sewer ❑ Seplic
Show sketch of proposed work or furnish Indicate frth 'TFiIs"section"td fae fltirxtJ tstzt tt1t:>t3Wln
two copies Of separate flrtiyTthOi
1 No,cuts
Ai
i�Es.t Patch Slz --I.
:
Est.Pvt.Thickness in:
i Est.Patch Unit Price$ Af.
Est.Patch Cost
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f Est.Curb Replacement.. __ ft.. •:
Curb Unit_. ur rn Price
•. Est. e$
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tl Curb_.... Est.,Cur Cost ...................... . .
Est.Sidewalk Replacement
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3 Est.Sid ewalk Unit P rice$
6As Est. sf1 /hf '
.
i I.�:i t•ST Est.Traffic Hours _..rtr
if.IC�
'r 1� Est.Traffic Unit Cost$ ,t�
Est.Traffic Control
Amt.of Deposit$ _
1 DRIVEWAYS must be 311:or more from the property line per 'Total Due$� _ _
section 2.17 of the zoning regulations
( )Cash ( )Check#:
Applicant is responsible for contacting the Police Dept.and C.B.Y.D
PERMIT SHALL BE kEPT ON JOBSITE AT ALL TIMES 4 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
WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND
THAT I AMA- It,IA WITH AND WILL ABIDE BY THE RULES AND REGULATIONS.FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
All WINDSOR' CIT)?EF1MtT tiit�kl!`iar
Signed: not Nam Date,
Street; ,_,tNliPermit.2014.
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