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HomeMy WebLinkAboutStreet Cut Permits 105 Bourbon Street 1700038 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 03/17/2017 GIS ID: 12300105 * FEE: 0.00 MUNIS APPLICATION# 201700240 x `.y EXPIRATION DATE: APPLICANt }" LOCATION Y NAME: EVERSOURCE AD15RESS 1055B0�URBON STREET ADDRESS: 112 PROSPECT HILL ROAD OWNfiR kURTI .ZUBRETSKY JEAN EAST WINDSOR, CT Q608$ 10 SOLIRBON ST F ( UTII AVINDSOR,CT 06074 PHONE WORK DESCRIPTION: GA$SElIOKINGR4lVf#30 DRIrULAY TO"ACROSS STRFsE='I"IY� i7SE r4 t\ APPLICANT AGREES TO FURNISH WOWN`W�l BINDS©R'i�HE AMQIT OIL BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR Y E3CPEi ESQ 11 C Ui RED BIB TH'E,TQW. XTOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE 1PP ICANT IS FAI1yIILIAR VW X I'II A1�1D�JII T.ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SQUT'H WIIIDSO�Ii'S STREETUT ' jt1V1IT MANUAL. ISSUED BY DATE INStPE�TED INSPECT D BY 3/17/2017 12:09 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** ------------- coo J Y L 99 E ! 9k u iyl+ lYv. 55 �• b Y �i s kk�a s i 4+ TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO:: 7 .s' CONTRACTOR:_ ' 2 u^ LOCATION: & ,)C-6020 v T1FPE OF WORK: 'S �''1 DATE INSP NEEDED: DATE INSP.,3 - INSPECTED BY: 1,: WORK IN PROGRESRS' ,.6, SEPTIC TANK PUMPED,SMASHED,FILLED WITNESSED ❑YES ❑NO AS-BUILT:_ DATE. , INPUT: ' S/molloy/fa ms 314 Tom of South Wln&or IlVPSF fTIQ MEPOWr 14 " ' r 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 $25.00 : .• Name o€Firm. _ : , . .:. - . : .. .. Phone No t •-- 5 ;. Address of.Firer' ''. ^ "q1``. Zip �rde Location of proposed work. ` .. c `' ....... Describe fully nature of permit iequL1.0.. V+� --rD i �3 E¢`� v1ev. # .: i > S Starting date •. ;--- ^�.7 Call Before You DigItl 2 3 PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE.THE APPLICANT IS RESPONSIBLE FOR THE FULL,FINAL COST OF THE PERMANENT PATCH AND,CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATOR AREA CURB LENGTH,TRAFFIC CONTROL,AND THE TOWN'S CONTRACT COSTS: THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE I:ATERTHAN A YEAR: Check Applicable: O No Pavement,Curb or Sidewalk Cut fPavement Cut ❑ Curb Cut 0. Sidewalk Cut ❑ Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: O Public Water ❑ Well Sewage Service: D Public Sewer. ❑ Septic:: Show sketch of proposed work or furnish indicate Narth . ; iis sec€ori to"ba ffNed aut t7avirrr two copies of separate drawing No.cuts E'it`Patch Sizes st Est. Pvt.Thickness in. Est.Patch Unit Price$. /sf Est.Patch Cost$.: ..... .........:::...... Est.Curb Replacement :.. ... fi t Est.Curb Unit Price Est.Curb Cost Est.Sidewalk:Replacement sf. Est:Sidewalk Unit Price$ /sf Est.Sidewalk Cost"' ........... Est.Traffic Hours... ... hr Est.Traffic Unit Cost$.;.�,,�;��;�;J;�t I Est.Traffic Control$ . Aml.of Deposit$..:.., DRIVEWAYS:must be 3ft 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 Paid By AGREE TO FURNISH'CO THE TOWN OF SOUTH.WINDSOR THE AMOUINT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY EItPENSES 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 STREET GUT PERMIT MANUAL, �.,:: Signed.;.: ''.•. ri Name Date:. SEreet•Excavation Permit 2014 w/ o a 3D7 fV BOR i. ST. N 4 co - - -- F: 105 i ----