HomeMy WebLinkAboutStreet Cut Permits 108 Cadbury 1700175 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 08/23/2017
GIS ID: 15900108 s '_ FEE: 0.00
MUNIS APPLICATION# 201701127 0� 5, `'EXPIRATION DATE:
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ApPLICAN ' y r ' LOCATION
NAME: EVERSOURCE ADDRESS 108 CAP
BURY
ADDRESS: 112 PROSPECT HILL ROAD OWNIJRARD IV WILLIAM H&JENNIE L
EAST WINDSOR, 608 108ADBURY LANE
PHONE 5
a SOUPH WINDSOR, CT 06074
WORK DESCRIPTION: REt5ALIR-2(�A"`SELZVIC }
APPLICANT AGREES TO FURNISH THWTOWN OF Hiy4rII*1DSOR T�31a AMOiINT�Q $AND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AI11Y:<EXPEiS`ES INUJRRI�D;BY TIE TOWl(4F98,1VIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND Ykp APPLICANT IS FA .IEL LR WI;T"H A�Ip WI'T L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TO WN DP�SOUTH WINDS01 'S STRE CUT P1tMIT MANUAL.
ISSUED BY D ED INSPECTED BY
8/23/2017 3:10 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: /70d l Z CONTRACTOR: 'r�� av'r e.
LOCATION: 10 P CA d ycJ r'V
TYPE OF WORK: &J 1
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: R-b
WORK IN
PROGRESS:— a'"P�eh,,� �► �-
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SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: 'LAM DATE: j.-ayi
S/molloy/forms 2014 Town of South Windsor INPS£CFION REPORT 14
APPL[CATiON FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Perrntt Nm
TOWN BALL 1540 sGEERA 111ENUE SOUTH WINDSOR)CT 06074 FEE $25.00.
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Name of Firm- ,, _. I1 - PhoneNo. r� .
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,... '<. ' . Code
Address of PIrfYl: . '
Location of proposed wor,
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Describe_# f)x natui of pegttstetf fa,
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5tartin date Cal! Before You Oig°
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PLEASE:.NOTE:THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT:ISA PREI IMINARY.ESTIMATE: :THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY:.,
INCREASES IN PATCH AREA,CURB LENGTH jR..AFFIC,CONTROL AND THE TOWNZ CONTRACT COSTS. THE PERMANENT-PAT IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE.TEMPORARYPATCH BUT IT.COULD BE LATER THAN A YEAR.
Check Applicable: Cl. N;o':PavemAllt;.:Curb or Sidewalk-,Cut. ❑ Pavement.Cut Q Curb Cut ..'Sidewalk. ut
Q Ex'isting:Oriveway,:No Changes ❑ Proposed Driveway Widening': .Q Proposed New Driveway
Water SupP Y I:. Q. :Public.l4*% 0 Well Sewage Service: Q Public Sewer O SbPv
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Show sketch of proposed work or furnish Indicate•North : Tltils'sectiori t `be`filled aWt"Iy Totnfrt:, '
two.coobs of separate drawing
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"Est s >
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Est. Pvt.Thickness in.
Est..Patch Unit Price k........... .... J,
Est Patch:.Cost$,: ... ...
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Est:Curb Replacement if
Est:Curb Unlf:i:.:
Est.Curb Cost$ .
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Est.$Idewalk:Replaceiunl sf ;.
Sidewalk Uhrt Price$ !sf
Est--Sldewalk Cost.$
Est.Traffic Hours ...
Est.Traffic Unit Cost$ .- /h'r
a Est.Traffic Control;$.
Arne af:Ueposlt$
DRIVEWAYS...nurst be aft ou nore from the propertyline per Total Duel
section2.17.9f the zoning reguiat ions
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O Cash O Check 4
�Applicant,is responsible.for contacting the IPolice Dopt.and.C.B.Y.D
PERMIT_SIiALL 8E KEPT•QNI.J09 11TE AT ALL`1'ttiAEs ; Paid By .. ..
AGREE TO FURNii ISH TO THE TOWN OF SOUTH YVINDSOR PHE AMOUNT OF.BONG RECIUIRED.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;:
7kiAT I AM-FAME . l iW1TH.AND W.tt.L ASIDE BY THE AND REGCILATIONS FOR PERP4ATS AS O.UTLINED:IN THE TOWN OF SOUTH:
WINDSOR S CUT PERMIT MANUAL..:
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