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HomeMy WebLinkAboutStreet Cut Permits 145 Edwin Road 1900008 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 03/15/2019 GIS ID:29700145 FEE: 50.00 MUNIS APPLICATION## 201900420XFIRATION DATE: 03/14/2020 :F5 d n APPLICANT. ks k LOCATION NAME: EVERSOURCE €' ADDRESS ,145 EIWIN ROAD ADDRESS: 112 PROSPECT HILL,RDM135 8 t45 EDWIN ROAD LLC f ,,= 11 N(�R 'HRIDGE DR EAST WINDSOR,qT G.C.. 8a PHONE WORK DESCRIPTION: Exl AA IN�C 1 4'x2'CFAC HOLE P AVAT QI BtE IND CURB IN GRASS , (' 3. APPLICANT AGREES TO FURNISH TH ,TO�VN OF SOI]�TH WINDS©RTC Am-OW JIV l�=�QIF FOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AN�''Mh4E$INCURRED.BY�H TOWN FOR'MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE APPLICANT IS FAMILsIARI TH ANDWTT,L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUrw WINDSOR'S STREI3T CUT PERMIT MANUAL. ISSVED BY DATE I"ECTED INSPECTED BY 3115/2019 3:41 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** s az"e.;< i; r fkXy-y 4) 14 ,`ir rt J f . � � i d�'• F k . Yr y� { -ti i V TOWN OF SOUTH WINDSOR 2NSPECODN REPORT PERMIT NO.: CONTRACTOR: LOCATION; . L/ TYPE OF WORK: DATE INSP NEEpED: - - . DAIE INSP: INSPECTED BY: WORK:IN PROGRESS: rat, ��y,r 1 -� "`�1 re 40r,-� SEPTIC TANK PUMPWr'SMASHED, FIla.ED: WITNESSED ❑YES CI NO AS-BUILT:_.. +.:_... INPUT: �.' _ DATE: . 5/m6lioy/6orms 2014 Town of South Windsor•MpSdMdN 9EP6?-T 14 f�!-rL11iM I IWIN r'V11 %J 11AL-L- A L.,nvr-.vr'% 1 1v1- ■ L-1"■■. ■ ,Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $50.00 r Name of Firm Ev'ers©urCe 6ctp Phone No. 2C 3-�-LC? Address of Firm 2 - S W1 n ' S6<_ C1 .Zip Code Location of proposed work Describe full nature of permit requested "x 2 I Starting date + I - � Call Before You Dig No 2-01 q 100 1­7�D _ PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: No Pavement, Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑Sidewalk Cut ❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water []Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch.of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing SNo.cuts Est.Patch Size(s) sf Est.Pvt.Thickness in. Est.Patch Unit Price$ !sf Est.Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price$ /ft Est.Curb Cost$ Est.Sidewalk Replacement sf Est.Sidewalk Unit Price Est.Sidewalk Cost$ Est.Traffic Hours hr Est.Traffic Unit Cost$ 1hr Est.Traffic Control$ DRIVEWAYS must be 3ft or more from the property line per Amt.of Deposit$ section 2.17 of the zoning regulations Total Due$ Applicant is responsible for contacting the Police Dept.and C.B.Y.D PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES { )Cash ( )Check# Paid By 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 AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND GULATIONS ERMITS AS 0 TUNED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT NUAL. \\� .- Date: Signed: - Print Name C_O1 , un Van Engineering/permits/Street Excavation Permit 2017 i ! 145 f .......... I JASON SODA i i i i 1 I Y UI^Q� � t oke�, _M_ #x52- evCQUC 1:2SO I"=20.W .,.y- The material contained on thismap Title:I e. I L1 R-rl if �y / shall be considered proprietary to I La`s 1�% Eversouree Energy and user which is )) �e �+w defined as ony person or enEily /'^� 'l l � � � � who has recewed the map through t r _ `4 a,^ r-.�� sale, p..) he, exchange, gift, or �i �r otherwise)shall keep it in conf Bence ENERGY �1 and shall not furnish or disclose it F to any third party without the prior Information shown is not guaranteed and£vemource Energy assumes no responsibility. written permission of£versource Energy. Contractons are urged to call Eversoume Energy for further information at 1400-969-0900 i 1 1' � 45 I I JASON I+E� SODA II If� VQC, ti - #K52- 14�u�a 41.7' The material contained on this map Title: 4S t---r^f w i n �J rt �� shall d s any P d groor en�t9LLL---"'`--""" `.C.' .es � ��■ ■� .„w Eversource Energy and user which is Lc U {G,,, M. defined as an person or enEiE e who has received the ge through Q0, c 1 j S,)i sale, purchase, exchange,gift, or IVi"r r ' w I�, J `�.�- otherwise) shall keep it in confidence ENERGY a and shall not furnish or disclose it y:d '.. to any third party without the prior Information shown is not guaranteed and Eversource Energy assumes no responsibilittyy written permission of Eversource Energy. Contractors are urged to call Eversource Energy for further information at 7-800-989-0900 Date: 21— e —