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HomeMy WebLinkAboutStreet Cut Permits 15 Cadbury 1700180 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 08/23/2017 GIS ID: 15900015 \` FEE: 0.00 MUNIS APPLICATION# 20170113 NEXPIRATION DATE: APPLICANY` �` `j 4? LOCATION NAME: EVERSOURCE F ADDRI;S ,: 1 tABURY ADDRESS: 112 PROSPECT HILfk;1ktOAD F t OWNFI s, FII,AN�QWICZ MARK J&CHRISTINE B EAST WINDSOR, >0088 �1AIIBURY �T ��. � buTH WINDSOR,CT 06074 PHONE x4 y 4' WORK DESCRIPTION: REGAS SVTE` �' S 1 F. t x rs APPLICANT AGREES TO FURNISH TH>xTOT OF SOU I:H 13Ii�ID$OR CHI~AM©iNT pF 1TOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANC I1XPI INS'ES INCUI RI;D$Y THE TOWi FOI�..1vIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND T APPI ICA�1T`IS>+ iR WITH WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OFSQTJTH W1IQDSOR':S STREET BUT PERMIT MANUAL. ISSUED BY DA E INSPECTED INSPECTED BY 9/23/2017 3:23 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** v - = A , s 12 •.i ti fl j r Vfi "s- 4 TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.:/ 7 Qo/ CONTRACTOR: Off f: 2 U �------- LOCATION: IS C,4 d Al TYPE OF WORK: j a s DATE INSP NEEDED: DATE INSP: I z ~l INSPECTED BY: L#� WORK IN PROGRESS:_ t.0 z'� n-z u.% 3 w«/1�_eo4 6-­4 SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: S/molloy/forms 2014 Town of South Windsor INPSEC ION REPORT 14 APPLICATION FOR STREET EXCAVATION PERMIT - Ap-1.No. TOWN OF SOUTH WINDS.OR PUBLIC WORKS DEPARTMENT: Permjt No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25..00 Name of Fil'tiI! :- ;; ll .: :Phone.::Na,. . Address o#: 1ltt ;- y iii o i;C de u15 . Location of proposed wor i]t+itic1'tbl�#utiy nature of permit requD�i1 .__ C&� . l .ylC 2, Starting daE. 1 r Call Before You Dig-'No ` &k PLEASE NOTE:THE DEPOSIT FOR.THE PERMANENT PAVEMENT PATCk AND CURB REPLACEMENT 18.A PRELIMINARY ESTIMATE.:.THE APPi_ICANT'IS RESPONSIBLE FOR THE FULL FINAL COST OF:THE PERMANENT PATCW AND CURB:.REPLACEM.eNT,;:I.NCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC.CONTROL AND THE TOWNS CONTRACT COSTS. THE,PERMANENT PATCH:iS TYPICALLY COMPLETED WITHIN.A YEAR OF THE TEMPORARY:PATCH$UT IT COULD:BE LATER THAN A,Y'EAR . .... Check Applicable:: Q No,Pavement,..Curb orSidewa.lk Cut © Pavement Cut Curb:Cut SidewalkCut Q Existing DrivO**Way No'Changes' El Proposed Driveway Widening 0 Proposed New Driveway Water Supply,. :0' Public Water, l] WWII $sewage Sety ce: L?;,Plablic Sewer Septic Show sketch of proposed work or furnish indicate North :seefloil fO be tilted aut barTD+�r ;, two copies.af separate drawing " :. .... No: t; r..r. .5 ize s sf rl t Y1 � !IrL.�-s-� Est;Patch.Size( Est.P.A.Thicknixss in. Est.Patch'Unit.Price Est.Patch Cost$r 1 Est.Curb Hepiacement Est:Curb.Unit Price if# Est.Curb.Cost,$ i Est.Sidewalk Replacement sf ; ,i i, Est,Sloewalk:Unit Puce s lsf Est .Sidewalk Cost::$ Est.;Traffic Hours ;. Est::Traffic:Unit'Cost$ /hr East.Traffic Control$; ;,.... i Amt.of Deposit$.:....,...:.:,,.:.: . � r DRIVEWAYS must„be Sft or more from the property Ilne per; Total Due$ - , section 2.17 WAS zoni re utaitons 'ng. g { )CBis ( ec Applicant is.responsible.for contacting the Police Dept.and C.B;Y.D: PERMtT SHALL OE KEPT ON JOBSITE AT ALL TIMES: ; Paid By ; I AGREETO 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 T..OWN FOR MAINTENANCE.:OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THAT I AM i*l MIF ` ',WITH AND WILL ABIDE:::BY THE;.RULES AND REGULATIONS FOR:PERMITS AS:.OUTLINED IN'THE TOWN OF SOUTH WINDSOR S. :CUT PERMIT MANUAL.. r , a... - ......... `. .. Print Na .( ` $igned,,' r '` m, Street Via;',, ¢IY_Permit=4 ;i, w _ ...:m.. .... .... ......... ...-.-....- ..- _ ..... ..-- _.. .:_. - .I � _ G U i F 4J " -•r 3` ~ C6 < m ly CAD8' - a - , . O.! O f t S bl N Tire mnter7u3 e�lrnYatnsd on EA�tt'}rl7P. ::Title.:k ... .-_.. eht77J be'dcnstderHi propfreEaH{�q 5ve{SS1lfPq'C J=tt�rgy 4,(r�>.,sei�W++tiih'is .. 1. t7ofkeed as eny persoa or enttg wile P'•;regen�tl Chm 9LfPgNYRR0.h: Ynrrnafkn shown is not ua' J gy a Is urchase exchone ff or Jn g fa4 eBd oi>d;a"'g d to Enur .-E: �+�.�.. •RCE otherwise]s0ol keep tt m confidence bssutnes as fespgnsibiliry. ontYay`kofS cre urged to cell and shall not rurrnsh or disclose itversav r,F.R:Energy for Further ljtpfmol[pry of 1-800-989-0300 ENERGY i to any third patty without the prior "-- '--- --' oJeP written permission of Evers Energy,, .pfortrd:Y6-Jul-2037 6i gisewrr