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HomeMy WebLinkAboutStreet Cut Permits 166 Bourbon Street 1700041 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY. DATE: 03/22/2017 GIS ID: 12300166 Yl FEE: 0.00 k fd. MUNIS APPLICATION# 201700255 '` EXPIRATION DATE: '' ` ' F : APPLICAN ` rf s w LOCATION NAME: EVERSOURCE f ADDRESS ACs BCSJRBON STREET ADDRESS: 112 PROSPECT HIL4dXz' '6WE RROGTi?R ROBERT.W&JUDITH A EAST WINDSOR,CT Qb`08 $2API�>R CHASE TRAIL x A-v'N (T 06001 a PHONE I� ' WORK DESCRIPTION: GAA SEVCE WORIIT'G BI1NU` iRB LF 7a tMY* APPLICANT AGREES TO FURNISH THW�1 OF S.01fmH E� O z �i;AMQ1 *1TOR B(JND REAt QUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR Al�]Y` XPENSES 1�IQIlIREp$ '1 FbW1F�S1t�IGIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TIC APP.LtICANT IS 5.RZ 1T1�ATt IX p W ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN'b" SO JTH WINDS 'S STREET BUT 1')aRMIT MANUAL. F z � S V , '� ```-• ram' ® �r �` _ �� ISSUED BY DATE INS ECTED INSPECTED BY 3/22/201711:08 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** ------------- 3�t f f 4Y Y m 3sni K2SL„ 'x q 5 �n r l� 1 115 23�j `y r,rl' u IEQ k: � w• A� ., tom"` �,� k,. . ..,� Vie. „r TOWN OF SOUTH WIN©SOR INSPECTION REPORT PERMIT NO:: 17POO `y CONTRACTQR: LOCATION: TYPE OF WORK: 14r. DATE INSP NEEDED: - DATE INSP: .`-a_i t INSPECTED BY: IP1 WORK IN PROGRESS' L} �'�. �4� .s���+�`� �-i':�.� c.� .... oil SEPTIC TANK PUMPED,SMASHED,FILLED WITNESSED ❑YES ❑NO AS-BUILM, INPUT:_ Cy DATE• S/moifoy/roans 2014 Tom of South Windsor INMECtiOITMOW 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 $25 00. 1. ;,'...;W; ., hone Nil. ` , ?< - Name of Fit►1t : .. .. .. :p ....::..... . .........:. Address of Firm -., L t Locatcon of proposed worF� Describe fully nature of permit requested!sy V+- O 9 E� c c Z i� l C f . iAll.K1.1 9 -.'' - Star#ing date - /S! Call Before You ©i NQ -41: °` ,y PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT.PAVEMENT PATCH AND CURB REPLACEMENT IS.A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURS REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC.C.ONTROL ANDTHE TOWN'S CONTRACT COSTS: THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD'BE LATER.THAN A YEAR. Check Applicable: No Pavements Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut O Sidewalk Cut . ❑ Existing Driveway:;No Changes ❑ Proposed Driveway Widening 0 Proposed New Driveway Water Supply; ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish _ Indicate North . Ttliis'+�ction to ire��bj]L two copies of separate drawing N.; o.cuts ;; r Est.Patch Size(s) sf Est.Pvt.Thickness in. Est.Patch Unit Price$ lsf Est.Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price ;` ' -, Est.Curb Cost::$.. Est,Sidewalk Replacement sf: i Est.Sidewalk.Unit:Price$ lsf I Est:Sidewaik Cost$ .. t'I. t Est.Traffic Hours Est.Traffic:Unit Cost$ a Est.Traffic Control: 5 Amt.of Deposit$. ' DRIVEWAYSmust be aft or more from the property line per : .Total Due. section 2.17 of the zoning regulations ' { )Cash (. .j Check#, A PERMIT SHALL BE KEPT ON J.OBSITE.AT ALL TIMES Paid By. - pplicant:`is responsible for contacting the Police Dept.and C.B.Y.D . I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED:AND TO REIMBUIiS1=THE TOWN OF SOUTH WINDSORFOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK W CONNECTION WITH THIS PERMIT AND THAT 1 AM FAMILIAR WITH AND WILL ASIDE BY TH.E.'RULES.AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL F Print;Namo Date: StreetExcavatlon Permit 2014 j W JID &i- 7 y+wsi6�g uoz-,cW N ie rold:.: '�a 3 d en3 1 F vd ad Za1Fpm A°J2l3tJ3 wao Gas�a�� ea?, F µyni�oF,Ffivad3 aameaxn Y��P s �F�w° lo�is-�;. ,� R6 a We +t<Sl:6ia d S�yo�swtNa�na "wxzo '.' ✓y a ., Y Ilesm{a,wAeiq.. .. an3 31�-PeJwn..� ' ;yy. piouffP�F� V6ndnA ws_a R W : a _._......_.. ..._.. FWavwa - a t,O .. ::: .:......... ................. . . ,a, 3-0- T V 1 C 00 CJ-F I t f t kk I 1 _...._..............._ —