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HomeMy WebLinkAboutStreet Cut Permits 171 Bourbon Street 1700043 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 03/22/2017 GIS ID: 12300171 x 4 FEE: 0.00 MUNIS APPLICATION# 201700257 >'' ; h« 4,, EXPIRATION DATE: s�V 0_3 + R }r id APPLICANTk Er!"'' �'=Y LOCATION , NAME: EVERSOURCE AV ,4DDRE5S I71 BO ON STREET ADDRESS: 112 PROSPECT HILla Ri AD INC EAST WINDSOR, 3247 ., WATER$URY,CT 06705 PHONE '4 !� WORK DESCRIPTION: GAS SE1kV'(5E$ 7( �NCr ROM'#174 D x EW�Y O yiHT SIDE OF HOU " THE DRAIN LAYER ASSIGNED TO THIS 'EITJItS A VAYrT�IVz riS �SSi[E*It11�THISTATE AND HEREBY AGREES TO ALL THE TERMS AND CONDITIONS SET FORTH.IN IHE TxAL ?` O1 L�IU S� I,WORK SHALL BE IN ACCORDANCE WITH THE TOWN OF SOUTH WINDSOR STANDApS;A L OSHAREtUMEI�TS 4P T3E ATTACHED CONDITIONS. ISSUED BY DATE PECTED INSPECTED BY 3/22/2017 11:25 AM ----------------- F k yr im t ht � `F h 43, ..b.y.s �i' .�%<. TOWN OF SOuTH WINQSOR INSPECTIQN REPORT PERMTI' CONTRACTOR: LOCATION: -7 Z o L4• 60 TYPE OF WORK: DATE INSP NEEDED: DATE INSP: ', 1 INSPECTED BY. WORK IN PROGRESS' SEPTIC UNK.PUMPED;SMASHED,FILLED WITNESSED ❑YES ❑NO AS-BUILT: INPUT. RATE S/molloYllbrms 2514Town of Scum WindsorlNPSECRON" FORT14 APPLICATION FOR STREET EXCAVATION PERMIT Appl No.;: TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR CT 0607.4 FEE $25.00 Name of Ftrttt, � EtX Phone-Noy- rb ~• �» ' ~" 5 Address of Firm .�. : .�, Location of proposed wcffk ( 1 A spy 'r( Describe fully nature of p.p.atfi(t I'e !o .0_ _ Call'Before You Dig..N.t ` Starting data,,., ' . . . �, Pt Sr,f►1t7 ; :fit•C-N f'P1�tVE$tfEfi1TP�4TC!1 fi,I�1C�GUft It.ia( MEt+fT 1$t�('>$ i fW{f ► I;ESEIIJTE.;THE /�F'pCls;Af'�t1 i 1�ESFQt+fII E >4'fk}f,:RtL1»' ih1.Cd 'f'QF"I fiE;PS�## tEfv f t'#�XG# fi1R8 tPt,AOfViEN I,INSt tlbittit{s AIY' i1�1+ i1*ASF {K!!?ATCN{SRF�4,Cst71B k:E1<1G'T(1.' 1`hft�r�at1L10 71f=•�tfi3Wfl' tS1�ltiAGl `+i 'C"r THi?1�ERIutPiNN AA'I7:1 t tS TYPICALLY COINPLPTI~i)WITHIN A YEAft OF;]HE TEIufPORARY PATCH BUT 1T COULD.BE LATER THAN A YEAR. Check.Applicable: 0-No Pavement;.Curb or Sidewalk.Cut: Pavement.Cut ❑ Curb Cut. ❑ Sidewalk Cut ❑ :EAsting Driveway,No Changes ❑ Pr.Qposod.:Driveway Widening ':❑ Proposed New Driveway.. Water Supply;; ❑. Public lNater © Well Sewage Service ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North +tfi sceinn'€e ttyp let#otttw'Cowrt two copies of separate drawing No.cuts Est. PatcKSize(s) sf' ' -•1' _:is .. a Est:PVL Thickness in: Est.Patch Unit Price$ /sf Est ,Patch Cost Est'Curb Replacement— Est. 1 s Curb Unit Price.; ....... -.. t Est. Curb Cost„$. .:.:: .. .�, .:Est.Sidewalk Replacement._;_sf. 'Est.Sidewalk:UnitPrice t Est:Sidewalk Cost :.. Est:Traffic Hours :Est:Traffic Unit Cost$: !hr Est.Traffic`Controll Amt.of Deposit - : DRIVEWAYS must be Sft or more from the property tine per Total.Due$- Section 2:17 of the zoning fedulations ( )Cash. ( }Check# Appllcartt is r11 esponsible for contacting the Police Dept and C..B.Y..D • PERMIT SHALL BE KEPT ONACIRSITE AT ALL TIMES. Paid By I AGREE TO FURIyI-SH.TO THE TOWN'OF SOUTH'WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE.THE TOW{.. SOUTH WINDSOR FOR ANY EXPENSES INCURRFi)BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN.CONNECTION WITH.THIS PERMIT AND THAT 1 AM FAMILIAR WITH AND WILL :ABIDE BY THE RULES:AND44.EGULATIONS FOR.PERMITS AS::OUTLINED:IN THETOWN OF,SOUTH.; WINDSOR's STREET CUT PERMIT MANUAL: : . , • �F P nt 4Yattte :.�. duo -�. I� Street:Excav Ion Permit 2014 - UD a 3Z3 ..... is LJ08f108 4 cx� Z: I ...._.- _.�.......-_ -. � L rW: P. p `.. 7Ae'inaiicl eontolnea on mis mop Title: p preiay Eh IrtoEndergyIld user(wh1cF is ;der ad os c y pe • y n has d th ev ihraw h .nfip+q:o,:jtllt SNotin is not gucrq iapd ar+d_vefs4dxe E�xrgy- to p rcnre a chan9p.9't;a ,dos .w ros Ail't Lo udon ��dd i6%il ����p h ) hCUk p l ncoefravneo Eveesourea�neee�ry�for fielFer:ntgimnipir et 148',76�g9B—U9t10 ENR(� Cntl shell not lumish ar arECbSe a � ... to nny Niril pnrty wit+ou:itie prior R..ponncEi of Eversouoe Energy- .-._;. pier o-to ia.-alSi7 er se<wrt .. -