HomeMy WebLinkAboutStreet Cut Permits 185 Bourbon Street 1700030 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
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DATE: 03/16/2017
GIS ID: 12300185 T
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MUNIS APPLICATION# 201700230 44EXPIRATION DATE:
APPLICANT ' LOCATION
NAME: EVERSOURCE �Y h t ADDRESS {1$ScB( ,URBON STREET
ADDRESS: 112 PROSPECT HILL R4T ' 10WNERLLEYVE KEITH A&FRANCES M
EAST WINDSOR,C.o'0608$ ~ Y; " ,V 5 OrCJRBON STREET
kc SQUTHWINDSOR,CT 06074
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WORK DESCRIPTION: EX AM I %Q II�TSE 'G S EV�IGT WQ$ N 'FIWM ACROSS THE
STREII d RLGIT SIDE E�Ir IQUIu s ,�
65 Y x �� ! .
APPLICANT AGREES TO FURNISH THETOV1 I;?LFOmH WI1D� 1H> AMU3iT4QI PND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AI ' £PE�]Sg"S I1_ UI REFS$ STI E1TQW�*TzF(�Rj AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TIC tJPP It ANT IS I+AI ILI It r� ID GILL ABIDE-BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TO WNW,9MTH MI1+IDSO 'S STRERT CUT PJ IT MANUAL.
ISSUED B C�j INSPECTED BY
3/16/20171I:3I AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SO=WINDSOR INSPECHON REPORT
PERMIT NO:: CONTRACTOR:
LOCATIOIN: i OS- 0 1 '
TYPE OF WORK: t v i <,
DATE INSP NEEDED: DATE INSP: l/2--
INSPECTED BY: �
WORK IN
PROGRESS; t°.,a f-s a°'��Ys�:1 ,�,.� .:l(e- •) 1�`:%yam s.t
SEPTIC TANK.PUMPED;SMASHgD,FILLED WITNESSED ❑YES ❑NO
AS-BUILT•
INPUT: DATE•
Wmalloy/rorras 2014 Tma of Saufh Windwr INPSECROWlWPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appi. Noy TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00
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Name o Ph'
Address of Fitrll �"L � � =F tc� fs IpCoi�; -
Location of proposed wont:
Describe fully nature of permit 1c{ tted:; �° > `E �' }. " 3 ----�' E0' !�'
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Starting datq
%�t/ 77 _ �Call Before You Dig N '
_:...:.......... ._. .-. .... ;.:.. -Ll ilJfS[SCIES"l'Ifiu3l�'�3`-THE
p1 'r NOS,TI�t:1�CP 4lt l' T f> MANEid i f�?I IEMENT#11�l 01 f ANi3; Uti6 P1Ik )111 1�f f IS A ARC- M„
Ai'. A U�l6,'FiESi 3t! lBl,>~f 7I�"I H Ft Lt. tNAiL t'r�3 51 Oh THE:PI Rt+AA141 C')<I'A"CtvH At tr't11 5 t Pt'ALf" Sl�l`.II�ECLi1C�I Q AAfY'
tt�1,iISAS ;.1 f'a`l OSAA� UR E i l , fAt= it]G+tt ROL I�N43 CIi TQV1f N'$Ga�17�1�t cDS'i5, T.HS ff#�tiAi�! pA'tCH;is
TYPICALLY COMPLETED Wt 1 HlN A.YEAR 01=THE TEMPORARYPATGH IiUT 3T COULD 8E LATER THAN A YEAR.'
Check Applicable: Pavement,Curb or Sidewalk Cut ❑ Pavement Cut [I Curb Cut ❑ Sidewalk Out
❑ Existing Driveway,No Changes ❑ Proposed Driveway Widening Q proposed New Driveway
Water Supply: IO Public Water 0 Well: Sewage Service: ❑ Public Sewer ❑ Septic
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Show sketch of proposed work or furnish Indicate North "1`Ifftt sebttolt Abe. - out t3V�bVttrl
two copies of separate drawing
::. ... 'No.cuts-:":.::;::,;;.':_---.-......::. :.:.
} Est. Patch Size(s) at:
Est.Pvt.Thickness in:
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Est.Patch Unit Price$ 1st "
Est.Patch Cost ;.......
Est.Curb Replacement:^ ...:..... .. 31
Est.Curb Unit Price$ /it
Est.Curb Cost$.. ..::..:
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price$ /sf=
I Est.Sidewalk Cost
j. Est.Traffic Hours tit
Est.Traffic Unit Cost$ Jhr I:
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Est.Traffic Control . -.
Amt of Deposit�." .::Ir
.....
DRIVEWAYS must be aft or more from the property line per Total Due
section 2.17 of the zoning regulations a
( )Cash (`)Check#,.. _•,.:,.r ,; :.,r
Applicant.:is responsible for contacting the Police Dept.and C.B.Y.D
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES 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 REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR'SgSTREET CUT
�PER NIIT MANUAL.
a 1! E}ed .r -- u a r �' Print NaffiO OVA" I Date:
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streftExcavation PeraUt.2014
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The material contained on this map Title;
shall be considered proprietary to
Eversource Energy and user (which is _
defined ci
s an person or entity _::,.-::_:.::-r=::................... ................-_.......:........:.....:..............:___:::::_.:_::._:.:.......:....
who has received the map through :• r C��:7:',.i
In bfMOT'iO .slzowh.is not tt rite :�i d EveKscru,rGi Ener
;sale, purchase; exchonge, gift or 9y � i��
u ( fir.
otherwise) shall keep it in confidence �ssvt es rfO C+ �Onsibdity: Cr�ntrncibrs ;tire u: esi to=call
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and shall not furnish or disclose it Eversau ce ietg�r,for further in€ Ltna c g.at ��$ -989-0.90� ENERGY
to any third art without the riot "'
..-...
written permission of Eversouce Energy::: Plotted: 10—Dior-2017 It 8y gisewrti