HomeMy WebLinkAboutStreet Cut Permits 20 Cadbury (2) 1.700178 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 08/23/2017
GIS ID: 15900020 FEE: 0.00
MUNIS APPLICATION# 201701130 EXPIRATION DATE:
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APPLICANT' ti LOCATION
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NAME: EVERSOURCE *f E _ ADDRESS 20 CADBURY
ADDRESS: 112 PROSPECT HIL'ROMQWIE EBDEO MICHAEL R&ROBERTA J
EAST WINDSOR,CTtU6iI88 r 40 CAI7�$URY
; SOUTH WINDSOR,CT 06074
PHONE y M
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GAS
WORK DESCRIPTION: SER REPAIR• ''
APPLICANT AGREES TO FURNISH THE TpVN Q1+SOUTIWIIDSQR�H) AM.OUIT�OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR Al' INCUR D BY THE 1 OWhI FOIv'1VIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND T1 APP-11i ANT I5 PA1l4IT XAR 1 ITH[1ND3 1'LL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWUTI3 WIN
N YQF S0 I)Slolk.tS aTREFzI BUT PERMIT MANUAL.
ISSUED BY DA"S`PECTED INSPECTED BY
8/23/20 1 7 3:18PM ** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR: v
LOCATION: o eaei, Lu `q
TYPE OF WORK: !%a`< Se,v ce p&,'i r
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: 6i)
WORK IN
PROGRESS: LOcyll— klc L .,
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SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES [] NO
AS-BUILT: '
INPUT: DATE:
S/molloy/forms 2014 Town of South Windsor INPSECTION REPORT 14
_ APPLICATION FORSTREET EXCAVATION PERMIT i.._:
Appl No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No:
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00
Name.of Firm ...... .k.
.. :.�" ` Phone No
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Address of;Firl11 r, , Ip=Code , ;,
Location of proposed work
Describe fVliy.natur"of permit requestdd.
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Starting c a#e :Gail Before You!,:g l i c` l ig
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT'PATCH AND CURB REPLACEMENT IS A:PRELIMINARY ESTIMATE. THE
APPLICANT iS`RESPON80LE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS: THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF.THE TEMPORARY PATCH BUT IT.COULD BE:LATER THAN A YEAR.
Check Applicable: ❑: No Pavemen :Curb or Sidewalk Cut 'CI Pavement Out 0. Curb.Cut ❑ Sidewalk Cut
r . New Driveway...Existing:Di..... No,Chage ❑ ropose& rwide ProposedW
water:Supply:.: Q Public Water U Well Sewage.Service:.. ❑' Public Sewer ❑ Septic
_...r. . . __.. . ._ .
Show sketch of proposed work orfurnish
p p Indicate Tau
forth s ifon i to b fiiled'aiut b"y m
1 two copies.of separate:drawing —
:
- Nd.cuts
I' ti.ij
. Y Est
Batch Size. _ c
��4Ct�1 � ,��, • Y,e.�: Est.Pvt.Thickness. In;
Est.Patch Unit Price
Est.Patch Cost ,:.::.
Est.Curb Replacement:
Est.Curb Unit.Pr€ce$' :rrf.Y
Est.;,Curb Cost-;
Y.Est:.::Sldewalk,Replacemen; sf.
r. I:Est Sidewa€kUnit PCce$`'
Est.Sidewalk Cost;$:: ..::::::........T
Est.Traffic Hours hr
Est.Traffic Unit Cost$:.....:...:::... ......:........
4 Est.Traffic Conlrol t
l Amt.of:Depo:sit$ 4
DRIVEWAYS must>be 3ft or more from the property line per Tottif Due;
...
seotlon 2.17 of the.zoning regulations
Cash Check
Appl oaf! is responsible..far;.con#act€r g tf e.Police.Dept,-and.C.B.Y.D
LL.BE KEPTNJOESATIESPERMiTSH/ QtA Paid By .
I AGREE.TO.FURNISH TO..THE;TOWN OF:SOUTH WINDSOR:fHE AMOUNT OF BONO;REQUIRED AND'TO REIMBURSE THE TOWN:OF SOUTH.
WINDSOR'FOR ANY::EXPENSES INGURRED BY THE TOWN FOR MAINTENANCE O[�REPAIR WORKIN.CONNECTION WITH THIS PERMIT ANO;
THAT I AM 'Ft.WITH AND WILL ABIDE;BY THE`RULES AND RE:GULA7nONS.FOR PERMITS AS OUTLINED.W THE:TOWN OF SOUCM
WINDS_R$ CUT PERMIT MANUAL M1 ;
tiPrmtN>�i'�;. i. ,� r .:' � � Date-
Pe rona 2014'
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wYpa fi(a uYSRaVy?1 fUF rttal3�bt,or • �atv[tAioffir$$fa wn re not guetq and Eversourae 8ner9Y a � ' €¢ple,purchase,azclibnge giff,or t.
C otherwfne)shall keep It rn confiCence �e rrm4m ng Y."pansymny um Pa irk vre urged.to call -
1 antl sAdll no furrkish or disc age,it vefs4uStR$porgy for further£r{iprni¢"('p,at 7 800-989-0900 _ _
to any thirtl parrywithout the pear _ .
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wrltfen perrnlspiOn of Eva,souee Energy - _plattedc 2E-J€il 2a77 aY••9 xrrA ;!