HomeMy WebLinkAboutStreet Cut Permits 203 Bourbon Street 1.700032 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 03/16/2017 x; ;-
GIS ID: 12300203 r FEE: 0.00
MUNIS APPLICATION# 201700233s` r y XPIRATION DATE:
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APPLICANT r"� ' lY
NAME: EVERSOURCE K ` ' S k �z� LOCATION
AI)DRLSS z03 BOURBON STREET
ADDRESS: 112 PROSPECT HII ROAD `j �O�VNFR IMM(NS MANUAL U JR&CLAUDIA R.EAST WINDSOR, CrTI�08 5 k a ;_ y '.
= 1 3 9E 29TH TERR
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WORK DESCRIPTION: EX AV�AT Q�INS$I{ Gil $ER 1 WtI fII`T{ B IIND CURB
LIN�Ax *EA IeFSIDIy,��LI� }� 1 ,>,4 r � �51 �
APPLICANT AGREES TO FURNISH THE OBOU7 �
My REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AII�YPE}\TSE CI3RRDB74aHE TOWN F�S17�,I�IAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND Tfi E APPLICANT I I ANrIT IMAR RiIN ANP'v L ABIDE.BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TO WN11F 5( FH WINDSO ',S STREET CUT PERMIT MANUAL.
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ISSUED BY DATE INSPECTED PECMMY
3/16/2017 3:23 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO:: l 00c)3::) CONTRACTOR;
LOCATIaN: 2 03S- V2
TYPE OF
DATE INSP NEEDED: DATE INSP: ; )1
INSPECTED BY: I
WORK IN
PROGRESS: ;,,,,, g. �% >
SEPTIC TANK PUMPED,6WHED,FILLED WITNESSED ❑YES ❑NO
AS-BUILT:
DATE.
INPUT: f
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S/molloy/forms 2014 Town of South Windsor INPSWWWREPOW 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. `TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 71540:SULLIVAN AVENUE SOUTH WINDSOR, C7 06074 FEE $25.00
„+ +, t ��k : t'y hone No.
Name of 1=I�m;�:., P
Address :: ..:.,
Location of proposed iiiftts'
Describe#ully nature of: rmit request$d_ + TO ? S E ' . sS'ed. {
Starting date.... / '"/7 .. Dig'
r
Call Before You N:e �," .
l?iFliSE SO7 i*I'f{ L7E+QQSiT FOP
FEf3MANA�t'i`PAV.-i+ICf t?A I t t t•► 1�lb CURB F�I"P1,AQ M t f is A 1Mr. !Nl RY I3STl IJif{t E. THE
AP4!Li+aAt i;;#ilrS' NO"L i~t��}TEE.�1�4t PtN#%L CI. QI=�ffE P�f�MAl�t>:i+H F'A�TCti AhJI]CUR�3R�LACCAM1 , utaf aru�
I1 fGF3E K6ES I{ !'R hk;►i ,,CUB;I CNt H, I FFIG SOI�ITf�L_AND,-I TOW S t71�'T.t 1�►DT 0,t3S I�jHt;Z~'I4RMANIrirFC Rtt7 Cl�i iS
TYPICALLY COMPLETED WITHIN A YEAR'OF THE Ti=MPQRQRY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut. .❑ Pavement Cut C.3?Curb Cut OPidewalk Gut
0 Existing Driveways No Changes D Proposed Driveway Widening ❑ Proposed.Neuv Driveway
Water Supply: ❑ Public Water O Well Sewage Service:: ❑ Public Sewer Q Septic
Show sketch of proposed work or furnish Indicate North h1s s"etla .#a: a 'Neil oyt' t��ft[
two copies of separate drawing
No.cuts
Est. Patch.Size(s}.... sf'
Est.Pvt.Thickness in.
Est.Patch Unit Price$ f
Est Patch Cost:$';>.::...:. . ...::.. :.:: i
i Est.Curb Replacement ft.
r .'Est.Curb-Unit Price$ !ft° 1
Est.Curb.Cost;.$;,._. .^
Est,Sidewalk.Replacement sf
Est.Sidewalk Unit Price
Est.Sidewalk Cost;$::..........-:: ...
Est:Traffic.Hours 3ti
Est:Traffic Unit.Cost$ ihr
Est.Traffic Control .
'Annt.;df Deposit$... .... ............. .....
DRIVEWAYS.must.be::3ft or more from the property line per Total Due:.
section 2:17 of:the zoning regulations
( )Cash ( ) Check#;
Applicant is responsible for contacting the Police-Dept and C.B.Y.D
Paid By.
PERMIT SHALL:8E'KEPT ON JOB ITE'AT ALL TIMES; =^ °
I AGREE TO FURNISH TO THE T01i+7NSOUTH WINDSOR THE AMOUNT.OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH
WINDSOR.F.OR ANY EXPENSES INCURRED BY THE TO Nr'FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND
THAT I AM FAMILIAR"WITH'AND WILLMIDE BY THE RULES AND.REGULATIONS FOR:PERMITS AS OUTLINEb IN THE TOWN OF SOUTH,
WINDSOR'S STREET CUT PERMIT:MANUAL.
Si' necll,: � Print Name A; .
' .Date . ;�- '^.��; •
street.Excavation Permit 2014
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The material contained on this map Title:
shall be considered proprietary to
Eversource Energy and user (which is
defined as any person or entity
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who has received the map through R � CE
sale; purchase,.exchange, gift, or lnforrnatiq a tzo +n is not guatart+ 0 6i, EvetSt?t.Qr.t► Energy ,.
IS
of a tltrtes h teSO.oni bility. CM.
tr.4 ats �sre u• e try coil '
h rwise} shall keep it m confidence .
and shall not furnish or disclose itetsQurg� fiergy for further Frtriartnt [on at = Q �-989=0900 ENERGY
to any third patty without the prior -- .
written permission of Eversouce Energy.. Plotted: 10—Mar-2D97 By: gisewrt