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HomeMy WebLinkAboutStreet Cut Permits 36 Summit Drive 1700057 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 04/03/2017 GIS ID: 87800036 k FEE: 0,04 MUNIS APPLICATION# 201700318 EXPIRATION DATE: f ?y y APPLICANTy LOCATION NAME: EVERSOURCE fi ADI�RES 3G,SUMMIT DRIVE ADDRESS: 112 PROSPECT HILI'RO`AD yJ OV4dIVER RUIZ FRANCISCO J&AMBER EAST WINDSOR,CT 06088 M6TMIIT DRIVE S INDSOR,CT 06074 PHONEtA ti sa i 1 3 t, WORK DESCRIPTION: INSALF GAS SIWRVJENO RQAD C.,t7T i � Y Z APPLICANT AGREES TO FURNISH THEt�'OWN© (, TzOF BAND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AN,Y'ERPEI :SES 1NCURIEb B TPTE TQWhTR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE A�PISj ILATT IS I~AMII, ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN'OF SUTTH WINDSQ 'S STRI? T CUT IT MANUAL. zzz •///��" /gyp �//J) ` ISSUED BY DATE INPETED INSPECTED BY 4/3/20171.43PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** r� � ti d ^l Ti 3 w f 4y`` „'-.z� s• �"yx n Y't 0, .AB.,2' t• l: 4 4 S r TOWN OF SOUTH WINDSOR INSPECTIQN REPORT PERMIT NO.: I'70t, ,5� 7 CONTRACTOR: .VeC;0%.)rc e LOCATION: a(. M TYPE OF WORK: e , DATE INSP NEEDED: DATE INSP: INSPECTED BYo._ WORK 19 PROGRESS` SEPTIC TANK-PUMPED;SMASH%FILLED WITNESSED ❑YES ❑NO AS-BUILT: --- . INPUT+ - DATE: 8/molioy/4orms 2014 Town of south Windsor INPswwff REPORT 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 $25 0.0: Name afi(~IfI `�f"�53tJ Phone Na., A r dd ess f :,, :. : ... .: :: Location of ro o '.:.._ VktCt +r'�'1 p p ;.: sed .r,. . . : _. . .. Describe fully nature of perm requ�stad. :• . «, . Starting- Call Before You Dig No 13C '7 R^a' PLEASE NOTE. THE.DEPOSIT FOR:THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE, THE APPLICANTIS RESPONSIBLE FOR THE FULL FINAL COST OF THE.PERMANENT PATCH AND CURB.REPLACEMENT,INCLUDING ANY IN.CAEASES IN PATCH AREA,CURB LENGTH;TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH:IS TYPICALLY COMPLETED WITHIN:A YEAR,OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable' lo.Pavement;,Curb:or Sidewalk Cut ❑ Pavement Cuti ❑ Curb Cut` ❑ Sidewalk Out ❑ Existing Driveway;No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service. 0. Public sewer Septic Show sketch of proposed work or furnish Indicate North Th°Ts'slliolEt�it yTawtt. two copies of separate drawing 3 No.cuts _ - Est. Patch Si zee;)...: Est.Pvt.Thickness in.: i Est. Patch Unit Price,` of Et Patch s,4Costa;$a C Est,Curb Replacement ft. - `� Est.Curb Unit Priowt— `r .. _ �- st urb C Est:Sidewalk Replacement I sf Est:Sidewalk Unit Price$ /sf Est.Sidewalk Cost$::_. .:::: _. :. . t, s Traffic. ;ours , Est.Traffic Unit Cost$ !hr i Est.Traffic Control i Amt.of 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. Y.D ' PERMIT SHALL BE KEPT ON JOBSITE AT ALL:TIMES Paid By. ... 1 AGREE TO FURNISH TO THE.TOWN OF SOUTH WINDSOR.THE AMOUNT OF BOND REQUIRED AND TO REIMBURSETHE TOWN OF'SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN:CONNECTION WITH THIS'PPERMIT AND THAT! AM if111jFI;WITW AND WILL ABIDE:BY THE RULES:AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WIIVDStSR' , l<7 CUT P RM AItJAL Signed Print Name: �� - .. t..u. ....... Date:.,' _J...— Street Excavation Permit 2014