HomeMy WebLinkAboutStreet Cut Permits 40 Beldon Road 1700181 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 08/28/2017
GIS ID: 09300040 FEE: 0.00
MUNIS APPLICATION# 201701143 IrrXPIRATION DATE:
S
APPLICANT t LOCATION
NAME: EVERSOURCE ADDRE S 40 BEDDON ROAD
ADDRESS: 112 PROSPECT III tZ+l ll V OWNER a DAVIE ROBERT N&DENISE
EAST WINDSOR, $ 013LIDON ROAD
2 SOUTH WINDSOR,CT 06074
PHONE
WORK DESCRIPTION: bXtru
iSTAI:T.GAS SERVICE WORT STREET TO LEFT SIDE OF
HOI�S1 ' O}£NL ATIONY WILL. T� MPT"�'d Mfl�;E°25 T OF ROAD
'4 i 4 i 1 ....
APPLICANT AGREES TO FURNISH THETOVi N OFOUTI 41V"INI? jQR THE AMOTINT�( BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR Alld4'.EXPEI�SES INCURRTD$�'PPIE TOWIIPORVIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND ik A II LCANT IS PAIu1 fAR y+!T�I Al ID WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWNYF SOJTH WINDSOR S STREET CUTE1tMIT MANUAL.
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ISSUED BY DATE lNSPWIED INSPECTED BY
8/28/2017 8:44 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: /7 j2121 �� CONTRACTOR: f
LOCATION: 6ela®n
TYPE OF WORK:_.:'!P''. ► l cr_.5- - 9'L� u L
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: (3
WORK IN (�
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑YES ❑ NO
AS-BUILT:
INPUT: f - DATE:
S/mdlloy/forms 2014 Town of South Windsor INPSEMON REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT .
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT PealtoNo
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 M04
FEE� �
Name affarr>rt —,
,..Phone Na.. .. q01...
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Address of FrFtxl ;Q,.. ...........
M Cod_ e
Location of proposed 7 . .
# be fuI :nature 'pe It reu ci
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Startin date o�.i No 1 _
gailf B+�fo : Yo t
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB.REPLACEMENT iS A PRELIMI NARY ESTIMATE, THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
` INQk ASES,IN PATCH AREA,CURB LENGTH,.TRAFFIC CONTROL AND THE TOWNS CONTRACT COSTS. THE-PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE.TEMPORARY PATCH BUT iT COULD BE EATER THAN.A YEAR.
Check Applicable: ❑No Pavement,Curb or Sidewalk Cut: CI Pavement Cut 0 Curb Cut ❑ Sidewaik Cut
❑ Existing Driveway;No Changes ❑ Proposed Driveway Wdenrng ❑Proposed New Driveway
Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public Sewer r 13 Septic
Show sketch of ro ed work or famish `
i propose Indicate.North Titie st}aflan t0:befilled",outb—t1koo,
two copies of separate drawing
No.cuts ..
Est.Patch Sizes) sf
Est;Pvt.Thickness in.
Est:Patch Unit Price$ !sf
Est. Patch Cost;$....... -•
L
f
Est.Curb Replacement, ft
J. Est. Curb Unit Price
Est.Curb Cost,:$. ...... . ....:.... ....
Est.Sidewalk Replacement . _ sf
Est.Sidewalk Unit Price
Est.5ldewalk Cost►.
Est,Traffic Hours � hr
Est.Traffic UnIt Cost$ /hr
Est.'Freffic Control ..........
Amt.of Deposit$::•,..-
DRIVEWAYS must be 3ft or more from the property line per Total Due.$
section 2.17 of the;zoning regulations:
O Cash O Check#
1kpplicant is responsible for contacting the Police.Dept:and C.B.Y.D
PERMIT SMALL BE KEPT ON JOBSITE AT ALL TIMES Paid By
I AGREE TQ FURNISE{TO TFII;'it7}itfii114(J. # l 17C1t4gPiC�SOt 't ,Anti,vUi+kT 9�;BCI�1�.C•WO AND To REIMBURSE .;. ;.: . f $._ `
WINDSOR.FOR ANY EXPENSES INC.I:iRRED 8Y THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION W�iH THIS,OtOMIT ADD
THAT I AM.FAMILIAR,WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINL?SOR'S..::, IT.MANUAL.
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ihs rr alena!combined on this maop
9Aall$o rpnstd9rkyt iprQprfetQry�`
Evsrgoylce Enm9k rJnd us&r tivih&L
((p fib$rBLetved ire Mtip tftroygh Intorrnollon shown is not cuaronleed and Eversouree Errergy ?
sole,pumhose,exchange,gift.dr oasume3 no respans�bdity. Cat�irtrGtgrs are urged to Ball '
.the
shall keep it in eenfEitenae Eversource Energy for furtiei Sit Qf17?A{tion at 1=800-999-090D ENERGY
.:sand shell nat furnish.or dfeclose n .:. �N
to any third party without tree pnor -
PI.-ted:zs-Au9-zo]7 .ari 9sowrS _ ....... `
'written permission of Eversduse Energy,. ... ,,,
Molloy, Catherine
From: callcenter@cbyd.com
Sent: Saturday,August 26, 2017 10:00 AM
To: CBYD
Subject: Locate Request- 20173500043
Attachments: 20173500043.PDF
(CALL BEFORE YOU DIG -CT) 08/26/2017 09:59:00
-5G -C1 -F5 -GV
1-SW SWINDS -W3
- --------------------------------------------------------------------------
*** REMOTE BATCH ENTRY ***
***** ROUTINE *****
TIME..09:59 DATE..08/26/2017
REQUEST NO...20173500043
LATITUDE..41.823553 LONG ITUDE..-72.588391
TOWN......SOUTH WINDSOR
ADDRESS...40
STREET....BELDON ROAD
NEAREST
CROSS STREET..HILTON DR
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TYPE OF WORK.....GAS SVC INSTALL MACHINE EXC
AREA IS MARKED...YES
REMARKS:
EXCAVATE TO INSTALL GAS SERVICE FROM STREET TO LEFT SIDE OF HOUSE
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START DATE......08/31/2017 START TIME..08:00
CALLER..........MS HILLARY BROWN
CALL BACK.......
PHONE#.........860-292-2247
FAX#...........
ALT. PHONE#....203-213-9611
EMAIL ADDRESS...HILLARY.BROWN@EVERSOURCE.COM
CONTRACTOR......EV E RSO U RC E
ADDRESS.........112 PROSPECT HILL RD
CITY............EAST WINDSOR
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