HomeMy WebLinkAboutStreet Cut Permits 50 Talbot Lane (2) 1900036 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 05/02/2019
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GIS ID: 88900050 FEE: 50.00
MUNIS APPLICATION# 201900816 $ PIRATION DATE: 05/01/2020
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APPLICAN1 i +w
T , ' ; LOCATION
NAME: EVERSOURCE x Y ADDRESS +5Q TA) $OT LANE
ADDRESS: 112 PROSPECT HILL.I�O�AD ` i . OWNER $URI lR ALTY LLC
4` 3 f E s,'S0AI,BOT LANE
EAST WINDSOR,CT 060$$;.
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PHONE
WORK DESCRIPTION: EXGgVATEO DISCONNECT:EIST1NCy�CxtS SEVIE AND INSTALL NEW
GAS.SLR'VIQE 20 TO RIGHT OF E ISI ]1TG ylr/O��Q0 N492
APPLICANT AGREES TO FURNISH THkO# OF SOiII'H INDS)R'TH AMO 1 i1'OF 1#t7ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR A2qYeEXPENSES IICLTRRI)BY THE TOWhI�F01 MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND T>Ila APpLCANT I5 FA1vIII SIR V1?X Y I T AND WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN bF M&H W 68AY'8 8tiffbT CUT R IT MANUAL. (`\\
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ISSUED BY DATE''TIVSpETED INSPECTED B
5/2/2019 2:22 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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PERMIT NO.: .'. :.
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TYPE OF WORK: S . ✓�
DAA INSP NEEDEb-'
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INPUT:
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5/mcltayl� s 2014Taws of South Windsorm1P5E�lOiV REPOI?t7
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 $50.00
R f-r} Phone No. aga—Aa
of Firm
Address of Firm lig Zip Code 00
Location of proposed work
Describe fully nature fof permit requested wdz 4n MscznK I
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Starting date Call Before Yo pig No
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT-,INCLUDING ANY
INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening L7 Proposed New Driveway
Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
0 No.cuts
Est. Patch Size(s) sf
Est. Pvt.Thickness in.
Est.Patch Unit Price$ /sf
Est. Patch Cost$
Est.Curb Replacement ft
Est. Curb Unit Price$ /ft
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price$ !sf
Est.Sidewalk Cost$
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Est.Traffic Hours hr
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
Amt.of Deposit$
DRIVEWAYS mast be 3ft or more from the property line per Total Due$
section 2.17 of the zoning regulations
OCash OCheck#
Applicant is responsible for contacting the Police Dept. and C.B.Y.D
PERMIT SHALL BE KEPT ON JOSS ITE AT ALL TIMES Paid By
t 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'S ST T PERMIT MANUAL,
Signed; Print Name t�6 ► Date: v�
Engineering/p rmi /Str t Excavation Permit 2017
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TALBOT LANE
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t3R SHALL rRIFY PROPERTY
IOR TO CONSTRUCTION
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RE GRADE AS REQ'd.T£7 DRAIN ,.. ECEIVER RAILENGS,
AWAY FROM COOLING MODULE
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