HomeMy WebLinkAboutStreet Cut Permits 52 Dart Hill Road 1700143 - TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
...................
DATE: 07/03/2017
GIS ID:25800052 '
t FEE: 0.00
MUNIS APPLICATION# 201700820 40 i
EXPIRATION DATE:
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APPLICAII w S' F rt �s t LOCATION
NAME: EVERSOURCE z h ADDRESS `5!-"DAkT HILL ROAD
ADDRESS: 112 PROSPECT HILL ROAD OWNER BROOIES TYLER A&
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EAST WINDSOR GPI Ufi0&8
�x R" DART HILL ROAD
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s� " ' OUTIIhWINDSOR,CT 06074
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WORK DESCRIPTION: GAS
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APPLICANT AGREES TO FURNISH TH TO i O aOUTi ;S DS #t THb Ar40[tNT Q BbND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FORINCURRI♦p Y TOTE r WIxI FORMAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE AP'tLI�ANT.IS FAIkT T.MR V�.lT11 Al�1D yTL L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF ()CITH k IND5 'S STREEST BUT PE`AMIT MANUAL.
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ISSUED BY DA' E- '=SPECTED CTED BY
7/3/2017 11:24 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 00 04 3 CONTRACTOR:
LOCATION:
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: i/A i8-
INSPECTED BY: b
WORK IN
PROGRESS: ��rS �9,-
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT:__� DATE:
S/molloy/forms 2014 Town of South Windsor INPSEMON REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT.
+Appt:No. TOWN OP SOUTH WINDSOR PUBLIC WORKS DEPARTMENT ermit No.
TOWN HALL 1:540 SULUVAN AVENUE. SOUTH WIND.SOR, CT 06074 FEE $25.00
Name of..F r t �: t;. ;�n
eft& Phone'No "f p�
Address of.M ffi r,a' f .fig.Coded
Location.of proposed+;+rrl r r . _. .
Describe fully nature of permit rqu+ei tC.0 r '!
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Starting date Call Before You DIg No „ - „
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND C.URB.REPLACEMENT IS A PRELIMINARY ESTIMATE,,'THE
APPLICANT.IS RESPONSIBLE FOR THE FULL FINAL COST Op.THI;PERMANENT F+ATCH AND CURB fiEPLACEMENT;INCLUDING ANY.
INCREASES IN.PATCH AREA,CURB LENGTH;TRAFFIC,CONTROL AND THE TOWN'S CONTRACT COSTS THE,PERMANENT'PATCHIS
TYPICALLY:'
.COMPLETED. fTHIN AYEAR O.F:THE TEIySPORARYPATCH.BUT IT:COULD BE UITER,THAN AYEA R.
Check ApplIcable: C) No Pavement,:0Urft:or Sidewalk Cut .d? Pavement Cut El Carlo Cut El Sidewalk Cut
13 Existing Driveway,No Changes ❑ :Proposed Driveway Widening, I],Proposed New Driveway
Water Supply:; Q public Water ❑ W.ell Sewage Ser vice: ❑ Public Sewer ❑ Septic
Show sketch of proposed work.orfurnlsh Indicate North Tttij= long 'i flfletl=wett`ti '1=b '
two co ies of seer draw'
ng
�. `. No.cuts
Est:Patch Size(s) sf
Est,PA.Thickness in..
Qy� u , Est:Patchi Unit:Pried:$ !af
ESt.Patch cost:$...::..
Est.Curb Replacement: ft.
Est.Curb Unit Prioey; ......... -
G&V
Est::Cte .Co�C$ .. _.....:._
yl,S Est'Sidewalk0teplacement sf
![Est,Sidewalk:Unit Price
+ Est.Sidewalk Cost$ _
Est.Traffic Hours hr
Est.TraffleUnitCost.$ /fir
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Est;Traffic.Control$ :
Amt of:iDepostf$ ......... _ ....... y
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..
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES' Ps1id:$y
..... ....
I AGREE TO FURNISH TO THE,TOWN OF:SOUTH WINDSOR THE AMOUNT QF BCND REQUIRED AND TO REIMBURSE THE TOWN OF SQUTH.
WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE:OR REPAfR WORK IN CONNECTION WITH THIS:PERMIT AND
THAT I AM FgMI".`.;R WITH AND WILL ASIDE'BY THE'RULES;AND REGULATIJ" FQR.PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR$ :CUT PERMIT MANUAL.,
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