HomeMy WebLinkAboutStreet Cut Permits 58 Windshire Drive 1700141 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 06/29/2017
GIS ID: 95100058 FEE: 0.00
MUNIS APPLICATION# 201700818
`' EXPIRATION DATE:
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APPLICANT LOCATION
NAME: EVERSOURCEALIf fi s ADDRESS 58%'1�VII�DSHIRE DRIVE
ADDRESS: 112 PROSPECT HILL AD OWNETt DOROBA
I� NTU VICTOR&DOROBANTZU
EAST WINDSOR,050 $ 58 WIND SHIRE DRIVE
So�11t1 Windsor, CT 06074
PHONE
{3$ $
WORK DESCRIPTION: EX ?�VATE T� .INSERT GAS.SERVICE WpIfINCr F1OM ACROSS THE
STREE`I}TQ�,E ' SIDE:OF MOUSE W-Z $EI r a
APPLICANT AGREES TO FURNISH THLVOWN OF SOUTH`WINDS012 TH$_AI1�01VT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR A *.1;�XPEIaSES IPCI A BY'THE T'OWIItFOMAINTENANCE OR REPAIR WORK IN
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CONNECTION WITH THIS PERMIT AND TM�1�PLICANT TS FAMILIAR WITH�AI�D WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN bF SOTITHINDSOR S STR1wET BUT ' 1tMIT MANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
6/29/2017 8:39 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR: �'4�So
LOCATION: �`� �t3 I rrp�/�.�r Pe 1
TYPE OF WORK: 6ef V)f: e
DATE INSP NEEDED: DATE INSP: `Flat
INSPECTED BY:
WORK IN
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PROGRESS:..- ��>�� -� �s ��'..,.,.�f�.__..
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SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT:- DATE:
S/molloy/forms 2014 Town of South Windsor INPSECTION 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 $25.00
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Name of;I§ Phone No.,19 7�7.
........... .............
Address of Firm.:.....1 -b;`11
................
...................... .................. . .........
Location of proposed�Whb-*,
.......................... . ........... . ........................ .............
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Describe.fully nature of permit i
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Starting.clatp.... L2E-r .y ZfA:............. ----,,Call Before You Dig. .... ......1-...................................
.PLEASE NOTE THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND.CURB REPLACEMENT IS A PRELIMINARY ESTIMATE..THE
APPLICANT 1$RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT INCLUDING ANY
INCREASES IN PATCH AREA,,CURB LENGTH;TRAFFIC CONTROL AND TH CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR-OFTHE TEMPORARY PATCH BUTJT COULD BE LATER'THAN A YEAR.
:.Check Applicablof. `�-�No Pavement, curb or'Sidewalk Cut .0 Pavement Cut [I Curb,Cut 11 Sidewalk Cut
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D Existing Driveway,No Changes El Proposed Driveway Widening 0 Proposed New Driveway
Water Supply: El Public Water [I Well Sewage Service: C1 Public Sewer 01 Septic
. . ...................... ........... ..... ................ ...I.
........ ......... ..... --- ..............................
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Show sketch of proposed work:or furnish
lndldate.North
j two copies of separate drawing
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Est. PAtdh.8ize,( -,....-,.
..........
Est.Pvti Thickness in:
Est.Patch Unit.:PrIce$ /sf
got.Patch Cost
Est.Curb Replacement ft
Est.Curb Unit Price /ft
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit?rical. /sf
Est.Sidewalk Coot:
Est.Traffic Hours .................... r
Est.Traffic Unit Cost$ Ihr
Est.Traffic.Control$
Amt of Deposit S.DRIVEWAYS must be 3ft or more from the property line per l 'total Due
section 2.17 of the zoning regulations
Cash )Check# ,
Applicant is responsible for contacting.the:Police Depti and C3.Y-D
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Paid By: . .....
............ . ....... .........
(.:AGREE TO.FURNISH TO THE TOWN..0F 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
T.HAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES ANT)D REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR&STREET OUT PERMIT::MANUAL
Street..Excavatlon Permit 2014
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