HomeMy WebLinkAboutStreet Cut Permits 60 Bourbon Street 1700016 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 03/06/2017 ;
GIS ID: 12300060 1,
} IS FEE: 0.00
MUNIS APPLICATION# 201700185 5 EXPIRATION DATE:
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NAME: EVERSOURCE z LOCATION
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ADDRESS: 112 PROSPECT HILIRp11i17 OWNE�25 TAMMD SALEM
EAST WINDSOR, CT Q608$ Y, ,`i 60 Bt7UBON STREET
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7SOUTH WINDSOR,CT 06074
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WORK DESCRIPTION: GAB", V; � 0�1'Cr B IND T I C c tI3B I I1 HOUSE
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APPLICANT AGREES TO FURNISH THI;kf'OWNFODTISUT1SpT� 1E AC7NT�OF BAND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR A1Y` PI�JES IIQ11RR1aDY�TIsTE AWN INTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TE APPLrIC�ANT IS�FAMIL�A]2 WTII`AID WITABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOfITH WII*lI}SOR'S$LI EE�,GU ERIvIIT MANUAL.
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ISSUED BY DA~ E INSPECTED INSPECTED BY
3/6/2017 2:13 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF soum WINDSOR INSPECTION REPORT
PERMIT NO.: I 2eQDA2 CONTRACTOR:
LOCATION: o v rLo AJ
TYPE OF WORK: � J.I C
DATE INSP NEEDED: DATE INSP: � �
INSPECTED BY: r3b
WORK IN
PROGRESS., Fee.- "vc rep-14 c-4 cars=
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SEPTIC TANK.PUMPED;SMASHgD,FILLED WITNESSED ❑YES ❑NO
AS-BUILT
INPUT: l� DATE•
S/molloy/forms 2014 Town of South Windsor YNPSECI WREPORT 14 "'
APPLICATION FOR STREET EXCAVATION PERMIT
55. 4il No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit NO.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSORi CT0. 6074 FEE $21$.00
Z2,5
Name of`rkmvr 'A- N
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dress of F( a.
Location,of:proposed,,.
Describei fully nature:of permit re Miadt'4 V ftT G' -V Q V1 j i
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Starti ng . ... . ...... .... . all Before You Dig No
PLEASE
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NOTE: THE DEPOSIT 17013 THETERMANENT 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
I I N 1 0,REASES IN PAT cH AwA00019t,LENGTH,GTH,TR.A.FROCONTROLAND THE TOWN'SCONTRACT COSTS, THE-PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH.PUT IT COULD BE LATER THAN YEAR.
Check Applicable:b le: Nwr�vement,Curb or Sidewalk Put 13 Pavement Cut 11 Curb Cut 0 Sidewalk Cut
0 Existing Driveway,No Changes El Proposed Driveway Widening Ej Proposed New Driveway
Water Supply: Public Water 0 Well Sewage Service; 0, Public Sewer 11 Septic
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Show sketch of proposed Work orfurnish Indicate North
two copies of separate drawing
f.y. .. .. ..........
No..cuts...........
Est. Patch Size(s)
L
-Est. Pvt.Thickness in
Esti Patch Unit Pride$ isf
Est.Patch Cost
i:Est.Curb Replacement
'l.Est, Curb,Unit NICA. ......
t Est.Curb Cos
Est.Sidewalk Replacement_sf
Est.Sidewalk Unit Price$
Est.Sidewalk Cost$ . ........
Est.Traffic Houm
Est.Traffic Unit Cost$ 1hr
Est.Traffic Control
Amt.of:06posit s,
DRIVEWAYS must be aft or more from the propertyt line per TQtal:[)tje
section 2A7 of the zoning regulations
Cash O Check#
Applicant is responsible for contacting the Police Dept And G.B.Y.D
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Paid By
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I AGREE TO FURNISH TO THE TOWN OF SOUTH WINOSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE T(jWNtOF SOUTH
WINDSORTOR ANY:EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IWOONNECTION WITH THIS PERMIT AND
THAT I AM FAMILIAR WITH AND WILL ASIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WI NDSOR'S STREET T CUT PERMIT MANUAL..
LA47--- Print Name 1
Street Excavation Permit 2614
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