HomeMy WebLinkAboutStreet Cut Permits 673 Griffin Road 1700116 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 06/27/2017
GIS ID: 39000673
'= w FEE: 0.00
MUNIS APPLICATION# 201700780 � XPIRATION DATE:
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APPLICANT LOCATION
NAME: EVERSOURCE
1 ADbREkSS b 1, =GRIFFIN ROAD
ADDRESS: 112 PROSPECT HILIp RDFSREGE��?1U RICHARD R&MARY R
EAST WINDSOR,CT 06088 r , T3 GRFFIN ROAD
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PHONE ' s " SOUiHVINDSOR, CT06074
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WORK DESCRIPTION: EXA V &TOSEIJAStIGE' OItIL1c'FROM BEHNIND
THEGLRBw� ZN,IIIRVE�YA TO R � I>�E QF I_IOUSE W/08E720071
APPLICANT AGREES TO FURNISH THI OVI QFOt�T G D,5C �t THE A1V1 ?UIrI1 OFF$AND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AAIYSES INjJ B TFE T6VCIl�1 MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TEE AP'LfCT IS F�41�IILIA�R KITH AI�J3 U�/II,L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN"(?I SOIJ�H WIIIDSS1 _S S REST CUB 'ERMIT MANUAL.
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ISSUED BY--,' DATE SRECT'ED INSPECTED BY
6/2720179:09AM PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR.
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LOCATION:
TYPE OF WORK: f
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: E
WORK IN
PROGRESS: J
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SEPTIC-TANK.PUMPED;SMASHgD,FILLED WITNMED_❑YES ❑NO
AS-BUILT•
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S/molloy/fbrms 2K4 Town of South Windsor ifVPSC•=rf WORT 14
WID * 5E7-LoO71
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 $25.00
Name of Flrl r -: ,O :.:€� �' Phone 6
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Address of,PIt'f;gl ; ... t''� �: r�' ... . : � •,� • ., � p:
Location of proposed'ivofk
Describe full nature Of permit requested. " + �.
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Starting date.^:' t t:. ,':ir 'IZall Before You Dig:iVa ( ' 24
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PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB-REPLACEMENT,INCLUDING ANY.
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS; THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
fts*Check Applicable: 0 No Pavement,Curb or Sidewalk Cut oM'ale ❑ Curb Cut C] Sidewalk Cut
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❑ Existing Driveway;No Changes ❑ Proposed Driveway Widening ❑ Proposed .. w Driveway
Water Supply: ❑ Pubiio Water C! Well Sewage.Service: ❑ PublicSewer ❑ Septic
Show sketch of proposed work or furnish Indicate North T It-s' fa d?
two copies of separate drawing
4: No;cuts,
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I Est.Patch Sizs(s) sf !.
i Est.PvC.Thickness . _;in.
Est.Patch Unit Price$ /sf
Est.Patch Cost
J Est.Curb Replacement ft
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Est:Curb Unit;Price$ /ft
Est:Curb Cost .
Est..Sidewalk Replacement sf
Est.Sidewalk Unit Price$ Isf
t. Est,Sidewalk Cost
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3 Est.Traffic Hours hr;:...:....:::.:::.:...:..............:.............
Est.Traffic Unit Cast$ � t
Est.Trafffc.Control S '
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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 i
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Paid By,
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I AGREE TO F-URNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO .REIMBURSE THE TOWN OF SOUTH
WINDSOR FOR ANY EXPENSES IN:GURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND
I THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR.PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR'S..S..TREET CUT PERMIT MANUAL.
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who haa:reee vdd tMe prep:I rpuJti inf xrrtc q stfti n Is not uat'ptliggti.aYid Eversouree Energy
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safe purchase exchange gift or p EI p B yy :��±« ie.�.1 'V" W.
otherwise)shoo keep tt in tonfiaencs asaumes-np raspoasFbdlty. Corttr ttorffi are urged to can
and shall nol furnish or disclose Et Evere4urc6'Enetyy ror further mf9trnAtton at 1-Boo-989 090o ENERGY to any third party without the prior ...... '
± written ermission of Eversouee Energy,:.
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