HomeMy WebLinkAboutStreet Cut Permits 72 Spinners Run 1700108 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
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DATE: 06/16/2017
GIS ID: 84200072 FEE; 0.00
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MUNIS APPLICATION# 201700739 (EXPIRATION DATE:
APPLICANTx LOCATION
NAME: EVERSOURCE ADDRLS,S �7Pr1NERS RUN
ADDRESS: 112 PROSPECT HILL MILEN&
EAST WINDSOR,CAI 0608.$ �i ; z2 SPIl�NERS RUN
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WORK DESCRIPTION: OP�i 01IF O tEIaD A'>EsGAS E VI E&REI,- STORM DRAIN
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APPLICANT AGREES TO FURNISH THITOWN OF S(1UT�iZtW3VDS� '3EyAMC1lIIT„OF BAND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR �J `1Y�EIS1i�l �J> D BY TIDE TOWS FrIG1AINTENANCE OR REPAIR WORK IN
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CONNECTION WITH THIS PERMIT AND TE APPLIIIANT,ISA1YXII�R WLTITAiD WTI L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS (AS�OUTLINED IN THE TOWN'C}�SQUT�1�INI�SO�',S STRE)'T C IT MANUAL.
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ISSUED BY DATE INSPEOT`ED INSPECTED BY
6/16/2017 3:15 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO::.LZQOld CONTRACTOR:
LOCATION:
T1FPE OF WORK: C d- ir S rA ri
DATE INSP NEEDED: DATE INSP Ii 7
INSPECTED BY:-lab
WORK IN
PROGRESS; veritrcx eloe�� J srv,'ee �.
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SEPTIC-TANK PUMPED;SMASHED,FILLED WITNESSED ❑YES ❑NO
AS-BUILT:
INPUT: �� DATE:
V=Iloy/tbM$2014 TM or South Windsor INPSE=ffREP01Cf 14 _
APPLICATION FOR STREET EXCAVATION PERMIT
Appi.No: TOWN OF SOUTH WINDSOR PUIBLIC'WORKS DEPARTMENT Permit No. 1
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06D74 FEE $25 00
Name of FI �r� a
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Address:of Fii3rt: .. :'.a p,Code�,
Location of proposed�.+' t'k - -; i;
, -Describe natureof pprr0i .
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Starting',dat =. Call Before You Dig No, x / Iua C .
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PLEASE.NOTE: THE DEPOSIT FOR,THE PERMANENT PAVEMENT PATCH AND CURB REPLACEM" :NT>IS A PRElIMIIVARV ESTIMATE. THE.
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL.;COST OF THE PERMANENT PATCH AND CURB AEl'LACEMEIT,INCLUDING ANY
INCREASES IN:RATCH;AREA,CURB LENGTH,TRAP.FIG CONTROL AND THE TOWN'SI
IGONTRAGT.COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHINA YEAR:OF THE TEMPORARY PATCH BUT IT COULD BE LATER:THAN'A YEAR:
Check Applicable: ❑ No.Pavement;Curb or Sidewalk':Cut pavement:Cut ❑ Curb Cut 0 Sidewalk Cut
❑ Existing Driveway,No Changes El Proposed :Driveway Widening EI :Proposed New Driveway
Water Supply: 0 Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
_._..._..... ...... ....._. .. ....... ........... ........ .....
Show sketch of proposed work or furnish Indicate North '£t~TseeatCott fbbetstllfdtl.atlf ti Tip,:
two copies of separate drawing .
No.Cuts
Est. Patch Sizes) sf
t. Est:Pvt.Thickness ..... ..... in.
Est. Patch Unit Price
j Est.Patch Cosh 6
+ ' Est.Curb Replacement ft I A.
Est.Curb Unit Price.$ ttE
Est.Curb Cost$
Est.Sidewalk Replacement _sf
t{ Eat Sidewalk Unit Price$ lsf
:- "`` Est.Sidewalk Cost ^
Est:Traffic Hours _ he u
Est.Traffic Unit Cost : ltc
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Est:Traffic Contrglt
mt ofDeposit
i DRIVEWAYS must bel aft or''m.Qre from the property Ilne per I{Total Due .
section 2.17 of the zoning regulations r _
P ( 'j Cash ( )Check#
Applicant Is responsible for contacting the Police Dept.and C.B.Y.D
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES l Paid,8 _ + i
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I AGREE TO FURNISH Tq THE TOWN OF SOUTH WINDSDR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH �I
WINDSOR FOR:A)VY EXPENSES INCURREDBY THE TOW FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WI H THIS PERMIT AND l_
THAT I AM P ILIAR WITH AND Wilk ABIDE BY THE RULES AND REGULATIONS FQR PERMITS AS OUTLINED IN THE.:TOWIV.OF SOUTH
yilVtAfD$taKt' i» OUT PERM:
Signed::- I �-1 Date: M '.i + Ir .
m.. Print Name ..1 n
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