HomeMy WebLinkAboutStreet Cut Permits 73 Bourbon Street 1700015 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 03/06/2017
GIS ID: 12300073 FEE: 0.00
MUNIS APPLICATION# 201700184 E�X9PIRATION DATE:
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APPLICANT y ; 5I LOCATION
NAME: EVERSOURCEK 3r
ff 4 ADDRESS �7w OhRBON STREET
ADDRESS: 112 PROSPECT HILI;ROADhEWMiSTBR GARY R&
EAST WINDSOR,C 'Q6 8g ` 466kBON STREET
�u „ bU� IVINDSOR,CT 06074
PHONE r.
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WORK DESCRIPTION: GA 51~y i Vt 7aORT II s N D IC 441��'Q #I�ig'GOING ACROSS ST
TO fo'@Yk t i �z ' y r
APPLICANT AGREES TO FURNISH TH 10"g,fV 1'S,O I si�1]7 Q ` I1E AM(A Tzplf BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AlI'E£Plai$ES IN1RIS$YH�TQWIXFM 1VIAINTENANCE OR REPAIR WORK IN
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CONNECTION WITH THIS PERMIT AND Tk APpIdbA IT;IS 1~A]4 YT IAR WI1I 11uD WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OP SO,C7Vj V(1NDSOR'- TREE CUT I IT MANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
3/6/2017 2:10 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NQ:: -7 000•k S-. CONTRACTOR: ®\ -C e
LOCATION: 7 3
TYPE OF VVORK; v
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS; ...e/f ., .�-� ..:. � .fir j ����, N1 a(,(j
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SEPTIC TANK PUMPED,-SMASHED,FILLED WITNESSED ❑YES ❑NO
AS-BUILT:
INPUT: DATE: f
S/mol ftifo nns 2014 Town of South Windsor IMPSEMON'REFORT 14
u, APPLICATION FOR STREET EXCAVATION PERMIT
Appl. Mai TOWN OF SOUTH:WINDSOR PUBLIC WORKS DEPARTMENTPermit Na
TOWN BALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00
Name of FiEtxt e. Phone NO
' - _
Address of 1)=Ii'f11 . .., `t .. : : ;. .C�.( .; ' ' p'G de 0
Location of proposed,.Wrark ►L Q ,
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_ ~
Describe fully nature of permit tcluest �3 . = V'1 '['� . f_ A1 'T'
U:. ; .
Starting date3 17' Call Before You DigN.. q' t
PLEASE NOTE: THE DEPOSIT FOR THE:PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER:THAN A YEAR,
Check. Applicable: ❑ No Pavement,Curb or Sidewalk Cut 'Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway,No Changes O Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish indicate Northletsee on#►Iaeft[Iit?id Iaut IavTbv+n
two copies of separate drawing
No.cuts;;:. .......
Est.Patch Size(s) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price
Est.Patch Cost
I Est.Curb Replacement f<
Est:Curb Unit Price$ Lft
Est.Curb Cost':• :.
,
L%Est.Sidewalk Replacement sf
Est.Sidewalk.Unit Price$ /sf
Est..Si
dew alk Cost.` :::...:.:...........:..:..:..
Est.Traffic Hours ; tip=
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..Est.Traffic Unit Cost$ Ihr
:
Est.Traffic Control..,.: ......
Amt.of Deposit$
i,
DRIVEWAYS must be 3ft or more from the property line per Total Due. i
section 2.17 of the zoning regulations "
( )Cash O Check
Applicant is responsible for contacting the Police Dept.and C.B.Y.D
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES. Paid By.,_ ..............._......
_
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH
WINDS.OR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN.CONNECTION WITH THIS PERMIT AND
THAT I`AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR'S STREET CUT PERMIT MANUAL:.
Signed.. �..,, " ., 'fPrint Namt Date: Z ZD
Street'-Excavation Permit 2014
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The material contained on this' map Title=:
!shall be considered proprietary to
rEversource Energy and user (which is
idefined as any person or entity __..__ .. - ;.:� 4
who has received the map through 1
Information shown is not guaranteed and Eversource Energy
So purchase, exchange, gift, or ' 'ul �
otherwise) shah keep it in confidence El
assumes: no responsibility. Coll�tfclsti�rs are urged to call
ItIand.shall not furnish or disclose it Eversource Energy for further irlf tt ricx#rtrn at 1-800-989-090C x ENERGY
VERG€/
to any third party without the prior _. ... .._
written permission of Eversouce Energy,. Plotted- 02-Mqr-2017 OY 9isewrl