HomeMy WebLinkAboutStreet Cut Permits 91 Ayers Road 1700085 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 05/19/2017
GIS ID:06900091 ` '
jl;j W 6y y4 FEE: 0.00
MUNIS APPLICATION# 201700571 EXyPIRATION DATE:
APPLICAN. 3z LOCATION
NAME: EVERSOURCE rt< Oa 3 r AT3DRI;SS �91AI RS ROAD
ADDRESS: 112 PROSPECT HIL ?1b < UY '° �' OUT A W R INDSO TOWN OF 07
< s� i s SY /.liY l`tR Lr
EAST WINDSOR, YRS ROAD
r y„` u1JU FBI RWINDSOR, CT 06074
PHONE 4 rz;w
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WORK DESCRIPTION: INSAi�Lxit1�IANEIZCiT�7 W1 �SICOL
APPLICANT AGREES TO FURNISH THE TOV� V OF �UTI �IKI S<f�R�F AI I TnOF H ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR A1YXPNEb`I1*IG1REF $ fflEy� 11 1' kfiIAINTENANCE OR REPAIR WORT{IN
CONNECTION WITH THIS PERMIT AND TEE 'Ia�,I�ANT IAIyIIIAR W1111 AI*@ W1L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TO IT MANUAL.
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ISSUED BY `FE SIEC'I` D INSPECTED BY
5/19/20I711:36AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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ON REPORT
TOWN OF SOUTH WINDSOR INSPEC'n
PERMIT W64 L ?� ,� COMACIQR:_ J ala
10CA7ION:
i
TYPE OF WORK: �?
DATE INSP NEEDED: DATE INSP: '/Ay4g._
INSPECTED BY.6_ tl '
WORK IN
PROGRESS, .
SEPTIC TANK.PUMPED,SMASHED,FLLED WITNESSED ❑YES ❑NO
AS-BUILT: - •
INPUT: yyL/ MATE:
S/moltoy/fb=2014 Town of South Windsor 114PSIX.9I WMPOU 14 ""
APPLICATION FOR STREET EXCAV ON PERMIT
Appl:No: TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $26.00
Name of Firm Phone No, .Can.. .,
Address of firm,`:. ,. � F,lp'Code +'
Location of.proposed wolf
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CaBsariiae< rt c of permit
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Starting dateji
: Call Before You Dig;,N d"
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES N PATCH AREA,CURB.LENGTH;TRAFFIC CONTROL AND THE`TOWN'S CONTRACT COSTS. THE::PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Out
0 Existing:Driveway,No Changes 0 Proposed Driveway Widening 0 Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
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Show sketch of proposed work or furnish Indicate North. ott< `ti ;flfil ou`#i►Twn.
two copies of separate draw in
No:.cuts
Est. Patch Size(sf... s
Est, Pvt.Thickness.,,,.in-,.
t Est.Patch Unit Price'. _ f
`` - -
Est.Patch Cast:$....:.- —... .
Est..Curb Replacement It
Est.Curb Unit Price*$ _/ft
Es:t;Curb Cost$;
Est.Sidewalk Replacement $f z
Est.Sidewalk Unit Price$ /sf
Est.Sidewalk Cost;_, _ _.__....... _.
:
Est.Traffic Hours
Est.Traffic Unit Cost$ !hr
!€ Eat.Traffic Control$
ArrEt.of Deposit S
DRIVEWAYS must be 3111t or more troth the property Ilne per Total Due
section 2.17 of the zoning regulations
( )Cash ( y Check#
! Applicant is responsible for contacting the Police Dept.and.C.a.Y.D
PERMIT SHALL BE KEPT ON JOESITE AT ALL TIMES Paid By �.... - ;
I AGREE TO FURNISH TO THE:TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMSURSE THE`T01AINOF SOUTH
WINDSOR FOR ANY`EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND
TMATT I ASVf' + i-GtFt WITH AND WILL'ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
Wlly> S ; TFi##E1 CUT PE MTNUAL
Sigt3Efd Print Nam® tF� Date. u^
Street Iwxcavatlon'Permit'2014
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The material contained on this rnoo .Ti{I�?:
shall be.considered praprieta to
Evereeurce Energy and user which Is
defined as any person or ent'y ----- •• �+�r.i:..
who has race ved the map th ough
sale, purchase,.exchange;gift,or :� )L17PefmoIlils SFtbwn is not guafa[R1t• •end EverBtiufy Energy ',• j •`• y
otherwise)shall keep d in confidence
g9Ikumas no.r''sspensibility. oFlhk(7 b'IS are utydd t�toll
and shell not furnish or disclose it trYBr§guf�gpergy for further intfa[mgtian at L �6q:.989-C9D0 � �,a
Ito any third party'With- the prior .... ....:..::.:::.:.:.:.:.:.......... :....::..' .. ... ....
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written aer,•n+ssion of Even;ouce Energy;; ................Pla!!ed:..Ji..-nog..-2oi,¢..,,,,.ev iaewr7IT