HomeMy WebLinkAboutStreet Cut Permits 918 Foster Street 1800084 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 06/28/2018
GIS ID: 33600918 V }R
MUNIS APPLICATION#. 201801101s'a y k ` +Y K j y Y k FEE' S0.00
,EXPIRATION DATE:
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APPLICANT y �� i�t t t ,, f '%,LOCATION
NAME: EVERSOURCE �r
'a yS�75 v�D I ESS : h QYIFOS ER STREET
ADDRESS: 112 PROSPECT HILL ROD�3 ; f QWNER t I1T1AO BUILDERS INC.
EAST WINDSOR, CT 06�18yO� tHAPE ROAD#3F
DSOR,CT 06074
PHONE 5
WORK DESCRIPTION: EXCA£�&¢�1'Iw$-16,ITT T 4 I;'A S �� x
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APPLICANT AGREES TO FURNISH THE TC�, f3Fr (7UTFI WINDS(SkTIE A1 (1JN I OIi�QIDtEQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANI AI;N ES INCURRED B Y T`HE XQW'N F �I AT ITENANCE OR REPAIR WORK IN
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CONNECTION WITH THIS PERMIT AND THE 'P>IC iN.T IS FA, WIN AN1b WILL"ry B'IDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OOiJTI &WftNDSOR'S� sI REST CUT PER1�ItT 1vIANUAL.
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ISSUED BY DATE SPECTER a `' INSPECTED BY
6/28/2018 11:29 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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T �F SOUTH WtNDSO `INPECTION RP.ORT
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PERMIT NO.; 1 d CONTRACTOR: arc �'CQ
LOCATION: c !
TYPE.OF WORK:
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DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
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PROGRESS: s t �, � AA r' A.S ✓
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SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑YES ❑ NO
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S/moUoy/forms 2014 Town of south Windsor INPSECTION REPORT 14
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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 $50.00
Name of Firm '�—n Phone No. a-
Address of Firm 0 ' 1 Zip Cade O
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Location of proposed work � X
Describe fully nature of permit requested U
Starting date Call Before You Dig No
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACFMENTI A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY
INCREASES,IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut 0 Pavement Cut ❑ Curb Cut ❑Sidewalk Cut
❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑Welt Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
Est. Patch Size(s) sf
t.)A'n 0 Est. Pvt.Thickness in.
Est.Patch Unit Price$ /sf
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
Est.Curb Cost$
st.Sidewalk Replacement sf
Est.Sidewalk Unit Price$ !sf
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>) -� Est.Sidewatk Cost$
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- Est.Traffic Hours hr
Est.Traffic Unit Cost$ /hr
~ Est.Traffic Control:$
Amt.of Deposit$
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
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
WINDSOR FOR ANY EXPENSES INCURRED 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 ST T PERMIT MANUAL.
Signed: Print Name W d I Date: vu Is
Engineering/p rmi /Street Excavation Permit 2017 i