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HomeMy WebLinkAboutStreet Cut Permits 99 Bourbon Street 1700037 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 03/17/2017 GIS ID: 123000990.00 MUNIS APPLICATION# 201700239 7 t FEE: ` , 5 ` EXPIRATION DATE: t ftC' Sk i t.f 0 4 k. s APPLICANx ,=`sZ j LOCATION NAME: EVERSOURCEti AI)IRESS 99 BOTtBON STREET ADDRESS: 112 PROSPECT HIL FzOADt ?WNER k �ARK PAUL R&G1NA M EAST WINDSOR,CT 0608$ 7 .. ' { g 'BOURBON STREET 3()UTII Wi lNDSOR,CT 06074 PHONE _ N WORK DESCRIPTION: GATSi��SLF75$SfiBEEfi TgLEFT SIDE OF HO ' APPLICANT AGREES TO FURNISH Trt)F.BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY PI;I�I$ES 1 i RRE B 1IiI;TOWIIC t RJVIAINTENANCE OR REPAIRVORK IN CONNECTION WITH THIS PERMIT AND TIC�1'PixIG` NT IS F'ANIIEI�IR WD�' II L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TO WN(�Ft SOJTH WIi�DSf1Y'S STREET G„il`l IR1vIIT MANUAL. ISSUED BY DATE INSPETTED INSPECTED BY 3/23/2017 9:47 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** 651 1 ?. <wyk TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO:: CONTRACTOR LOCATION: 6vLt17n4- -S& TYPE OF WORK: DATE INSP NEEOED: DATE INSP: INSPECTED WORK IN PROGRESS r s SEPTIC TANK-PUMPED;SSMOW%FILLE© WITNESSED ❑YES ❑NO AS-BUILT• INPUT• ' w .� BATE' simaitaygorm 2m Town ormthWindsorirosEcWWREPOW14 _ APPLICATION FOR STREET EXCAVATION PERMIT AppC-N.OK TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00 Name of Film . AddresS:of FirRt C . �: 'a.. 7,,t�??.C4rtwl+a . ti ' t! Location of proposed tn►tfYk` ::13`IM Desoribe fully nature of permit requested '. _ '- �' - I r ;n Starting date . "'f "t Call Before You Dig !k PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE.. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY . INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE;PERMANENT PATCH IS TYPICALLY COMPLETED:WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: _�N&Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Cu&Cut 0 Sidewalk Cut ❑ Existing Driveway,No Changes 13 Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North Phis� 1an to be ftli {caul#3y +ovirr� two copies of separate drawing No.cuts. i I.Est. Patch Sizes} sf Est.Pvt.Thickness in. Est.Patch Unit Price$ !sf Est.Patch Cost :.: i Est.Curb Replacement, it> Est..Curb.Unit Price$ /ff Est.curb:Cost$. ......... ... :.:::.: j Est.Sidewalk Replacement sf Est.Sidewalk Unit Price$ Isf Est.Sidewalk Cost.4..... Est.Traffic Hours i i Est.Traffic Unit Cast$ (ter Est.Traffic Control$ Amt.of Deposit$ DRIVEWAYS must be 3ft or more from the property line per ;Total OU4 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 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. 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 WJNDSOR'S STREET CUT PERMIT MANUAL. Signed: rr � ,}6 Print Name • Date: Street.Excavation Permit,2014 cal 8 6720 3 D .................. _ i W o 00 .............. .. ........ J-IQ H , E LA CJ t �yeH t .. '7,��aa'#4�@rtaf weJ;oi;tNd iriep Title:. . ... .. :.. :::..... ...... �a9�lie:mm prnpr�S«r�- E rBa�rgaFe+otQ oatl uper watch l;: r}atb3t.ro ery9y LaE atop a9b' 7nform�i n geaCr.:Ever 9+-R'EIIJRE e pprf}wsq.pcchop'99�e.. €h, s rst y reat+a ca¢E M gy offter�ri:a,�ha iA.7,i rw•dldencp '4me4 q carpi ,b z Can"traptP/Ad �f9ed'Sa1 caA �vC/9Q��CC 'fob#urtaor,nfartR'CllaD of 4—Et90� �C[�N .. and sa'a alol �AlF4psq q End' 989.0900 ." ENERGY : cc t cny'la rd pdrty wkq'out tae.prlo .•-_ ., , ritFep Parm hn d'Ev ao�ce_nergY' Pleltc0.16-1/or2ot7 9l art