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HomeMy WebLinkAboutStreet Cut Permits 9999 Beechnut Lane 1900042 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 05/03/2019 GIS ID: 08409999 FEE: 50.00 MUNIS APPLICATION# 201900831XFIRATION DATE: 05/02/2020 a APPLICANT t ' LOCATION NAME: EVERSOURCE x�4 k " ADDRT~;SS ' ECINIJT LANE ADDRESS: 112 PROSPECT HILL k6A y , ., (�WN) R OWN'OF SOUTH WINDSOR n ' J .. z r154 SUT, LIVAN AVE EAST WINDSOR,OT 06058 r JJ T; y E PHONE w' 5, WORK DESCRIPTION: EX'CA- li TO INSTAI I GAS MAIN AN S VICE,r" APPLICANT AGREES TO FURNISH TH&TOWN OF SOUTH IND�a(JR THE AIVI©UIVm Q BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR&V 5Ef XP.E`N.SI,S 'CtMRRED;BY THE 3 O 4101�t MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE APPLICANT I :'A%MIA IIR WITH ADJ y�IIT L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TO WN OF SCJUTI3 WINDSOI�'.'S STREETU�I ELRMIT MANUAL. ISSUED BY DA 'E, "SPECTED INSPECTED BY 5/3/20 1 9 2:41PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** hj .; AR 1 ) f < f AR k y era >r r k k J iJ yy. 3 to rJ15 x i " 3 Y 1 tt 7 i 1 l ry 1 ". 1. W'y ox^S rt7 h y)A'q : t „ K"r✓ i u 4 y41 r { r � ,i arc I} V 2 d Y; e y4' Jirr n f `F r TQW ©F SiQUTN-WIN REPORT .t a coNTRcro : r C� PERMIT NO. . LoCknOW. Lit- TYPE OF WORK: DATE INSP NEEDEh.; -- .. DATE INSP: ' INSPECTED BY' WORK,--..IN PROGRESS: S , FILLED WITNESSED O-YES ElNO MASHED SEPTIC TANK PUMPED,, AS-BUILT' INPUT: �i` 1 DATE. S/maltoy/tonas ZQ34Town of Windsor•t{tlp5kot4 Ii��OR714 South r-�.a a a..avi--■ ■ ■v■� ■ va< <,r ■ ■�a�a�■ riwiti� ■ •■a.r•. ._...... . Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $50.00 Name of Firma Phone No. al Address of Firm D Zip Code Q C� Location of proposed work L6fAl ' Gr¢I�l Describe fully nature of permit requested (&3 Starting date ! Call Before You Dig NoZpj 7 PLEASE(VOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE � APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT.,INCLUDING ANY INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut P-Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut ❑ Existing Driveway, No Changes ❑Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public Sewer ❑Septic Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing No.cuts Est. Patch Size(s) sf �. Est.Pvt.Thickness in. Est.Patch Unit Price$ Jsf Est.Patch Cost$ Est.Curb Replacement ft Est. Curb Unit Price$ A Est.Curb Cost$ Est.Sidewalk Replacement Sf Est.Sidewalk Unit Price$ Isf Est.Sidewalk Cost$ ` F Est.Traffic Hours hr Est.Traffic Unit Cost$ /hr ' f 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 THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSO T T PERMIT MANUAL. Signe Print Name°f"" A ' /lam Date: 7 30 l�1 Engineering/p wrl tr t Excavation Fermu wa 1