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HomeMy WebLinkAboutStreet Cut Permits 9999 Quarry Brook Dri 1900038 TOWN OF SOUTH WINDSOR, CT PERMIT.NUMBER STREET CUT PUBLIC UTILITY DATE: 05/03/2019 ' GI5 ID: 74109999 't FEE: 50.00 MUNIS APPLICATION# 201900826 EXPIRATION DATE: 05/02/2020 APPLICANT M r R LOCATION NAME: EVERSOURCE Y� ADDRESS U'AARY BROOK DRIVE ADDRESS: 112 PROSPECT u.HILI,RA OWNER SOUTH WINDSOR TOWN OF t f� 1` '0"SifiLLIVAN AVE 2 i k EAST WINDSOR, T,060881' PHONE WORK DESCRIPTION: EAwAM"' Ath TO INSTALL OAS 1 AIN:AND'SE VI E APPLICANT AGREES TO FURNISH Tlik'TO! N"OF SOUTH IND' 4R TII$AMOTJNT OP BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR A�IY DWENSFS IIVCURREI BY HE{TOW FO1 x1vIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND ThE,00LIC`A1�IT IS F4A MII IAR W. rT I 1`D W1LL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN tF SOUTHINDS�R'S STREE`I BUT IT MANUAL. / 6 (4 ISSUED BY bXT0TNSPttTED INSPECTED BY 5/3/201910.27AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** ,r. rN : flf I } q k I'M j Ail � icy ' � 1 � ♦✓ n, [; 6 r "m OF SO.UTH.WINDSQRINSPECRON REPORT d� CONT.WMR:, PERMIT NO.: LOCATION:. r TYPE OF 1NQRK: 3 DATE INSP NEEDED: DATE INSp:. INSPECTED BY: a MAKIN PROGRESS:001 > 4 - ek— :MASHED' PILLED WNESSED D-YES C3 NO SEPTIC TANK PUMPED,S , ► • AS-BUILT• • DATE:= 1 I-.�'�•'� 5/ma{t�r/fomss 2014 Town of SQulh Windsor INPS ON REFOItT 14 r •t t L.a Iava• a %0aav9a%L.a. a a_ravrtiVr •t ■v■. ■ �. .•.•■ . Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $50.00 Aa-AL q Name of Firm} Phone No. �— Address of Firm D 4 Zip Code C� Location of proposed work 20 Describe fully nature of permit requested V tsS c Starting date Call Before You Dig No ( 0 36y PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS_ THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑No Pavement,Curb or Sidewalk Cut f`6 lavement Cut ❑Curb Cut ❑Sidewalk Cut ❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑Proposed New Driveway Water Supply: © Public Water 0 Well Sewage Service: I] Public Sewer ❑Septic Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing 0 No.cuts Est. Patch Size(s) sf Est.Pvt.Thickness in. i Est.Patch Unit Price$ /sf Est. Patch Cost$ Pie, s Est.Curb Replacement ft 4 Est.Curb Unit Price$ /ft Est.Curb Cost$ Est. Sidewalk Replacement sf Est. Sidewalk Unit Price$ /sf Est.Sidewalk Cost$ Est.Traffic Hours hr Est.Traffic Unit Cost$ /hr % Est.Traffic Control$ Amt.of Deposit$ DRIVEWAYS must be aft or more from the property line per Total Due$ section 2.17 of the zoning regulations O Cash { )Check# Applicant is responsible for contacting the Police Dept.and C_B.Y.D PERMIT SHALL BE KEPT Oft 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 WINDSOR' ST T PERMIT MANUAL. -- Signed: Print Name Cl ^ �- 1ISO Date: Engineering/p fs/Str t Excavation renna 4ua.