HomeMy WebLinkAboutStreet Cut Permits 9999 Sycamore Road 1900039 TOWN OF SOUTH WINDSOR, CT
PERMITNUMBER STREET CUT PUBLIC UTILITY
DATE: 05/03/2019
GIS ID: 88809999 FEE: 50.00
MUNIS APPLICATION# 201900827 1XPIRATION DATE: 05/02/2020
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APPLICANT , ` h 5 , LOCATION
NAME: EVERSOURCE ADDRi~S SYCAMORE ROAD
ADDRESS: 112 PROSPECT HILL`RbyA,D 3 OWNLR QUTA WINDSOR TOWN OF
YE ° `` ' F lY 7'SOLLIVAN AVE
EAST WINDSOR,GF 06A88 y v
PHONE f `
WORK DESCRIPTION: EXCAA A E TO i TSTALI CAS 1VIAIN:AI�ID VTeEr`
APPLICANT AGREES TO FURNISH THE,'I.OyT�N OF SOU I H�INDSOR THI AMOUNT OE BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AIRY E3�PEI� ES INcjx!.. DB.Y'THE` 0`11 AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TIDE APPLICANT I R` 0. TAR WITH AID ILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN[7F.SO I I wINoS:ORl%ST E LtT PETtMIT MANUAL.
ISSUED BY DATRINSPECTED INSPECTED BY
5/3/2019 10:31 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TaW OF SQI1i'!{.1NlNDSORINSPE101ON REPORT
PERMIT NO.
LOCATION:
TYPE OF WORK: 1 �
DATE INSP NEEQED.
WE INSP: �a 7/��'
INSPECTED BY: ►�•A
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PROGRESS:
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HED FILLED : WrMESSED ❑,YES CI NO
SEPTIC TANK PllMPEa,SM .
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1�5-BUILT: • •' . - ..
INPUT:
DATE. �
S/moitfly/forms2U4To=Of South Windsor•Ii�1PSi �IMPORT 14
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Appl.rNo. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $50.00
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Name of Firms Phone No. _
Address of Firm D Zip Code o
Location of proposed work 6i
Describe fully nature of permit requested S 6AS A&4W WC
Starting date Cali Before You Dig Noc�O(j _fib 367�
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PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES-IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN-S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑No Pavement,Curb or Sidewalk Cut *avement Cut ❑Curb Cut ❑ Sidewalk Cut i
❑ Existing Driveway,No Changes ❑Proposed Driveway Widening ❑Proposed New Driveway
Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public Sewer ❑Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town l
two copies of separate drawing
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No.cuts
Est.Patch Size(s) sf
F
Est. Pvt.Thickness in. k
�( Est.Patch Unit Price$ /sf
Est.Patch Cost$
Est.Curb Replacement ft
i
Est.Curb Unit Price$ /ft
Est.Curb Cost$
Est. Sidewalk Replacement sf
Est.Sidewalk Unit Price$ !sf
Est.Sidewalk Cost$
Est.Traffic Hours hr
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Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
Amt.of Deposit$
DRIVEWAYS must be 311 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
WINDSOR' T, IT PERMIT MANUAL. / `
Signed: Print ( OIL11 A- Ni� Date:
Engineering/p rmi /Str t Excavation verrna wi.