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Home My WebLink AboutDrain Layers Permit 825 Clark Street TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 8110 Contractor JDC ENTERPRISES INC. Location 7 �' Aefdress. U48 K-A T--?U ;EX'TOWN RD Type Work NEW SAN LA" 9L Ff Lp;;CT,. 06::002 Date Insp Needed ____________ _ Date I"I1ap Time Insp Needed ------____-- Time;Iilat . = -. Inspected By `eV Work in Progress _� r. d�cd�, vi� t tw o J �:I C C*�'► Q Y£ 15 s i Permit No. 8110 'Town of South Windsor, CT • Permit Date 11/13/2006 Drain Layer Permit i! Expiration Date 12/13/2006 Descrip: LATERAL TO ELLINGTOTjs'RIt. ",.. i. Applicant Location Name JDC ENTERPRISES INC. Iad.cix p$: CLARK-#STREET':: Addr. 48 EAST DUDLEY TOWN RA Orir...;TOM FRA 'SE 1 BLOOMFIELD C7T 0660 Phone No. (860) - j The Drain Layer Icenpe .. 4ed by the state and hereby ag p ," t- 1l : .he terms and con dit one set forth in the attached 'Conditions x All Ork sh.ai ..�z� a cordanCe w.it;h Town of South Windsor standards, all; OSHA rdq.uir .att che&,cosiditions. Issued By iUkx ��_f Tit:l _ -------- / I Date Inspected ____ Ins S Ct ti By --------��— li m LE ZF - x � �.-�� u �. „�-`"'3`�° z ] � :. 'fir ,�•_su` h 1liAGE *� t'tr f �.K Gc? K Y N VAv rtj AS CN) L i dA so 1M- ci- 4e-s C 0 Y-)d ck-- or-` au o� APPLICATION FOR DRAIN LAYER PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1-540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $60.00 Location of proposed work: �'o�s�`L� ✓ - Street No. Lot # Street Name Premises owned by: Name of Firm:7�� C Phone:�� • Address:of Firm:�6�� ,EQ�2�,� �� /�2��.riG �.✓G�,r/,d pG6s/ TYPE OF WORK: Lay House Drain Repair House Drain Lay Main . ' Lay:Lateran for Commerdal/Industrial Building of acres Connection will be made with Existing Water Supply: Public Water Well Proposed Start Date /�// rr�- . LC� Estimated time for completion ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS, ALL OSHA.REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT Permit-is to be issued to Layer's License NoQ2 �g302 3 the holder of Drain will be issued•a OnIY holders of P-1, P-7 or W-9 licenses permit: PERMIT WILL EXPIRE THIRTY(30)'DAYS APrER DATE OF ISSUANCE. The undersigned Drain Layer hereby agrees to all the terms -and conditions-set forth in the permit and attached thereto. Applicant has received. Town Street Excavation Permit No . and/or ConnDOT Permit No. C' YD No. Signed: • Print Name: �J1 e' 4 Licensed Drain Layer Date:�� —�� „So" �5�3 ct J standard Forms\PermitsWPLIGITION FOR DRAIN LAYERS PERMIT.doc ORIGINAL C d'�!"a� Qr0 TOWN ROUTE NO. PMT 2B-REV 8/00 DATE OF ISSUE PERMIT NO. SOUTH WINDSOR 30 (302-06-0386) DEPARTMENT OF TRANSPORTATION 11/7/2006 1005378 NAME OF HIGHWAY BUREAU OF ENGINEERING&HIGHWAY OPERATIONS DATE EFFECTIVE Page 1 Of 2 ELLINGTON ROAD STATE OF CONNECTICUT - -- ENCROACHMENT PERMIT LOCATION OF WORK OR BEGINNING AND ENDING POINTS DATE OF EXPIRATION AMT.OF SURETY BOND 500'WEST OF CLARK STREET 11/7/2007 CERTIFY CHECK 10,000.00 SURETY COMPANY/BANK [ Western Surety Company TO: JDC ENTERPRISES,INC. THOMAS FRAIZE BOND NUMBER 2640 BERLIN TPKE 825 CLARK STREET 70146730 NEWINGTON,CT 06111 SOUTH'WINDSOR,CT 06074 PERMIT IS NOT VALID UNTIL SIGNATURE COPY IS SIGNED AND RETURNED TO THE OFFICE. PLEASE RETURN AT ONCE.- FEE:100.00 DATE REC'D!11/2/2006 PO/WO NO: Permission is hereby granted to do the following work under the control and direction of the Department of Transportation,Bureau of Engineering and Highway Operations at the location designated hereon,subject to the statements made on the application for permit,and to the pertinent provisions of the current Highway Encroachment Permit Regulations manual,including amendments thereto. This permit does not become effective until all necessary local and State licenses and permits are obtained by the Permittee or designated agent,and furtherthe Permittee shall be subject to all Federal,State and local regulations. This permit is issued in strict compliance with,but not limited by,the following speck requirements,referenced attachments,and the current edition of Department of Transportation's Standard Specifications for Roads,Bridges and Incidental Construction as applicable. The Department of Transportation Permit Inspector, Andy Morrill 860-258-4544, MUST BE NOTIFIED AND THE CALL BEFORE YOU DIG REQUEST NUMBER RECORDED 48 HOURS IN ADVANCE OF STARTING WORK ON i THE PROJECT. REQUEST NO. Work within the highway right of way to install water and sewer services as delineated on=the application and in accordance with the current publication of the Department of Transportation"Standard Specifications for Roads, Bridges and Incidental Construction",and including the following stipulations: -No work that will interfere with the flow of Route 30'traffic will be permitted before 8:30 a.m.and after 400 p.m., Monday through Friday. -Vehicular and pedestrian traffic must be adequately protected through the use of appropriate traffic control patterns. Uniformed police officers or personnel who are certified for traffic control to a level equivalent to the National Safety Council shall be utilized to direct traffic through the work area.All traffic control signing and appurtenances shall be in accordance with the latest edition of the"Manual on Uniform Traffic Control Devices"and must meet NCHRP 350 requirements. -Hot bituminous will be required for ALL pavement excavations.The permittee will make certain that hot bituminous.concrete is available before starting the work. If it is not available, NO excavation will be allowed within the right-of-way until such time as it is available. -At the end of each workday all trenches will be back filled(off road)and patched(on road).The use of steel plates to cover open trenches within the highway right of way will NOT be allowed. The Permit Inspector must be notified upon completion of work for final inspection and approval. CAUL Before you DIG! TOLL FREE, STATEWIDE 1-800-922-44.55 Any and all liability for injury,damage or loss resulting from such work as may be undertaken under the terms of this permit is assumed by the Permittee.The Permittee is hereby designated responsible for all future maintenance of all installations or encroachments constructed under this Permit,which in the sole judgement of the State are not part ofthe highway appurtenances normally maintained by the State. The Permittee hereby agrees to indemnify and hold harmless the State of Connecticut for any and all such injuy,damage,or loss that may be incurred,either directly,or as a result of said work,and to reimburse the Department of Transportation for any expenses incurred due to the performance of any such work undertaken under the terms of this permit. t This permit is revocable at the discretion of the Department of Transportation Commissioner or designated representative. DEPARTMENT OF TRANSPORTATION PERMI; I �F;F DATE 1 BUREAU O'F ENGINEERING&HIGHWAY OPERATIONS �" 44 BY Ronald P.Cormier DISTRICT MAINTENANCE DIRECTOR _ ORIGINAL TOWN ROUTE NO.. P(02-06-0 86)0 DATE OF 11/7/2006SSUE PERMIT NO � SOUTH WINDSOR 30 1005378 J_ DEPARTMENT OF TRANSPORTATION NAME OF HIGHWAY BUREAU OF ENGINEERING&HIGHWAY OPERATIONS DATE EFFECTIVE- STATE OF CONNECTICUT Page 2 Of 2 ELLINGTON ROAD ENCROACHMENT_PERMIT LOCATION OF WORK OR BEGINNING AND ENDING POINTS DATE OF EXPIRATION AMT.-0F SURETY BOND, 500'WEST OF CLARK STREET 1 CERTIFY CHECK'1/7/2007 10,000:00 SURETY COMPANY/BANK Western Surety Company +To: JDC ENTERPRISES,INC. THOMAS FRAIZE BOND NUMBER 2640 BERLIN TPKE. 825 CLARK STREET 70146730 NEWINGTON,CT 06111 SOUTH WINDSOR,CT 06074 PERMIT IS NOT VALID UNTIL SIGNATURE COPY IS SIGNED AND-RETURNED TO THE OFFICE. PLEASE RETURN AT ONCE. FEE:100.00 DATE REC'D:11/2/2006 PO/WO NO: Permission is hereby granted to do the following work under the control and direction of the Department of Transportation,Bureau of Engineering and Highway Operations at the location designated hereon,subject to the statements made on the application for permit,and to the pertinent provisions of the current Highway Encroachment Permit Regulations manual,including amendments thereto. This permit does not become effective until all necessary local and State licenses and permits are obtained by the Permittee or designated agent,and further the Permittee shall be subject to all Federal,State and local regulations. This permit is issued in strict compliance with,but not limited by,the following specific requirements,referenced attachments,and the current edition of Department of Transportation's Standard Specifications fur Roads,Bridges and Incidental Construction as applicable. The;Department of Transportation Permit Inspector,Andy Morrill 860-258-4544, MUST BE NOTIFIED AND THE CALL BEFORE YOU DIG REQUEST NUMBER RECORDED 48 HOURS IN ADVANCE:OF STARTING WORK ON THE PROJECT. REQUEST NO. -Full depth pavement replacement will be required in all roadway trench excavations.This will include 10"(compacted)of processed gravel base,6"of Class 4 Bituminous Concrete premix and 3"of Class 1 Bituminous Concrete top course, installed in 2 equal lifts.All edges must be tack coated and the surface joints sealed, -Final pavement restoration Will include milling and paving of the asphalt surface to a depth of 2".The pavement surrounding and including the excavation shall be milled to a depth of 2".The milled area shall extend a minimum of 10 feet beyond the edges of the original trench line.The milled edges shall be vertically faced and not tapered.The entire milled area including the edges shall be swept and tack coated with an approved material at the appropriate rate.The area will then be paved with Class 1 bituminous concrete (machine laid)and compacted to a depth of 2". -Requirements of this permit are subject to change as field conditions warrant. This section of Route 30 is rated 8 out of 10 on the Pavement Serviceability Rating Scale. INSURANCE EXPIRES:04/27/2007 -PRIOR TO THE INSURANCE EXPIRATION DATE,THE PERMITTEE MUST SUBMIT A FORM CON 32 TO DOCUMENT APPROPRIATE CONTINUING INSURANCE COVERAGE. The Permit Inspector must be notified upon:completion of work for final inspection and approval CALL Before you DIG! TOLL FREE, STATEWIDE 1-800-922-4455 Any and all liability for injury,damage or loss resulting from such work as may be undertaken under the terms of this permit is assumed by the Permittee.The Permittee is hereby designated responsible for all future maintenance of all installations or encroachments constructed under this Permit,which in the sole judgement of the State are not part of the highway appurtenances normally maintained by the State. The Permittee hereby agrees to indemnify and hold harmless the State of Connecticut for any and all such injury,damage,or loss that may be incurred,either directly,or as a result of said work,and to reimburse the Department of Transportation for any expenses incurred due to the performance of any such work undertaken under the terms of this permit. This permit is revocable at the discretion of the Department of Transportation Commissioner or designated representative. PERMITTEE'S SIGNATURE DATE DEPARTMENT OF TRANSPORTATION BUREAU OF ENGINEERING&HIGHWAY OPERATIONS BY Ronald P.Cormier ` TOWN OF SOUTH ANDSOR y SANITARY SEWER LATERAL FELD , LOCATION DATE OF CONSTRUCTION BUILDING ADDRESS STREET : cl�� k SUBDIVISION: NORTH ARROW t::41-1 ve lva w _4 —.LA ol ' Q I CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISO t Z � r It n STREET ADDRESS SIGNATURE Z 114 i � Sj � S �I ,Z/�G DATE TOW�Nj STATE ZIP INSPECTED BY TOWN DATE TELEPHONE NUMBER WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER