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HomeMy WebLinkAboutStreet Cut Permit 239 Graham Road 900067 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT P IP DATE: 06/22/09 GIS ID:04800020 � FEE: 25.00 MUNIS APPLICATION# 200900699 � � TION DATE: 06/22/10 APPLICAN 5� OCATION NAME: HERB HOLDEN TRU (Qr - AM ROAD ADDRESS: 59 BROAD BROOK R ` - - R �SA OR LUTHERAN CHURCH BROAD BROOK,CT66 ROAD. `I . SOR PHONE � � � � , .� � � ,CT 06074 voo WORK DESCRIPTION: AROD bRI P.- K LUNG SEWER LAT IN EXI `c T - AGE INTO CB APPLICANT AGREES TO FURNISH THE TO O F MAND INTENANCE OR AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY E E - V REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE AP C LL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SO RMIT MANUAL. ISSUED BY DATE INSPECTED INSPECTED BY 6/22/200911:54AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** II ,20_PFwt0q9APPLICATION FOR STREET EXCAVATION PERMIT 9 1Dp 06.7 Appl. No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC.WORKS DEPARTMENT 1540 SULLIVAN AVENUE Date.. SOUTH WINDSOR,CT 06074 FEE $25.00 Name of Firm LbC--;� l xv Phone No.8 � �� Sass Address of Firm /ZoY i314.oa dZip Code Location of proposed work — ALS Describe fully nature of permit requested �-Sni.Lc/Vt l .i:1"h `77 i N Z f ic/?af •-:� _L�t7a3r3Q*5 r AC n( Starting date Approx.time for completion Call Before You Dig No. 01vo`3.1 80 3 Existing Water.Supply: lic Water ❑Well ad c� e1/-7(p Existing Sewage Service: ❑ Public Sewer ptic PLE NOTES ANEN , HE DEPOSIT FOR THE PERMT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,-TRAFFIC:CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD 8E LATER THAN A YEAR. Show sketch of proposed work or furnish This section to be filled out.bv two copies of separate drawing ind_icate.North Town of South Windsor I �v� No.cuts J Est.Patch Sizes) 164`- 6 sf 7" Est.Pvt.ThicIviess - yP' in. v Est.Patch Unit Price \� Est:Patch Cost$ IDOL) �U ' Est.Curb Replacement I ID It Est.Curb Unit Price$.. ' /ft Est.Curb Cost.$ - Est.Traffic Unit Cost$ /hr Est.Traffic Control$ Amt.of Deposit$ Total Due$ t )Cash ( #c6 Applicant is responsible for contacting Paid By A the Police t.and C.B.Y.D. - 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 ASIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT UAL. Signed; Date• ? b Title: Driver's License#: PLEASE ALLOW AT LEAST TWO WORKING DAYS AFTER APPLICATION FOR ISSUANCE OF PERMIT WORK MAY NOT BEGIN UNTIL A PERMIT HAS BEEN ISSUED PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Street Excavation Pennit 08 REV 10-22-08 ll' 1 ►���■■r®®■liii��®m,■i■■ ■ INS on ON 'i ism ro®■ si ®■iil�i®i/�,�/ii�®i■iiiil II�i®■i■®®■■ ■°■°®°■i i■illi!lt�i■■■■!■■1�'w,IN ■■1�■ ■ii ®i°®®1�l�■■■il�i��imass so 0-in fin ii�, ®f�®i11ri� ®■ ®■ill■i■�1�l�i�i■�1/ SwUll G�a�®/®!i■ 0°■® i�r■e!■//r®ill■�iill®®ii®//■®1�i1_�tii`i��®��1®° on !!■®!■■�■ilii■■ii■i■■!°i®®11■ ■i®®�iii■iil�■®/i■�iii■■■�l■®!i®■i® ms 6ti1�� �t�acrot►��r:�eso��s.�,•�®� TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT*NO.: i000&9_ CONTRACTOR: . . LOCATION: ` TYPE OF WORK: --DATE INSP NEEDED: DATE INSP: ...-._ INSPECTED BY: WORK IN -PROGRESS: Cr ✓ � e @ !`�Q S - - I (� ' ©-' 7 Gra;,4 INPUT: C DATE: W/2007 Town of South Windsor INPSEMON REPORT 07 Molloy, Catherine From: CallCenter@CBYD.com Posted At: Monday, June 22, 2009 11:58 AM Conversation: Locate Request-20092600456 Posted To: CBYD Subject: Locate Request-20092600456 (CALL BEFORE YOU DIG - CT) 06/22/2009 11:58:19 -5G -Cl -CW -GV -OT 5-SW SWINDS -T5 -------------------------------------------------------------------------- ***** ROUTINE ***** TIME. .11:58 DATE. .06/22/2009 REQUEST NO. . .20092600456 PREVIOUS REQUEST NO. .20091803546 LATITUDE_ .41.8516105 LONGITUDE. .-72.5561235 TOWN. .. . . .SOUTH WINDSOR STREET. . . .GRAHAM RD NEAREST CROSS STREET. .STEEP RD ----------------------- TYPE OF WORK. . . . .EXC TO UPGRADE ELEC SVC AREA IS MARKED. . .YES REMARKS: WORKING AT OUR SAVIOR LUTHERN CHURCH LOC 50OFT NORTH OF THE INTER. WORK STARTING FROM CL&P PLE 19251 LOC 20OFT WEST OF THE DRIVEWAY ENTERANCE AND GOING SOUTHWEST TO THE NEW BLDG ADDITION. ---------------------------- START DATE. . . . . .06/25/2009 START TIME. .07:00 CALLER. . . . . . . . . .JOHN HOLDEN CALL BACK. . . . . . .8-5 PHONE #. . . . . ... . .860-623-8855 FAX #. . . . . . . . . . .860-627-7896 ALT. PHONE #. . . . EMAIL ADDRESS. . . CONTRACTOR. . . . . .HERB HOLDEN TRUCKING ADDRESS. . . . . . . . .59 BROADBROOK RD CITY. . . . . . . . . . . .BROADBROOK STATE. . . . . . . .CT ZIP. . . . . . . . . . . .06016 -------------------------------------------------------------------------- EXCAVATOR DOING WORK. .SAME ISSUED TO: DATE: TIME: BY: DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY: CALL BACK: 1) DATE: TIME: BY: 2) DATE: TIME: BY: PERSON CONTACTED: PERSON CONTACTED: 1 I