HomeMy WebLinkAboutStreet Cut Permit 385 Nevers Road 1000012 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 01/26/10 a
GIS;ID: 62400385v' ,�aa�V�w� �„x�"`` ����Av �,��� v vv�
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MUNIS APPLICATION# 201000069 0.ap w\\
w� � TION DATE: 01/26/11
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APPLICANv1,
LOCATION
v� V RSROADNAME: J&H SLATER CON S,
75 \i\\'ADDRESS: COMMERCE
A JO S&ARLEN E M
SOUTH WINDSORTOt 4
J0A� RS ROAD
PHONE 860-528-5252 g"avan0l" INDSOR,CT 06074
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WORK DESCRIPTION: EXCA TE�Oa� \v vwn� � r
PART Rt \ � o„ n \ TINmI \ JCT
APPLICANT AGREES TO FURNISH THE T S3" H OND RE UIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY FE B " p \FC MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE v ^IDS� ����"r 3 "� aa�y�, NIo LL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SFegtJA
� �I p �ST � ;UTW�RRMIT MANUAL.
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ISSUED BY DATE INSPECTED INSPECTED BY
1/26/201011:52AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 10 ccc>1 Z CONTRACTOR: F' u LATE—
LOCATION: oeuc-pu t"J vg: vr 'F Lug
TYPE OF WORK: q,XAVA;ft, -QV Q�t PCATE WAT-CiC MAI
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS: E�Ff��=� �¢ f�x��r7r_;�•,G Iti I&JCA ( .% WAT r N� ) cEMGIIC
As &4(T o �rz�J> (I A� ll �+y rRt/�i+latil r1,J� i• [�F FS W i K �}S
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ArL_pA.l is SiC*-r- 1t 7K)EmCA ,
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT: ►J/A
INPUT: C, DATE:
W/2007 Town of South Windsor INPSEMON REPORT 07
LQtonC06`� APPLICATION :FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR,CT 06074
6�Gz3 L- FEE $25.00
Name of Firm &AT6L C 4%_.' 'flog co- Phone No. eko 5 28 `_S
Address of Firm--7S CONiWI Zip Code—bp(�
Location of proposed work
Describe fully nature of permit requested
9,0(- Wfo-l� Mk r�
Starting date ID " IF fbLZ- IS MW-4;0 Approx. time for completion
Call Before You Dig No. 2l 01 (go LA O 113-1
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or fumish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
No.cuts
Est.Patch Size(s) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price
Est.Patch Cost$
i� Est.Curb Replacement It
M
Est.Curb Unit Price$ /ft
A Est.Curb Cost$
A
0
CL Est.Traffic Unit Cost$ /hr
, ci ✓► Est.Traffic Control$
oAmt.of Deposit$
2 Total Due$
2
( )Cash ( )Check#
Applicant is responsible for contacting Paid By
the Police Dept.and C.B.Y.D.
1 AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE
TOWN 4 SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN
CONNECT6StT
ED IN T ITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMITSHE TOWN OF SOUTH WINDSOR'S STREET CUT PER IT MANUAL.
Signed: ` ' Date:
Title: �1 lut Q�'� 4 ws Driver's License M
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Street Excavation Permit 08
Drabek, Bernard
From: Cal[Center@CBYD2.com
Posted At: Friday, January 22, 2010 3:04 PM
Conversation: Locate Request-20100401937
Posted To: CBYD
Subject: Locate Request-20100401937
(CALL BEFORE YOU DIG - CT) 01/22/2010 15:03:43
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-OT 12-SW SWINDS -T5
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***** ROUTINE *****
-TIME. .15:02 DATE. .01/22/2010
REQUEST NO. . .20100401937
LATITUDE. .41.8500420 LONGITUDE. .-72.5506316
TOWN. . . . . .SOUTH WINDSOR
ADDRESS. . .385
STREET. . . .NEVERS RD
NEAREST
CROSS STREET. .HAYES ST
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TYPE OF WORK. . . . .EXC TO RELOCATE WATER MAIN
AREA IS MARKED. . .YES
REMARKS:
WORKING IN FRONT OF PROP
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START DATE. . . . . .01/27/2010 START TIME. .07:00
CALLER. . . . . . . . . .JASON SLATER
CALL BACK. . . . . . .8-5
PHONE #. . . . . . . . .860-528-5252
FAX #. . . . . . . . . . .860-289-3766
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . .J & H SLATER CONSTRUCTION CO
ADDRESS. . . . . . . . .75 COMMERCE WAY
CITY. . . . . . . . . . . .SOUTH WINDSOR
STATE. . . . . . . . .CT
ZIP. . . . . . . . . . . . .06074
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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