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HomeMy WebLinkAboutStreet Cut Permit 2 Clover Drive 1000014 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 01/27/10 GIS ID: 21600002 FEE:MUNIS APPLICATION# 201000071 �``v� `�� ° vvv` °`` vvv 25.00 IRATION DATE: °vv v EXP vv 01/27/11 APPLICANT LOCATIONNAME: SIROIS&GALE CO*,"' ADDRESS: 73 SYLVAN AVENU v��,v�v�v vv vvv v vv „v SS v`v 2, 2b 4,,4 3 60 CLOVER DRIVE �v �v v WI�ERa;, �,........` 01WA vTZ CAROLYN E W HARTFORD,CT 061f7" \ LOVNRDRIVE PHONE �A wvv„w�` v \ ,v v `;` ����, �uvSGUTH WINDSOR CT 06074 860-521-7077 vv AvvA� (�A\vvA v` vvv °vv v" lk WORK DESCRIPTION: EXCAVATE(i PISS v ' ,v„v \fib I OCATE`A &'SPLICES BACKFILL AND \ A10\V�(\�\VA� 0` APPLICANT AGREES TO FURNISH THE TO F (� " `vv . WR\ATE 1 vv N REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY E� El ,E I vvv y \, LTRRE B 'TH \ F C WORK IN CONNECTION WITH THIS PERMIT AND THE APPJ, IT SERA 4ILIANRu H " FOR PERMITS AS OUTLINED IN THE TOWN OF S _'D 11 VINbB�12 I1 „ET p M E A REGULATIONS �� ISSUED BY DATE SPECTED INSPECTED Y 1/27/20109:07AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 10000 l CONTRACTOR: 6 q le 1 LOCATION: a �� q s D y F 2 �� I �N- TYPE OF WORK: II _� �o DATE INSP NEEDED: DATE INSP: / INSPECTED BY: WORK IN PROGRESS: A c SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: Ili SCANirVEU W/2007 Town of South Windsor INPSECTION REPORT 07 AP-PLICATION FOR STREET EXCAVATION PERMIT r `� -Appl. No, TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 ,/ FEE $25.00 6e� z� CU /026 C j Name of Firm Sc ma`s- (9Ac QwQS+ a, f cc_ Phone No. �'� g�'707? Address of Firm 8 g 4XP_716 2W w_�4 i C27r Zip Code e)G/2 7 Location of proposed Work f,b C,1ovL' OA- �Ut,�- Describe fully nature of permit requested- c c ri 6'"�j � 3 x 3 i yv SS -zr Al S :back " l At Starting date f .7; C> Approx.time for completion E37 yb Call Before You Dig No. _ a6)D o �40 /1 D . PLEASE NOTE:.tHE bEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE, THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT POCH AND CURB REPLACEMENT, INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed work or furnish This section to be filled out by twd copies of separate drawing Indicate North_ Town of South Windsor No.cuts 0 0 , f� Est. Patch Size(s) i * ` sf C,vv r1�,C f ik�S V � e / e��0 Est.Pvt.Thickness in. U1 Est. Patch Unit Price Est.Patch Cost$ Est.Curb Replacement It Est.Curb Unit Price$ /ft Est.Curb Cost$ Est.Traffic Unit Cost$ /hr Est.Traffic Control$ Amt.of Deposit$ SCANNEDTotal Due$ ( )Cash O Check# Applicant is itsponsible fof contacting Paid By the Police De t.and C.13.Y.1).. 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 O 1 ED IN TH O OF SOUTH WINDSOR'S STREET CUT PE MIT MANUAL. Signod:. Date: ` 2S-11b Driver's License#: ?,-2-2-A6 e,77 Z_ C-r— pERMIf SHALL SE KEPT ON JOBSITE AT ALL TIMES Street Excavatioh Permit 08 C,-->u6M- 01-41 1-1'�— 7 •ALTv-100 pt.iv-50 45C1 720%1978 �2' ALTV-5D _ 2121. 101-114 NC .45C1 465'11978 3„45C1 235'r 1978 4.i v730'3 1978 'ALTV-50(2123, 201-203) B,1-3 S_45C1 250'r t978 <2121. I35-127) A, 15-27 [2121, 203-203) 8,1-3NC (232L 201-203) 2I21,12B-128 NC 2121,204-250 NC 2t21, 204-116 NC NC 2121, O4-212 B.NC 1-3NC 2121, 201-204 NC 3.:•;S N <2721,129-139) A,29-39 (2121, 217-232)Ne C.17-32 (2121, W-13)NC NC,13-t3 (2123, 205-232) 8,5-32 2121, 140-150 NC 2121.233-250 NC NC 212t, ats-2U NC NC 2121,233-250 NC 2121,201-250 NC 12 (21,1, 215-215)NC C,15-15 ��1l Y 9 2I2I. 216-40 NC NC V • 12 ♦/F �j� Mp1�� pry�� -plk ® L�j Lr' CHN/S ,�M ` � .30-YIS TlNG Pap CREDIT DPERAI�Itl ll :B GRIN D{tT Pq;RS 3rr` aSC y WOFnSM N " •. RE-CN"LED A F0.I 6 VT, 45C© �) AL H9'>' yl 3 RE-ENTERING A rMN s�& "LED312102 R ZK l � 1 riTN"LED iERNINAL '� '��.'�......,... ® 45C C" WR cm,210202 5 y n nGOilpl fEN VULryUG�E I FTTNNBVRIED iE I11 LED ® j'•.� NT LLW N U111ElIN N PfRNR ID. '4 fI# E.. u l V—• S z ZP 45c �o RRR EP lEL Iq. WHKIM rrNx"c Io"rErwaiLNEED © PDIF QMIfN:f$(f)0 (+ /111 �(�/�\ T i NETi NCIA. NMNOS.PAIR BONOMO ENDS•�\ - _ ® t y J 4S AL093AFT TO V( RAD RE-ENTERING w F0.LEn ) 1 `$ Q5C ®® S� 0 4q!/9 FnN 1134ttEn rEm.l ®. J _ 9�y � 3 `i. / e5j; S ..__ NEARwlnux REP Ri MD. -"`•� �'-..\�\ Of .. ^ \ I RE{NTERTNG A FILLED I riTN pR1[➢7ERNiNN. am \� H PgECONGCIS(f)0 (-J0 e; ®® zS ; i H 4HHfe CA 2 45C ' `A/H i2 C . 8 NEAR WHIMItAA n J /7 ® o- ,:m �WIIRLIJ 1f/R (-/0 \ \„ ]RE-ERTERI3G R-P } 200 E%ISTM PAIR CREDIT . . •. \ / 1 rT1MeUR�D^ERNTNAL ER, 1 FTI�RD tEPMi / / 31 TRIN Qli®WS PROJECT NO 6637903 iOTPfilP15I •PMT NO. ®® cy/!�! NPA/K 860.6N PRT:8WM DM fti-VAPPIK TAX DST. i ® GOD EOC.5511 ® �9�s Da.SC WNSC ® a ® 1 45C' 1l CONSTRUCTION-PAIR BONDING EM um 45(}2;83 NEAR YNNIM4 r� i. 45c -If you find a loop attached to a T committed pair. ,� 1 REL'NI ERIUTi w LED ' I FTM PRIED',NirYL 0 N 1 AE-ENTERING A 1'SLLE➢ N g.determine the`n I)If the iris working. ENP REF 691630 9i ® rrTN 3 A E➢TERNiNAL for the tine.Make the changes on the STW �NE ATf:SPLICING&RECORDS P 1 ® (change the T to an S and add the address). AT EACH BURIED SPLICE 4,C � Galt into the MLAC to update LFAC.S with ME LOCATION REMOVE BRIDGED TAP N °.WAGNS o FROM PRwr� the silme information. KW W 6631903 SMIA f ON ALL P,S&T COMMITTED : ENTERTNG A r:LLED / `NEN�2 ` N SURIE➢tV"INAL d '1`'''2 2)If the line is not working, remove the hoop. DATE Vl f 2!IfAI?-"9 PAIRS. _��� GIc-Aj of- V;tf ' r- /2i j/27 a�)t0 pl 17 1�3'ALTV-100 (,LTV-30 ce ,7101-1114 NC �'2`22 a65')1978 :3„45CP 135'I 1978 •.4.i9Cv 73a'I 1978 5 r1LTV-Sp t2121. 115-127) A, 15-27 (2121, 201-203) H,1-3 t2121, 201-203) 8,1-3NL (2321,�pl-2D3) H,1-3NC % -43CI 25D'I 1978 t•v� N 212I,128-128 NC 2121.204-250 NC 2t21, 204-216 NC NC 2t2I, 201-207 2121,_Oa-?12 NC NC (2121, 205-204 B,5-32 (2121.]29-139> A,29-39 t2121, 2t7-232>NC C,t7-32 (2121;2t3-2t3)NC C,13-13 2123, 1AD-150 NC 12 2121.233-250 NC NC 2121, 2N-?N NL NC 2121,233-23p NC 2121,203-250 NC ® ,12 t2122, 215-210 NC IS-15 9 2t21, 216-.'SO NC NC 12 t3 WM AM LLJ ® I, tD L � ONMtaO-YIS TING PAIR f,RE➢IT pHyr�„yt� :B BRIM OVT PANS I,r[JYN�IU IW111L -3 45C tyl1 L 7 /IPC l7J'7 11� 1013 RE-GN ERING 45C i 1 FTTN NJRIED rERNI, 6 ). r�yy.�1�y.y��AyE. \\`10 ]FTIN BURS TE Wyi AL ' °121G2 R4A61KSpN GYC i s^^ �"�--........ m © Ri O CZ W R CNN 210M 5 ��`r/y' r� � � 4Sr1 wyHq CNDIAI a YCN.T�E A ILLED h (.•v KY ROO GO WIN V nm ; t%I n� { 78 I FTTN wR1ED TE )NAL Q 2 98 CIE 3S� -.. oz �H a 45C a U Mt Rryfyl'�)DryyH��I.� "� I RC-CNTERDVG A FILLED J;' © POIF CONpCIS(f)O (-,Q .., 4 \\``- h i FTTN 310 TERM. •, O Al• // WNNNS.PAIR 6t7NawN J RE-ENTERING AAILLED (540 KFT To VRAD) ww1ED 1Ew1NAL �lrrnNEAR rE" A1ER�o``AL° IE�C01Rm ... �. 1 FTTN KIR® WHHki ®® ".^ ... ...., ` a' �l HH CD �``\ `.r,P_i�s� d, - ` 45C s• 2 43C HH i2 C .m t 44, Rt�� & / NEAR WMH03A A yys3 s RtT ffl No. �uu222��I RE-ENTERM IL D ®. 2➢0 EXISTDG PAIR CREIDT Wo He -. •\ y' 1 RE-ENIERI A FILLED ]RIN HUt1ED I / 31 TRIM OUT PAIRS ® ' / 1 FTTN wR1E0 tERM1NAL a�� J� 4 ® PROJECT NO 6637903 TOTM I PRIM(N0.9 i l ®® r'` Ill/ NPA/IWX 060 b44 PRTS0644 H I �..' /2,24q. y#t ;I� IrA YPK-YRPPM »DST. ® ©' CEO Lm 5511 CONSTRUC'TIOv-PAIR BONDING RlMK('DGD)45D-2783 NEAR MINHa Q 4s1 -I f you l ind a bop attached to a T committed pair, •`" i FTTN TI ^•RItALLED 0 N -, I<E-ENTERING A PILLED 1)If the pair is working',determine the address W�697--630-94 ® � '1r �Ii ® 1 1-TrN uwIE➢ rERmy AL for the line.Make the changes on the STW W NX ATT.SPLICING&RECORDS : tchange the T to on S and add the address). ME DATE /) © call into the MLAC to update LF'ZS with AT EACH BURIED SPLICE D 45C / the saint information. P KW ME 663,903 SCi 34 LOCATION REMOVE BRIDGED TAP o FROM PFBW8 WmW REV.ND 2 ON ALL P,S&T COMMITTED RF`ERINGG A ff 1LCD 1A2 ?)If the line is out working, remove the hr [ p� y PAIRS. I rriN BURIED IEPNINAL b ip- DATE 0.12/24/20C9 r D r ' � M Drabek, Bernard From: CallCenter@CBYD2.com Posted At: Friday, January 22, 2010 2:09 PM Conversation: Locate Request-20100401901 Posted To: CBYD Subject: Locate Request-20100401901 SCANNEur (CALL BEFORE YOU DIG - CT) 01/22/2010 14:09:10 -5G -Cl -CW -GV -OT 10-SW SWINDS -T5 -------------------------------------------------------------------------- ***** ROUTINE ***** TIME. .14:09 DATE. .01/22/2010 REQUEST NO. . .20100401901 LATITUDE. .41.8291652 LONGITUDE. . -72.5318864 TOWN. . . . . .SOUTH WINDSOR ADDRESS-2 - 60 STREET. . . .CLOVER DR NEAREST CROSS STREET. .INDIAN TRL -------------------------------------------------------------------------- TYPE OF WORK. . . . .EXC TO LOCATE AT&T TELE SLICE LOOPS AREA IS MARKED. . .YES REMARKS: WORKING IN FRONT OF PROP 2,12,34,48,60 AND WORKING BETWEEN THE CURB AND SIDEWALK -------------------------------------------------------------------------- START DATE. . . . . .01/27/2010 START TIME. .08:00 CALLER. . . . . . . . . .STEVE GALE CALL BACK. . . . . . .8-4 PHONE 4. . . . . . . . .860-521-7077 FAX #. . . . . . . . . . .860-521-7077 ALT. PHONE #. . . . EMAIL ADDRESS. . . CONTRACTOR. . . . . .SIROIS AND GALE CONSTRUCTION CO ADDRESS. . . . . . . . .P.O. BOX 271620 CITY. . . . . . . . . . . .WEST HARTFORD STATE. . . . . . . . . . .CT ZIP. . . . . . . . . . . . .06127 -------------- ----------------------------------------------------------- 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