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HomeMy WebLinkAboutStreet Cut Permit 19 Andmar Lane 1000015 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT s _J As � ,, DATE: 01/27/10 y 25.00 W � FEE: MUNIS APPLICATION# 201000072 s� grETION DATE: GIS ID: 03000009 01/27/11 APPLICA s {%LOCATION .x - S — 9 MAR LANE NAME: SIROIS&GALE CO ( - er ADDRESS: 73 SYLVAN AVENU ER� W JOHN G JR&HELEN R W HARTFORD,CT 0 1 LANE SOR,CT 06074 PHONE 860-521-7077 1 via WORK DESCRIPTION: EXCA Al2 ' I T& PLICE BACKFILL AND F I - APPLICANT AGREES TO FURNISH THE TO ( H g" 1 OND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY E REPAIR WORK IN D TH CONNECTION WITH THIS PERMIT ANE I -1 " I I UL.ES AND REGULATIONS ��`. _ x I FOR PERMITS AS OUTLINED IN THE TOWN OF SO C, Yb© ( Iv ISSUED BY DATE SPECTED INSPECTED BY 1/27/20109:10AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.:Z QUO 1S" CONTRACTOR: S J C0 LS LOCATION:_ l ic? tAYNcAmac L r—e TYPE OF WORK: Lb A* Aa Gi74 4r l�S�Y� DATE INSP NEEDED: DATE INSP: 3 INSPECTED BY: WORK IN PROGRESS: C c vzz r c jazr<Cc- va4' 2 -f o f A l p_ SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: G DATE: bk; ANNIEU W12007 Town of South Windsor INPSECTION REPORT 07 APPLICATION FOR STREET EXCAVATION PERMIT -111 ; ppl. No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00 Name of Firm S1&13 4 ��t: C,?onu.S�. (�0. LC,t� Phone No. 0(466 y2(?67'7 Address of Firm 0 2 716 21 410. H Zip Code d 612-7 Location of proposed Work: . 1 4� . m ikC LAU P Iz Describe fully nature bf permit requested ' j.7�S SXY tin Ma s 46 aw-lx-- T+ �. Starting date / 2 o. : Approx.time for completion 2 Call Before You Dig No. /b a D!f o S PLEASE NOTE THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE, THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed work or fumish This section to be filled out by two copies of separate thawing Indicate North Town of South Windsor q No.cuts tuo e J—7?03 Est. Patch Size(s) sf Est. Pvt.Thickness in. 20 f o Est.Patch Unit Price$ /sf Est. Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price$ /ft Est. Curb Cost$ Est.Traffic Unit Cost /hr Est.Traffic Control$ AmL of Deposit$ 11ENED Total Due$ SCAIL O Cash O Check# Applicant is responsible for contacting Paid By the Police Dept.and C.B.Y.D. 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 OU ell ED IN TH OF SOUTH WINDSOR'S STREET CUT PERMIT MAN AL.)f6 Slgnod::. / 2,�"✓ Date: Title:..._ --.222`w y 7Z T ` ``-- Driver's License#: 11,1510f SHALL BE KEPT ON JOBSITE AT ALL TIMES street Excavation Permit 08 (ZJ c�>u-u—)L 1i))1t,/. o-e- 1 '2i 1 2? a_>1 O bq 0 1 1 c 1 .1,s5C$720.1 1978 1 :LT'g4 yl 197a ,,3 ALTV-30 . 2121, ....... NC ,45C1153'11979 ;4'ALTV-SO t2121, tI3-1Z77 A, 13-27 t212f, 201-203> 8,1-3 .45C 730'I 1976 2121,126-129 NC 2t21.204-250 NC t2121, 201-203) H,1-3NC I i$,'AI.TV-30 2121,20.-'16 NC NC t2121, 201.203) H,i-3NC .45C1 25M1 197H¢121,129-139) A,29-39 ry�q� t2121, 217-232)NC C,17-32 2121, 04-212 NC NC 2121, 201-201 NC S";ij N 2123, I40-I50 NC �../ Z121.233-250 NC NC 12321, 213-213)NC C,13-13 L2121,205-232) B,5-32 2121,201-250 SIC 2121, 2t4-214 NC NC 2121,233-230 NC t2121, 215.213)NC C 13-13 B C:J 2121 , 216-•230 MC NC 13 d ® � � cNtusa:;r t1`..;�l� N NJIt1N APRON CO FYISTING P-IN CREDIT ��p[D�T�L�ry1L•�r g,T[IIM1IBp IYaUC 4f iyp JILT) �.•.� d' ) -CATERING A FILL ''�.`\,`'• q 1 FTTN BURIEII TER" 6 45C® ,I �1, ih®j J9j ]RE-ENTERING 4 rI:.LED /;•jt• (1•/ ZT �\` J9jg� 1 FTTX BURIED TERNINK �'• '� 3121Q2 IMLL•uttwu TnL[• z, asc ©�,9 R10 CI o TO eff 211 U. ® 'l 3 HCa 4x 5 1 YSj v Neil� L. GWIIOY 10.DIff T2p / .<!96 IL LED H •' l RT Qw � H WII[JJN J/ to nm .._� .T8 1`TT� 0 7E ®® ,/ 4 2 u`v° ®j 7!✓ j `i 2CO •..� �' �'�r s D IMTWIT PLRIIf N? HH p` �Lr aq 45C m' .ii j� ,4H+�t8• �J m® ' U;� �.., s.^` a �a•. a, ,o ._ pIlly �IW�EILN�• NEAR DVNNM4 4k .� Pxf Q7KGC1$ �1U f(1D •.•� / 2 a MBNIgD.PAIR RONpNO FTTNNTBURIED rERHMADI © / l-! EMDB' I� FILLED tSuTTD VRAOi ) "..., ` 45C yC 44�jy FTtN BURIED rER»IXK �C _ ® // ;00 •.S\\^` 1 RE-ENTERdG A FINK W CD +1O ( •�\1\\``�. � / \ ��:• �.11+� '` � 1 FTTN BURIED R (/ `�D G *,V,' �� ®® ^., �.. •.j,. , .`} HH VHHN CD uy- W RE J - 9 45C�• Q �/ �, 2z�`� 32 -,;m J 4'J RpFyP�krylyNr�N 1 RE-ENTEa1 A FILLED j JFE'Il�'X�j {'1 ➢ J /t� 700TRIMSa PMI1 .4 ERE➢IT ruLL wnM.1•}��J 0 -)Q . •. •. � / ,J 1 FTTN BURIED tERMNK � �• PROJECT NO 6637903 ae � / �:• .. Y TDLPPoNIS I FIRM ND.9 NPA/K YNI.6M PRL:860644 H 1224q �HNI 1,^ OM YPNG-YAPPING 1Az DST. ® 45C c C- RAWIN . Eta.SC DSC a `TI I! 1 ',� ' CONSTRUCTION-PAIR BONDING ® ® u NEAa H c� 1 45c if you rind a loop attached to a T committed pair, .`} t FrTN Fri.rM1NL w 1 YaR1 iLEDwL 'I f 1)Ifthe NkP RLF.b9]-630-94 ^m t I RE-eNr%aING,Fluca Pair is working determine the address a.; �'I,S ]FTTN)DRIED fERMIN.L ® � ® ! l7ID for the line. viakc the changes on the STW $G(f MAE ATf:SPLICING$ DS o� r� (change the T to an S and add the address). ME DAJ[ AT EACH BURIED PU o 45C / / i © call into the MLAC to update LFACS with LOCATION REMO BRI TAP N ` Q FROM PRRFTa the same information. PO W 663]903 40334 ON ALL P,S$T C D aE E-C'Mc.r:Lu➢ 0.KVB2 PAIRS. r ITN k*XD]ERNINwL 21u 2)If the line is not working. remove Ilk'loll, b P LN1F RLY 1�/GI/2(w9 11,45C~1000•f 1978 'LT' 2I21, 101-114 NC .49C,463y 1970 •,9'ALTV-50 c2t21, n3-127) a. t5-27 ,4sG t3s•,i97e ;4 -Tv-so TN (2123, 201-203) D,1-3 (2121. 201-203) 8,3-3WC a3tl 730'1197E i$,'�rV-3p 2123,328-72B NL 2121,204-230 NC 2I2L 20f-216 NC NL <2t21.�20I-ED 8,1-3NC .43C1 23M1 1978(MR,189-139> q,29-39 (2123, 217-232)NC C,ll-32 2121,-Oa-?I2 NC NC 2121. 2o1-za NC 2321 1f0-l30 NC . 2D NC NC 2t3213 ,13-13 f2121,203-232) B,5-32 201-250 NC 2121,2i4-?U PIC NC '121,233-230 NL(21,21, 213-.13)NC C, 3-IS 2121, 216:'30 NC NC,r+Y��( N " (b G� t CNf '9Q fk1sTWG P 01 CREDIT ,�ND�Tay• �,��r�v M•T�pn rAW1I� �! 1B GRIN[WT Pg1RS K[IM R,YRL N n 9F' '� ar ` t'C✓ y11Z TOL TD 13-NTERIED A FILL 45C f 1�y�SIrTTN"RJ-G TERN 6 ■Mr 7 79 1 E-ENTERING 4 f1:LED 3jFTTN nURLED TERNINK .'- ' _°721-2 )y{Cl yry ZK ® q 170 a 0 TA�TR roof elo S Ci ® •lsr{`yykS � i Manx Z h /� _ •C I x_ A uLEn ,n "/ Q 110 1lnd N DURED N s 1 (p \ 1918 1 RTN DW1ED TE INAL ® ,v Os Sky CD S 5C C \, aeq 4 c �.. •,-%! k'H,rl fJj�J �.^ 3 2••. 4 •o REP WE m® '�t� \`` `^�••..® ,,3r NEAR WNNM R/ IpIEryP�ILryLyN�y��• L�J`' ••N B 4 1. RE-ENTERING A FILLERS © TIRL WIIYYIJ 4�)O (�,O .. :. ENttB DURiED TEfMf CM SLLE D. b)i r7TN cr WNMRS,PAN nONpNti \\ P ® �• •)' '�L,�q r "^r.-..,.-_' v� /, 1 RE-EIITERING AAitILED (S'oD3 KFT TO YRAO) .•`..., 45C� '^�J W •`V1�J '_,-� \. ®® 0 Yq. 19 FTTN MJR(E➢IERNINK 7�)B— 3 9g "r �) _ 5' NEAR ' pWr WE1Ty�,�• -.��.,•\\\� 1 yy // ` ® ;q^m _5\ I RL-ENTERDG A FADp 141E 4NID4t.) 0 -0 / 1 FTTN DiRiED \ NEM YNINI3A x t l yH* °' + -m TEL(Q RE-ENTER( IRE'NTERiNG If•{'1D m 2D0 E%!STING PAIR CREWT /y�NryrN�( 1-30 1 H )F"IN 9CRTEIT 7 FILLLCD 1 MIN eRE➢ 1 / of TR1N our PAfRs WIINYIJ Wo i 1 PRO>1EC1 NO 6637903 ®® , , r J1; a TOLPIUTI5 I PRINT N0.9 / NPA/NNX 060 6++PRTSDW H G?2aq, i�hhh� E)M RPIG-NAPPi1j TAX DST. CEO IDC,5511 + tt fsL` TRUCTIOv-PAIR BONDING Va.SC DNSC S Emjq,(3()Q)450.2783 NEAR C� 1.LED 45L -If you find a loop attached to a T committed pair.EC'RUT NE^L'NTCRING w ( �• 1f FfiN 4RlfD rr NNN1 I 1 f RE-CNfERING a h'1LLED pa is working,determine the addTesR 697-630-91 =ter 7 1)If the pair ,T. w+IED IERNINNL for the line.Make the changes on the STW SW GE T:SPLICING&RECORDS �;vt ® (change the T to on S and add the a"clifi), ME EACH BURIED SPLICE i0 4,c` l / 71 ® call into the MtAC to update LF,4C`S with OCATION REMOVE BRIDGED TAP N WWW rn*m mtwrs file wane information. PRW W 6637903'Ci.)31f ON ALL P,S&T COMMITTED Rr,i";ERING q MICD ,NIq�R2 PAIRS. 1('fTN TUNED le".1 K ''1•''92 2)If the lint is not working, remove the W, b ro• DATE 10127GI7 o k) T Y Drabek, Bernard From: CallCenter@CBYD2.com Posted At: Friday, January 22, 2010 2:22 PM Conversation: Locate Request-20100401908 Posted To: CBYD Subject: Locate Request-20100401908 (CALL BEFORE YOU DIG - CT) 01/22/2010 14:22:19 -5G -Cl -CW -GV -OT 11-SW SWINDS -T5 -------------------------------------------------------------------------- ***** ROUTINE ***** TIME. .14:22 DATE. .01/22/2010 REQUEST NO. . .20100401908 LATITUDE. .41.8288582 LONGITUDE. .-72.5334821 TOWN. . . . . .SOUTH WINDSOR ADDRESS. . .9 - 41 STREET. . . .ANDMAR LN NEAREST CROSS STREET. .JUDGE LN --------------------------------------------------------------------------- TYPE OF WORK. . . . .EXC TO LOC SPLICE PITS FOR AT&T AREA IS MARKED. . .YES REMARKS: WORKING IN FRONT OF PROP 9, 19 & 2 IN FRONT OF PROP 41 r% WORKING IN GRASS BEHIND CURB LINE 6UANN-EU ----------------------------------------------------------------------- START DATE. . . . . .01/27/2010 START TIME. .08:00 CALLER. . . . . . . . . .STEVE GALE CALL BACK. . . . . . .8-4 PHONE #. . . . . . . . .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