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HomeMy WebLinkAboutStreet Cut Permit 44409999 Hollis Road 1000224 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 10/27/10 GIS ID:44409999 FEE: 25.00 MUNIS APPLICATION# 201001457 EXPIRATION DATE: 10/27/11 APPLICANT LOCATION NAME: SITE LLC ADDRESS: HOLLI5 ROAD,RAVINE,DAVEWELL RD ADDRESS: 63 LANCASTERDRIVE,,;` OWNER. BEACON FALLS,CT 0"6403 SOUTH WINDSOR,CT 06074 PHONE WORK DESCRIPTION: ELEVEN TEST BORINGS FOR"'THE'MDC NEW WATER LINE FOR HOLLIS RD RAVINE RD AND ELL,ROAIJ APPLICANT AGREES TO FURNISH THE TOWN QF SOUTH'WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANT'EXPENSES"INCURRED BY,THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE APPLICANT IS FAMILIAR WITH,AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SO TTH WINDSR'S'`STREET CUT PERMIT MANUAL. ISSUED BY DATE INSPECTED INSPECTED BY 10/27/201011:34AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 10602 D CONTRACTOR: ) �� LOCATION:i ll/s 1 a b v (`r-)c J' TYPE OF WORK: 5L M b DATE INSP NEEDED: DATE INSP: 1 a INSPECTED BY: 60 WORK IN r� PROGRESS: _Re-z,l- �f - °e'�a � �� L L C_ Tc.s4 T o `7 SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: I S/FORMS/TOWN OF SOUTH WINDSOR INSPECTION 00l®©11Y APPLICATION FOR STREET EXCAVATION PERMIT Appt.No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT 1640 SULLIVAN AVENUE Date: SOUTH WINDSOR,CT 06074 FEE $25.00 Name of Firm 51'TE L L-C% Phone Nt °3) �O- `4� Address of Firm__ Lo_�3 L. A ccf- -+e f �L� 6,�, I is !�_!�Zip Code 4!�(a Y' Location of proposed work hl- 1 ti\s Rout, 12 1Zo, bLve �,�ll tau Describe fully nature of permit requested 1 ✓ �-� h �r n S Starting date i V 91 i a. Approx.time for completion / a Call Before You Dig-No. )-o j o 4-3 0 -f i P,6 Existing Water_010 q30 L- / Supply: ❑Public Water ❑Well acjio L&C, '/-'/0 0 Existing Sewage Service: ❑Public Sewer ❑Septic PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY.ESTIMATE..THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST.OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCHAREA,-CURB 'LENGTH,TRAFFIC CONTROL AND-THE TOWNS CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN AYEAR.OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN-A YEAR. -Show sketch of proposed work or furnish This section Wbe filled out by two"copies of separate drawing Indreate.N6rth Town of.South Windsor cP No.cuts Est.Patch sizes) sf Est.Pvt.Thickness in. Est.Patch Unit Price Est.Patch-Cost$ Est.Curti Replacement ft. Est.Curb Unit-Price$. Ift Est.Curb Cost. . Est.Traffic Unit Cost$ Ihr Est.Traffic control$ Amt.of Deposit$ Total Due$ ( )Cash ( )Check# Applicant is responsible for contacting p g the Police t.and C.B Y.D. Y 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 . CONN T1QN WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMi AS OUTLINED IN THE TOWN OF'SOUTH W WDSOR'S STfIEET CUT PERMIT MANUAL. Signed: Date: /0.,a 5�� 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 Permit 08 R1 'I0-22=08 t rtL, 3l1 f j 3\r ''• � {15 #21 #27 #35 /\ #45 #51 #57 I #63 #69 #75 , 7k, /{618 i0 wtl' Q8 .1 -- - ------- ---------------- I!--_— -- -- :j tv;A -6oels -+ " -o =>f= I \ ---- -_-- --- � 0 #630 #22 #28 #34 #40 #46 #52 #58 #25 #24 #636 19 �Jl l _ At l'f_ #646 #75 #21 #27 #33 #39 #45 #51 �— _ r' E #t0 #7 of z - �I, k -- _,.....DAVEWELL .�.-.�.;•__.w._— .—....5 - I t r --_ r - _ --_'- - - ---- E 1 : . 3, i" ,a 4 #658 8 3 I B_ ,`\a'ti, #22 #32 #38 #48 #56 #64 �{60 l,• t; MSC The Metropolitan REVISION DATE PAN AND PROFILE FOR WATER MAN RE,'CEMENr FDR e opolitan District — UPMER ED CHECKED BURNHAM ACRES IN MOC CODE BUPNR4 CRES fl WAiE50VNN R PLSC ME S Hartford Connecticut PRD N E"° PEER" "-- HOLLIS ROAD RAVINE ROAD "" NC50R X r suBRRren AND DAVEWELL ROAD « DATE Engineering And Planning j CONTRACT NUMBER PLAN NUMBER sx, �pP� i MP0.oVEU SOUTH WINDSOR XXXXXXX XXXXXX SCALE:I' tW H.. VER. Drabek, Bernard From: CaliCenter@CBYD2.com Posted At: Friday, October 22, 2010 3:47 PM Conversation: Locate Request-20104304105 Posted To: CBYD Subject: Locate Request-20104304105 (CALL BEFORE YOU DIG — CT) 10/22/2010 15:47:16 —5G —Cl —GV —OT 12—SW SWINDS —T5 —W3 -------------------------------------------------------------------------- ***** ROUTINE ***** TIME. .15:47 DATE. .10/22/2010 REQUEST NO. .e.20104304105 LATITUDE. .41.8149554 LONGITUDE. .-72.5929415 TOWN. . . . . .SOUTH WINDSOR STREET. . . .DAVEWELL RD NEAREST CROSS STREET. .PLEASANT VALLEY RD -------------------------------------------------------------------------- TYPE OF WORK. . . . .DRILLING 5 TEST BORING AREA IS MARKED. . .YES REMARKS: WORKING FROM THE INTR & GOING TO THE INTR OF RAVINE RD WORKING IN THE STREET -------------------------------------------------------------------------- START DATE. . . . . .10/27/2010 START TIME. .07:00 CALLER. . . . . . . . . .JOHN DEANGELES CALL BACK. . . . . . .8-5 PHONE #. . . . . . . . .203-490-4777 FAX #. . . . . . . . . . .203-490-4778 ALT. PHONE #. . . . EMAIL ADDRESS. . . CONTRACTOR. . . . . .SITE LLC ADDRESS. . . . . . . . .63 LANCASTER DR CITY. . . . . . . . . . . .BEACON FALLS STATE. . . . . . . . . . .CT ZIP. . . . . . . . . . . . .06403 -------------------------------------------------------------------------- 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 Drabek, Bernard From: CallCenter@CBYD2.com Posted At: Friday, October 22, 2010 3:47 PM Conversation: Locate Request-20104304103 Posted To: CBYD Subject: Locate Request-20104304103 (CALL BEFORE YOU DIG - CT) 10/22/2010 15:46:31 -5G -Cl -GV -OT 11-SW SWINDS -T5 -W3 -------------------------------------------------------------------------- ***** ROUTINE ***** TIME. .15:46 DATE. .10/22/2010 REQUEST NO. . .20104304103 LATITUDE. .41.8154951 LONGITUDE. .-72.5940711 TOWN. . . . . .SOUTH WINDSOR STREET. . . .HOLLIS RD NEAREST CROSS STREET. .PLEASANT VALLEY RD -------------------------------------------------------------------------- TYPE OF WORK. . . . .DRILLING 5 TEST BORING AREA IS MARKED. . .YES REMARKS: WORKING FROM THE INTR & GOING TO THE INTR OF RAVINE RD WORKING IN THE STREET & GRASS AREA -------------------------------------------------------------------------- START DATE. . . . . .10/27/2010 START TIME. .07:00 CALLER. . . . . . . . . .JOHN DEANGELES CALL BACK. . . . . . .8-5 PHONE #. . . . . . . . .203-490-4777 FAX #. . . . . . . . . . .203-490-4778 ALT. PHONE #. . . . EMAIL ADDRESS. . . CONTRACTOR. . . . . .SITE LLC ADDRESS. . . . . . . . .63 LANCASTER DR CITY. . . . . . . . . . . .BEACON FALLS STATE. . . . . . . . . . .CT ZIP. . . . . . . . . . . . .06403 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 Drabek, Bernard From: CallCenter@CBYD2.com Posted At: Friday, October 22, 2010 3:45 PM Conversation: Locate Request-20104304100 Posted To: CBYD Subject: Locate Request-20104304100 (CALL BEFORE YOU DIG - CT) 10/22/2010 15:45:29 -5G -Cl -GV -OT 10-SW SWINDS -T5 -W3 -------------------------------------------------------------------------- ***** ROUTINE ***** TIME. .15:45 DATE. .10/22/2010 REQUEST NO. . .20104304100 LATITUDE. .41.8161387 LONGITUDE. .-72.5926309 TOWN. . . . . .SOUTH WINDSOR ADDRESS. . .16 STREET. . . .RAVINE RD NEAREST CROSS STREET. .DAVEWELL RD -------------------------------------------------------------------------- TYPE OF WORK. . . . .DRILLING TEST BORING AREA IS MARKED. . .YES REMARKS: WORKING IN THE STREET IN FRONT OF PROP -------------------------------------------------------------------------- START DATE. . . . . .10/27/2010 START TIME. .07:00 CALLER. . . . . . . . . .JOHN DEANGELES CALL BACK. . . . . . .8-5 PHONE #. . . . . . . . .203-490-4777 FAX #. . . . . . . . . . .203-490-4778 ALT. PHONE #. . . . EMAIL ADDRESS. . . CONTRACTOR. . . . . .SITE LLC ADDRESS. . . . . . . . . 63 LANCASTER DR CITY. . . . . . . . . . . .BEACON FALLS STATE. . . . . . . . . . .CT ZIP. . . . . . . . . . . . .06403 -------------------------------------------------------------------------- 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