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HomeMy WebLinkAboutStreet Cut Permits 411 Slater Street (2) 1200069 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 05/04/12 GIS ID: 83400411 �/ - FEE: 25.00 MUNIS APPLICATION# 201200531 � � �' g` WIRATION DATE: 05/04/13 APPLICANT J L LOCATION NAME: SIROIS&GALE CONS`VCQ f _ 4 % S 1ER STREET ADDRESS: 73 SYLVAN AVENUE BARBARA K W HARTFORD, CT 061 t R STREET s � WNDSOR,CT 06074 PHONE 860-521-7077 „ = wgg WORK DESCRIPTION: EXCAVATE TCAE ITING CONDUIT STRU( USE SIZE AND D 4 TARE FR th ��- APPLICANT AGREES TO FURNISH THE TC V ISOU IN UNT NO REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AN Al PiN S INCU THE TO-WI C—W NTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE! IC IS F {YITHfiD -A--­BIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF OU 1 I wJW� - S 'R�, T Pf- A-MANUAL. O ,,,, � � i ISSUED BY Dg -,-:% INSPECTED BY 5/4/20129:03AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** "—T ; �7 mEls IN it, ss �� mix/ I Al y = y �� � y�y c mk- 000 yy� y 0 —wos -m y ' TOWN OF SOUTH WINDSOR IRSPEMON REPORT PERMrrNO.: ooNmCroR: LOCAIION: y 1 � S .TYPE OF WORK: .5� r� .DATE INSP NEED; DATE INSP / Zz . INSt'FCf�6Y:�„ WORK IN PROGRESS. -34 .. SEPTtC TANK PUMPED,SMASHED,RUHL__VaTNESSED Q YES ❑ NO 'AS-BUILT: INPUT G� DATE: W/2"7 Town of South Windsor IMMMON REPORT 07 APPLICATION FOR STREET EXCAVATION PERMIT Appl.No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT Y Z 1540 SULLIVAN AVENUE Date: SOUTH WINDSOR,CT 06074 FEE $25.00 0,6o 5-t---70-7-7 Name of Firm S;JnoiS 1` GA-1 L: Gw C g �. u Phone Nod' Address of Firm 0 go4c OWL 7---> Zip Code a to(Z Location of proposed work_ qlt S11,44 ti R-4 Describe fully nature of permit requested r'xcc+v�� -E-�5-�- �i iti Hof 3 k S k 'S -� 1 c41'Lr LS 'Skl ov Gvw S�✓�-'�� ft S r 2rr waP a rvLs4� S�-�/t+tic �S'�zsrlL Starting date S f L Approx.time for completion Call Before You Dig No. Existing Water Supply: ❑ Public Water ❑Well Existing Sewage Service: ❑Public Sewer ❑ Septic PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed work or furnish This section to be filled out by two copies of separate drawing indicate North Town of South Windsor No.cuts Est.Patch Size(s) sf Est.Pvt.Thickness in. Est.Patch Unit Price$ /sf Est.Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price$ /ft Est.Curb Cost$ Est.Traffic Unit Cost$ /hr Est.Traffic Control$ Amt.of.Deposit$ Total Due$ ( )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 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 OUTLINED IN.THE 7F SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed: Date: Title. ' � t Driver's License#: 2 22 -77j C 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 REV 10-22-08 L CONSSTRUCTIONIORK ORDER wo 8 76456 ' D1�SOUTH WINDSOR (5_e)°0DE SOUTH WINDSOR (7-8)CODE c mCF PR WINDSOR t 1 OF 2 4)6PING LABOR LOCATION & REASON A DEL CODES C C Dt1Y rR A _ SOUTH WINDSOR — I.J.T. YES NO W.O. © SLATER ST. SOUTH OF OAKLAND AVE. i TEL REP � Zs) E Ap E R &a. L E TEL REP 47�) B E OTHER COPY m sue• DATE CALL BEFORE YOU DIG BILL.To COMPT DN. PL PL `OW. PL 45 1-800-922-4455 BILL FROM ID -1535 _ _ RCODE:_ YFKR1X500 _- _ STATE #' ----� WMAY RC—C: YFKR 1 XA00 PROJECT NO. FILE: 8676456.DWG 4M A TEST PIT 1 x A -EXCAVATE AND LOCATE GEOMETRY(VERTICAL & HORIZONTAL) OF ,4"P `13'-1989 LOCATION TO BE MARKED OUT BY THE TOWN. THE LOCATION IS IN CONFLICT WITH THE PROPOSED DRAINAGE PIPS MATERIA(_S CROSSING THE ROAD. 4M PRELIMINARY RESTORATION: 4M (; FINAL RESTORATION: LOCATION \�CONTACT FOR LOCATION MARKOUT Robert Grillo Project Engineer Town of South Windsor da robert-grillo(a7southwindsor.org (860)644-2511 ext 257 GENERAL NOTES , A 1. CONTRACTOR MUST OBTAIN EXCAVATION PERMIT FROM THE CITY OF SOUTH WINDSOR 2. REFER ANY QUESTIONS REGARDING THIS PROJECT TO AT&T C 0 P 203 CONDUIT ENGINEER: GIUSEPPE AGLIECO ® �wlNDsoR N.T.S. ( ) 238-5 144. 3. STATE HIGHWAY PERMIT APPLIED FOR ON: N/A What: PROJECT BEING UNDERTAKEN TO PERFORM A TEST PIT ON SLATER ROAD IN THE TOWN OF SOUTH WINDSOR. THE TOWN OF SOUTH WINDSOR IS SCHEDULED TO BEGIN ROAD CONSTRUCTION AND DRAINAGE IN THE AREA. . Where: THE PROJECT WILL TAKE PLACE ON SLATER ROAD IN THE TOWN OF SOUTH WINDSOR IN THE WAPPING (WPNGCT00) WIRE CENTER. Why: THE TOWN OF SOUTH WINDSOR IS PLANNING TO PERFORM ROAD CONSTRUCTION AND DRAINAGE IMPROVEMENTS. Why this way: A TEST PIT IS THE MOST RELIABLE METHOD TO DETERMINE THE EXACT ELEVATION OF UNDERGROUND FACILITIEJ. THIS IS THE METHOD EMPLOYED BY AT&T FOR DETERMINATION OF CONFLICTS. Why now: THE TOWN OF SOUTH WINDSOR IS PREPARING FINAL PLANS AND NEEDS TO DETERMINE IF THEIR IS A CONFLICT. CONDUIT START DATE: 05 08 2012 OUTSIDE BILLING D4—ONE NOTICE CONDUIT COMP.DATE: 05 08 2012 PROPRIETARY INFORMATION tkC-0 NOT FOR USE OR DISCLOSURE YES NO OUTSIDE OF AT&T GIUSEPPE AGLIECO EXCEPT UNDER WRITTEN AGREEMENT DATES CABLE CONSTRUCTION GIU Imommm BY TTn.E DATE START COMPL err ME MANAGER, C �t E DATE �MPL NAME#TI LE 4/20/12 00 CONSTRUCTION WORK ORDER �E �6764s6 -15 _,5OUTH- WINDS OR (s-e)' 2"OUT INDSO ('_e � cum Mc PRi"T!� 2 OF 2 �r-APPING `OMM a REA" l SOUTH WINDSOR — ,�'� °A' PL `AND' PL 45 SLATER ST. SOUTH OF OAKLAND AVE. N.T.s, TEST PI LOCATION SLATER_ ST. d p4ls a 5 t t Pr S6G 44