HomeMy WebLinkAboutStreet Cut Permits 9999 Talbot Lane (3) 1300124 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 06/03/2013
GIS ID: 88909999
%� FEE:MUNIS APPLICATION# 201300744 = 0.00
Al
EXPIRATION DATE:
APPLICANT ' LOCATION
NAME: CL&P � �
�� DREA� 99 9-T&BOT LANE
ADDRESS: 48 TOLLAND STAGIZZAI3 W SOUTH WINDSOR
TOLLAND, CT 06084- "
�S Orst ,IVAN AVE
T�`
PHONE 860-871-3443 ---- NDSOR VI ,CT 06074
WORK DESCRIPTION: DIG TC I S 1� Ij
WES` S TO IL( IV P#27124TALBOTLN
�L T��I>vNC SS TALBOT LN
APPLICANT AGREES TO FURNISH THE TQ WIC OF SOUTFI .
�E�AMQ�'Oi AND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANEIfEESE IN TITE Tf)WNE}RMAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THIyAPPL#CA IT IS RA 'M W-- A ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN 01 80"' II TR ITT PELffl
T MANUAL.
cz
lhj _
ISSUED BY MD INSPECTED BY
6/3/2013 10:58 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
pi
45
_
/ "��%/ - L
���
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: / 3 00 ')L/ CONTRACTOR: G I.
LOCAIION:�_gg41n`I'
TYPE OF WORK: 9 �ha !i. �c,�►nd �zv��rt�r S � �® a'1dJt-
L�
DATE INSP NEEDED: DATE INSP: 3(.2 !j
INSPECTED BY: 60
WORK IN
PROGRESS: L L>H.Ti t� tlz:� �sl.3 k' N C� r��lJ Fro.),,
. i f"
re LtiC ,"VcL lL-A.—
4tL key 3 0 X 3 a '
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE: Qlql �q
S/FORMS(TOWN OF SOUTH WINDSOR INSPECTION
Copyright Northeast Utilities Service Company 2010 MAP VIEWER-DB Map: N0071601 Map Date:02/20/2002 Printed On:12/09/2010 02:07 PM
ti I
too
0
4
P/r44
(lea,
30
O
d
Mio9�c W ` 4
REVISIONS D
APPLICATION FOR STREET EXCAVATION PERMIT
Appl.No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1540 SIVAN AVENUE Date:
SOUT!tWINDSORrCrAQ074
P FEE $25.00
Name of Firm r Phone No.
Address of Firm Zip Code 0-r 0 d 1t
Location of_proposed work `Tfl
Describe fully nature of permit requested A I G' _rO t^/ffVa- oN,150i7 0F7F GO✓P,/N0" �wY��lz4-
-ro •TM�3fl7 I—Al,, K106( 51DP ?2s AdoGA7OI1 ES2dN, 7-Hay 46&S$ 74- �- s 4-'1/ ,
Starting date_ f{ / 13 Approx.time for completion 2 N✓012%
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 1S 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
r1 �IrAC/44 No.cuts
I
Est.Patch Size(S) sf
0-7-
Est.Pvt.Thickness in.
N Est.Patch Unit Price$ /sI
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price_$. /ft
Est.Curti Costa
Est.Traffic Unit Cost$ Atr
Est.Tmffio Control;
Amt.of Deposit$
Total Due$
)Cash ( )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
CONNECTI OON W TH THIS PERMIT AND THAT 1 AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMITS A 1NED THE TOWN OF SO WINDSOITS_STREET CUT PERMIT MANUAL.
Signed: Date• �/ Z�1 v
Title: Drivers 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 Pem-it 08 REV 10-22-08
■■omm- moms MEN soi!!!m/!!/®!URREM Sm!!®!!w
now
llwil®®®i�iil�!liilit!®.®/!®i�i�i1®lii.i®��®I/iw,!■®®!!
i
I1111!!!!iw■NO !�®■!wl/l�,��i
-NNE��
!!w■®®®®1II1mummo!/®!!®!/!//!!/i!OEM
ME! If m NNE
!!®1�®iii Sri
®!!!�l!!.I!�I■!®/®/®■®®!I!!®//!! ®®llii■!1■/®®!!�!
Now 11110 was an®®�®■®ice'®Il 11SEEMS ii®®!f�!UMMUM:�%:�i%�/■1!®!'/clip"
■!1®ill! �!/
1/11w®!!'®i/!®w!!!imansw! WN
ri®ii®!le!®
®®liwism1 1 !®®®■ ®m�.�i /i!i0 MUMMUM, ilrw■w■i"®
!ME elf!'► ; ®®i®®llwww!/s®®®®WE Maw®!1/■(�ie:NIm
®®!®®®�ii �!liii.iMENNENw,iii®■®®ii�1®t!1®wlMOEN ■
®!■!®!,/ S®®///!!® !!�®i■/■®■®/!®Silrllvalmm m®�W■,®®®Now!/NNE®!i® IUMMU!w!®//®!!■/1®lil(m/■m/®■
®!■■®ii®Ili//ONES/■w®®lam//®®®/®!®!.®®■®®®IMMUNE■/
® ®®soul //®///w!®®!!®/®//,i®/s!®Iwl�i��,/Mason
•/
NNE■I!!!®/i�/i/i/'®Uiwi■iii//N/®i®!®M iii
_ MEN!®®1wNNE®�/ii!®®w®!1■!i®+�� rii�:®iii�!
=: f ®■®■®■®mi®®!�®�®®mw!®ml�ll�/®/!®ii®e!®/®i!!I®llwii
ze ® ®■ ®®■i!®!i!i!Mason®w■i®son
/®■w®®®'IMMUNE
®!
IN ■®!!!!
Molloy, Catherine
From: CallCenter@CBYD.com
Sent: Tuesday, June 04, 2013 8:53 AM
To: CBYD
Subject: Locate Request-20132301248
(CALL BEFORE YOU DIG - CT) 06/04/2013 08:52:51
-5G -Cl -GV -Jl
-oT 4-SW SWINDS -T5 -W3
--------------------------------------------------------------------------
***** EMERGENCY ***** _
TIME. .08:52 DATE. .06/04/2013 /ej,
REQUEST NO. . .20132301248
LATITUDE. .41.8294258 LONGITUDE. .-72.5962729
TOWN. . . . . .SOUTH WINDSOR
STREET. . . .TALBOT LN
NEAREST
CROSS STREET-GOVERNORS HWY
--------------------------------------------------------------------------
TYPE OF WORK. . . . .EXC TO INST 4 INCH PIPE FOR ELEC
AREA IS MARKED. . .YES
REMARKS:
WORKING AT HARRIS REBAR COMPANY LC APPROX 300FT SOUTH OF INTER WRKING IN PARKING LOT
;WRKING FROM TRANS PAD 578 HEADING 170FT EAST TO CURB OF TALBOTT LN THEN WRKING 300FT
NORTH TO POLE 100K;WRKING AGAIN FROM TRANS PAD 578 HEADING 200FT EAST THEN 150 FT SOUTH
DOGHSE 1319
--------------------------------------------------------------------------
START DATE. . . . . .06/04/2013 START TIME. .08:51
CALLER. . . . . . . . . .MARK GIUFFRIDA
CALL BACK. . . . . . .24HRS
PHONE #. . . . . . . . .508-987-3977
FAX #. . . . . . . . . . .508-987-2293
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . .HENKELS & MCCOY
ADDRESS. . . . . . . . .40 FEDERAL HILL RD
CITY. . . . . . . . . . . .OXFORD
STATE. . . . . . . . . . .MA
ZIP. . . . . . . . . . . . .01540
--------------------------------------------------------------------------
EXCAVATOR DOING WORK. .W/50FT PAD AROUND DOGHSE//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