HomeMy WebLinkAboutStreet Cut Permits 9999 Debbie Drive (2) 1400114 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 05/15/2014
GIS ID:26709999 FEE: 25.00
MUNIS APPLICATION# 201400571 _ EXPIRATION DATE: 0511512015
APPLICANT - LOCATION
NAME: HENKELS&MCCOl�,INC ADDRESS: 9499 I3BBIE DRIVE
ADDRESS: 985 JOLLY ROAD OWNER: TOWNF SOUTH WINDSRO
BLUEBELL„PA 1922 154f1 SiILLIVAN AVE
SOUTHJINDSOR,CT 06074
PHONE 1-508-987-3977
WORK DESCRIPTION: TRRNGII+GO N RSETION OF NEWMARKERFDFO CL&PFOMROA)�`DEBB "POLE5 1 93 TO HAND HOLE 547
APPLICANT AGREES TO FURNISH THE- OWN OF SOUTH WINDSOR THE AMOUNT OF BAND 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 i E APPLICANT IS FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN' SOUTH WINDSR'S STREET CUT PERIv MANUAL.
ISSUED BY DATE INSPECTED INSPECTED BY
5/1 5/2014 1 1:07AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: OD P CONTRACTOR: Hea)"'P� /c
LOCATION: 64 ie
TYPE OF WORK: C®r1f�d/; @ J/7 -ZS�� /os; d i�i�c c� � 4' ��ul✓'/� �(2CL Y�
DATE INSP NEEDED: DATE INSP: )a/3v
INSPECTED BY: 13u
WORK IN
PROGRESS: refA <t - r'<
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: L� DATE:
S/2014 Town of South Windsor INPSECTION REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00
Name of Firm Phone No.,, M• 4 2q• 3C1gg
Address of Firm H Q — A I 7A Zip,Code�I5 q O
Location of proposed work ( 4- C�1 j>e Y sm I �11-1-0
Describe fully nature of permit requested -11r'er)C hK ls'1Q +10 han d h01 e_ 5 q rl
"PlAee e-ICC4-t, CCU CondU i } -For C, .P
Starting date L-1 • 3 U• 19 Call Before You Dig No ZO I Ll • 15 U 3 L)H to
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWNS CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement, Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
'T c[4+ck6h cd • 0 Est. Patch Size(s) sf
Est.Pvt.Thickness in.
Est. Patch Unit Price
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price$ /sf
Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
Amt.of Deposit$
Total Due$
( )Cash ( )Check#
Applicant is responsible for contacting the Police Dept.and C.B.Y.D
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Paid By
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 OUTLINED IN THE TOWN OF SOUTH
WINDSOR'S, TREET CUgP' MIT MANUAL. /� L
Signe Print Name7—&"1°Sa l�lC- Dates' 7'
Street Excavation Permit 2014
.. CALL BEFORE YOU DI
LOCAXI ION R E QUEST FOPS
TO INSURE SAFE TROUBLE-FREE EXCAVkTII\TG
TO LOCATE UNDERGROUND UTILITY PIPE
AND CABLE ANYWHERE INT CONNECTICUT
CALL TWO FULL WORKING DAYS IN ADVANCE
1-800-922-4455
Contractor#: 33� Date: 9 /O-IY Time: 11•'3®m
Location:s ; UTH UA)MOR )V>2
City/town Street
Nearest Sreet:_ 1(16W 1"l&ZL.za R
Type of-York: 'REX-N/I(I /£02. CLc-c- R)c CON Du
Remarks: }'i2 aM �0 LF c� g_� /`F T '.C�Tr S�G>>/O.r� 01
�IAx/i) Noce S11 ?'
Name of Caller: ecRize ��/Z00, IW2h
Company Name:_&FAir- s 4/4c(0X
Phone#: ,508 98 7 39 7 7 Best Call Back Time:
Start Date: T '" l-57-a0 I Y Start Time: ®�a
Excavator Doing Work:._ +M
Request number:
Utilities Notified: '*1APICCE . Ci_p cvwx)wwLZ/Z 1r,ox
5 ?c
0
•
Specific Projects
Sub-Town/Town: SOUTH WINDSOR CCC:300
Address: DEBBIE DR WO:5T420384
Activity: BCADB
Cross Street: WR:2292429
First Location: 1683 Ext. System#:
Extra Info: Circuit:23J1 Voltage: 13.8 Kv
Map Grid:
Job Description: BC - Install 1 new sect of#1 AL to create loop for Appointment: Time:
Mountainview Estates DB
CrewHQ: TOLPRJ
Job Type: EPCCA
Required By Date: 12/31/2014
Ready For Constr:
Pre-Check Completed: Y / N Name Date
Support Needed: Mntc N Test N
Number Locations 5
Transformers 0
Elec Poles 0
Elec Anchors 0
Poles Others 1
Done as specified? Y / N Name Date
If N : Reason/reference page
Job Notes
Comments: WR:2292429
Build a new riser on pole 5183, New Marker Rd. Install#1 AL 15 kV 1/C primary to HH 547. Create an open point in HH
484, Debbie Rd to reconfigure DB circuit. (SEE ATTACHED MAPPING)
Pouu �
IDR iuC_ W Aye
Print Date:04/03/2014 Page 1 of 18
Sig i3 y 2 #7221
APizic
B �f
t5 � Iw`
#65M c
Loc. 2—5183
t� Build Single Phase
B', ` Riser and Install
s ca #1AL 15 kV Cable
65k 5 83 A to Vault#547
dp
v
Install (2) 3" l
Conduits from riser
pole to HH 547
Loc. 3—547
3' Connect#1 AL to Hand ole j
547. (Create OPEN POI T in !
bMM C KCJ404 HH 484 Before Connec Ing)
lo — of
Loc. 4—484
Create an open point
between HH484 and xfmr#
485 any fCr
it
I
f #4U LU
1
SKI
_o
! � �170 � L
4fi1 cl +� SEE 0
r Wr Loc. 1-1683
Shift Single Phase
DART HILL RD tap for New Marker
Rd to Phase A
Circuit:23J1 WO#5T420384 Town:S Windsor Oa L4-1&K4-2 En B Chafee Date 3 3 14
% Connecticut p� g� / /
0 Light&Power
11eNwheWUtities8rM Voltage: 13.8 kV Install#1 AL to create loop Dist:Tolland Tel:860-280-2209 wR#229242e
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