HomeMy WebLinkAboutStreet Cut Permits 9999 Pleasant Valley (8) 1500222 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 09/22/2015
GIS ID: 72909999 FEE: 25.00
MUNIS APPLICATION# 201501317 EXPIRATION DATE: 09/21/2016
APPLICANT - LOCATION
NAME: PRIME ELECTRIC LLC ;ADDRESS: PLEAS,�1NT VALLEY ROAD
ADDRESS: 33 WISCONSIN AVE SUTIE 101' OWNER: TOWN IMF SOUTH WINDSOR
NORWICH,CT 06360 �540 SULLIVAN AVE
SOUTH WINDSOR, CT 06074
PHONE 860-88�0823'=
WORK DESCRIPTION: INSTALL('I7NDUIT_ACROSS RD'TO POLE 882 T'O NEw PAD SITE FOR
FRONTIER b_T. H WINDSOR WOODS ,
THE DRAIN LAYER ASSIGNED TO THIS PEI�IIIT HAS A VALID LIC1 NSE ISSUEDBY-THE/STATE AND HEREBY AGREES TO ALL
THE TERMS AND CONDITIONS SET FORTH 1N THE-,ATTACHED`CONDITIONS'. ALL WORK SHALL BE IN ACCORDANCE WITH
THE TOWN OF SOUTH WINDSOR STANDARDS,ALL OSHA REQUIREMENTS,AND THE ATTACHED CONDITIONS.
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ISSUED BY DATE INSPECTED INSPECTED BY
9/22/2015 10:03 AM
- ----------
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO /5*00 CONTRACTOR: EA')V►ve
LOCATION: i° a 1I� are ,S0 See- 00a0&
TYPE OF WORK: l o-,stn 1! cov41�_(-k— S `kb -Pfj IP 9 U *0 /V �G
!� ✓�-
DATE INSP NEEDED: DATE INSP: `1 15-11
INSPECTED BY:
WORK IN
PROGRESS:
46
E''v1d- �'.,(/Wi �l �CtV`-C�1 /✓�ct,� ti1�.GC?��Gvc'�' �!l !'�i I.+-�- .
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: 4--}� DATE: �� r,�
S/molloy/forms 2014 Town of South Windsor INPSECTION REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
D TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00
Name of Firm T�viw4 i /'e&`1 c. GZ e, phone No. 9W- --o roa
Address of Firm .3 3 ZO t,f PPaat/Si A A,-e, J-1ol' 'We Zip Code OG 3 Z7
Location of proposed work -� --E f 0� 107- ci s£ , a> wo ds 4r4'^0(7.S
Describe fully nature of permit requested %*-!& �',o
Starting date Call Before You Dig No ® " TeTO
f PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWMS CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut I? Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or fumish Indicate North This section to be filled out by Town
two copies of separate drawing
No.cuts
Est. Patch Size(s) I S 6 sf
Est. Pvt.Thickness in.
Est.Patch Unit Price$ 3Si m
Est. Patch Cost$ 5,460
Est.Curb Replacement 0/A ft
Est.Curb Unit Price$ /ft
Est.Curb Cost$
Est.Sidewalk Replacement N lA sf
Est.Sidewalk Unit Price
Est.Sidewalk Cost$
Est.Traffic Hours /VIA hr
Est.Traffic Unit Cost$ Ittr
Est.Traffic Control$
Amt.of Deposit$ 60,'7'
DRIVEWAYS must be 3ft or more from the property line per Total Due$
section 2.17 of the zoning regulations
O Cash O 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 STREET CUT PEW MAN AL. L
Signed: Print Name' s � �1'i�y�s Date:'4 �✓�
Street Excavation Permit 2014
�S 1
NOTE:ALL UTILITY LOCATION ARE APPROXIMATE AN FRONTIER 60110 3091454
SHOULD BE VERIFIED IN THE FIELD HARTFOfiD CAPITAL �axx SOUTH WINDSOR .�.. 3132 4
EHRTCT01
/ IER EASEMENT PLEASANT VALLEY RD—SOUTH WINDSOR 0 NEW ROAD PEPIN PL
/
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11 �
SIL'IN TPENCE
POSED IIANDHOLE TO PROPOSED AID PAD ::i1,•�..
�E 10'1.OF 2-4"P TYPE'C'ENCASED IN SAND.
:E 2-90'BENDS AT PROPOSED AID PAD AS SHOWN TPE'r
SAD OEFAIL PLACE PULL ROPES.
2232.601r 7F PRELIMINARY RESTORATION
\ ,- i232 601 FINAL RESTORATION
TRAFFIC(11
POLE#882
DETAIL POLE#882
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