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HomeMy WebLinkAboutStreet Cut Permits 669 Governors highway (2) 1600020 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 03/28/2016 GIS ID: 36900669 FEE: 0.00 MUNIS APPLICATION# 201600320 EXPIRATION DATE: APPLICANT LOCATION NAME: EVERSOURCE = ADDRESS: 669 GOVERNORS HIGHWAY ADDRESS: PO BOX 270 OWNER: SOTO EDGAR L&SOTO CYNTHIA J HARTFORD, CT 06)k 2903`POINT EAST DR K501 -- AVENTURA,FL 33160 PHONE 860-292-2242 WORK DESCRIPTION: INSTALL GAS SERVICE APPLICANT AGREES TO FURNISH 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 THE APPLICANT IS FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH W DSOR'S STREET CUT PERMIT MANUAL. ���� ISSUED BY DATE INSPECTED INSPECTED BY 3/28/2016 3:48 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** ----------- - - ---------------------------- -- TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO:: 1 CONTRACTOR: ' Vfr-S ,>.it Je LOCATION: (o(o GV � TYPE OF WORK: S` 1 ---�,g f2 DATE INSP NEEDED: DATE INSP: INSPECTED BY:- WORK IN . PROGRESS: 0 C r r tle6.1 SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT:- INPUT: DATE: !I 'd( ' �e S/molloy/farms 2014 Town of South Windsor INPSECTlON REPORT 14 APPLICATION FOR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1640 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $26.00 Name of Firm c V er s-0vrce Gcf s Phone No. (? O Z 9 2 -22 q 7 Address of Firm t i 2 Prow*,-k 1:�;U &j. 'ctsf- ds or Zip Code rJ! U$� Location of proposed work Ga ar Describe fully nature of permit requested 6 seer V ce-e - Starting date Call Before You Dig No2© t 2 O 18 6 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. Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut 9 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 0 Est.Patch Size(s) sf ��� �� a � G��� Sc<Gf�G► . Est.Pvt.Thickness in. W- U- G 6 20 2 7 Est. Patch Unit Price$ /sf Est.Patch Cost$ Est.Curb Replacement ft Est. Curb Unit Price$ /ft Est.Curb Cost$ Est.Sidewalk Replacement sf Est.Sidewalk Unit Price Est.Sidewalk Cost$ Est.Traffic Hours hr Est.Traffic Unit Cost$ af►r Est.Traffic Control$ Amt.of Deposit$ Total Due$ O Applicant is responsible for contacting the Police Dept:and C.B.Y.D OCash Check 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 PERMIT MANUAL. Signed: 1� l�v�a.CtiV� Print Name_fM 1'C6 J 1 6tyI e c4 K Date: 2'1 l Street Excavation Permit 2014 3 �roQOS�� GQf (-V 9gZd m GGs (c e,cV� 6 - G p 3 - x4 �x � � 4s �Q . RNpR -4caks/q +I-C) Sywy _ a� CBYD Locate Request Routine .__ ..............._..----------..._.._........_............_e_. (CALL BEFORE YOU DIG - CT) 03/22/2016 15:46:08 j 32-5G YANK/G -C1 -F5 -OT -SW -W3 i !Date: 03/22/2016 Time: IS:46 i Prev.20161201863 Request #: . Request #: { Latitude: 41.826002 Longitude: . .-72.588188 Address; 669 Street: GOVERNORS HIGHWAY Town: SOUTH WINDSOR i Nearest Cross Street: BELDON RD i Type of Work: GAS SVC INSTALL MACHINE EXC { Area is Marked: YES Remarks: INSTALLING GAS SERVICE WORKING FROM STREET TO THE EAST SIDE OF HOUSE #669. Start Date: 03/28/2016 Start Time: 08:00 Caller: MR MIKE HANECAK Call Back: { Phone Number: 860-292-2247 Alt. Phone: Fax #: 860-292-2269 Email: MICHAEL.HANECAK@EVERSOURCE.COM Contractor: EVERSOURCE GAS Excavator: EVERSOURCE GAS Address: 112 PROSPECT HILL RD City: EAST WINDSOR State: CT Zip: 06088 .m... . ......... Were pre-construction marks visible? [_X Yes J No ......... ....... . ....... .......... .......... ..._...... ........... .......... ............ What facilities were marked? 2�-Main Service Both . ........................ ...... .... _......... Main facility material type? �Steel Plastic 1 _� Cast Iron ....... ..... .... ......... ......... Service facility material type? Steel ] Plastic Cast Iron How were the gas facilities located? ❑ Conductive 1,KInductive s4rMeasurements ......... .......I. ...... . ........ ..... ......... ...._ ....... ......... _ Where was the connection made? ❑ Meter Value I Test wire in box Tracer wire on service 1 _ Direct connect to pipe Did measurements match the signal? F- Yes 1._1 No What was used for measurements? -GIS I�Service Card ........ ..... ......... . ......... . .... ........ How was the area marked? Paint Stakes [ Both Who was the site verbal contact? Work completed by ` .... r 1i .��•�;. ;.♦ '' 1 ..y.`' ,,?try, ` .. •/jr r r w -, . .. r ""ram � tp,�, _ ,k.+..,'. �, .i yam•.. , ' ` r Kam\ ;�•p i 1� `Vi,�J .. 'S �y�. 1""� - 1, '� - ti„-.t'�fY 's, I � (�•?a-.;.�' .. yam`" X {) Y _ Google