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HomeMy WebLinkAboutStreet Cut Permits 9999 Woodland Drive (4) 1700242 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 12/15/20I7 GIS ID:96909999 , :, FEE: 50.00 MUNIS APPLICATION# 201701811EXPIRATION DATE: APPLICANT ` ' LOCATION NAME: CONNECTICUT WA1.R C©MPAI*IX ADDRESS 999 V1O0DLAND DRIVE ADDRESS: 25 NORTH ROAD gv F SOUTH WINDSOR EAST WINDSOR,CT d6088, 154i SULLIVAN AV ' S WTlI} OR, CT 06074-2734 PHONE 860-623-3355 WORK DESCRIPTION: RET�� ]R`6`-WATER MAIN BREAK e 1 hI to APPLICANT AGREES TO FURNISH THE�I'01 OF SOUTHINI�60 TFIE AMOIIVT Q BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY LXPENES INCT4JRREp BY TEE ©WN FOR:=iyIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND T&APPLICANT I5M -IL M-WITH AND V tI L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN F SOUTH WIIVDS0W'&STREET CUT PERMIT MANUAL. ISSUED BY DATE INI'E TED INSPECTED BY 12/15/2017 2:23 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** ANYmW k, �T I 1•ti':, 1 i1 N2 41 � di F 4 jam:F� '�` ♦ �r w F E c - cz t ♦ r =o S TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: Vl o,2 L/, CONTRACTOR: C- �- LOCATION: e c Ate ok armada nd c- R��61 QAV � TYPE OF WORK: -6 f DATE INSP NEEDED: DATE INSP: is )v INSPECTED BY: �n WORK IN PROGRESS: 0, ,T SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: • INPUT: C - DATE: S/molloy/forms 2014 Town of South Windsor INPSECiTON 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 $25.00 Name of Firm CT Water Company Phone No. 860 - 622 - 9562 Address of Firm P.O Box 857 East Win rth Rd) Zip Code Location of proposed work. GngMer_.of Woodland nr anrf Hinhlanri Dr Describe fully nature of permit requested R��{ Water Mainhreak Starting date 11/23/17 Call Before You Dig No 20174703089 PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut ❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing 0 No.cuts Est. Patch Size(s) sf Est. Pvt.Thickness in. Est. Patch Unit Price Est. Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price$ /ft Est.Curb Cost$ Est.Sidewalk Replacement sf eY �%`�IriitC� }fir Est.Sidewalk Unit Price$ /sf Est.Sidewalk Cost$ Est.Traffic Hours hr J 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 STREET CUT PERMIT MANUAL. Signed: Print Name C/rpCG ,�'�(�-,�...• Date: Street Exca ation Permit 2014 f)-• '- * r All ne NO . _ - - - 27 4. iY =--- -- fir• `, 47 78. 1.2733) 48 Ek r 47 No - 2734, r:- t•L -=_ J 80 ?� 738 = ry33'' $76:•: '�'il- J.`�. ! `tics tT,F41i{t.43<,t _ l: 4i; if 47 `t '� 83 �yJ ,7APPONG r:iE':i5 it 81 873 {r,u5l?tii i ir 218 o B- I• � "t 5 4 82 300F# 49rtWmq(Y):4L83 Eas4o9(X):72.50 r' y 2?31 f� pl -....— -.._....-.....-... ---- b O'F �r t 1 s 13 r J / �a Drabek, Bernard From: calfcenter@cbyd-corn Sent: Thursday, November 23, 2017 8:39 AM To: CBYD Subject: Locate Request-20174703089 Attachments: 20174703089.PDF Importance: High (CALL BEFORE YOU DIG-CT) 11/23/2017 08:37:01 -5G -Cl -CW 45 1-SW SWINDS ***** EMERGENCY***** TIME..08:37 DATE..11/23/2017 REQUEST NO...20174703089 LATITUDE..41.830756 LONG ITUDE..-72.513637 TOWN......SOUTH WINDSOR STREET....HIGHLAND DR/WOODLAND DRIVE NEAREST CROSS STREET.. -------------------------------------------------------------------------- TYPE OF WORK.....WATER MAIN REPAIR MACHINE EXC AREA IS MARKED...YES REMARKS: LOC AT INTERSECTION IN STREET CREW EN ROUTE -------------------------------------------------------------------------- START DATE......11/23/2017 STARTTIME..09:30 CALLER..........MR CLIFF GREEN CALL BACK....... PHONE#.........860 622 9562 FAX#........... ALT, PHONE#.... EMAIL ADDRESS...CGREEN@CTWATER.COM CONTRACTOR......CONNECTICUT WATER ADDRESS.........4 WEST PARKWAY CITY............P LAI N FI ELD STATE...........CT 1