HomeMy WebLinkAboutStreet Cut Permits 9999 Stonehaven Circl (2) 1800002 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 01/17/2018
GIS ID: 86409999
FEE: 50.00
MUNIS APPLICATION# 201800065 r ;;;%x' EXPIRATION DATE: 01/17/2019
APPLICANT < LOCATION
NAME: HENKELS&MCCO�',I1�jC ADDRESS999 SONEHAVEN CIRCLE
ADDRESS: 985 JOLLY ROAD ,E' " ' AV. leiWNIrR 4 IOIVIECI,WNER
BLUEBELL„PA 192,E r\E SO<7TFhWINDSOR' CT 06074
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PHONE 1-508-987-3977 zk
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WORK DESCRIPTION: TRFNCPTArC4 STOIVEHAVIN CIRCLE TQJS'I'AIrL 3"PVC
FORT RS�UR OOK
APPLICANT AGREES TO FURNISH THE TOVSN O SOUTH 1�NINDSO THE AMOTTNTrtQF$+bND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANC' PENSES Ir#C,CJIREDY THE TOWNEOR;>IVIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE,APPLICAN'I IS FAMIi 1AR WITH Al D U4?t'T L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN(F$O>T H WINDSOR'S STIfEET IT MANUAL.
ISSUED BY DATETNSPECTED INSPECTED BY #!
1/17/201811:57AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 'o0o 0 CONTRACTOR: N e%n K e l s, -r, M c C oT
LOCATION: C1 9 9 v5 T r�,���► y�In i �' { ,
i IreOCIN across sroaeknven C;r. --co �%ns'Trk\% &J, pvc:.
TYPE OF WORK: r�r � ���,�sc.� � -�eL� �,T�,�,� a c� .a�.rrt r ' � DQ1e_-
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: �
WORK IN
PROGRESS: c vr` .lp
i
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT.
INPUT: U DATE:
1
S/molloy/forms 2014 Town of South Windsor INPSEC ION REPORT 14
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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 $50.00
Name of Firm �` 1 Phone
Address of Firm k Zip Code Q94Q
Location of proposed work
De ribe fully nature of permit requested r r- —S"
c, ,r- t- r
Starting date l_a;zA a Call Before You Dig No i3i3
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut V"Pavement Cut ❑Curb Cut ❑ Sidewalk Cut
❑ Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch,of proposed work or furnish Indicate North This section to-be-filled out by Town
two copies of separate drawing
0 No.cuts
Est. Patch Size(s) sf
Est.Pvt.Thickness in.
Est. Patch Unit Price
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price
Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
DRIVEWAYS must be 3ft or more from the property line per Amt.of Deposit$
section 2.17 of the zoning regulations
Total Due$
Applicant is responsible for contacting the Police Dept.and C.B.Y.D
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES O Cash ( )Check#
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 Signed:ES AND REGULATIONS FS3R�/R�MITS AS OUTLINED IN THE TOWN
Name OF T7cm-LOSTREET CU�ERMfT MANUAL. Date:
Engineering/perm€ts/Str(eeet�2Excavation Permit 2017 y�
3 �
Confirmation and Call Before You Dig CT
Kr t."tIOIGM www&b!jd!.CORl
�Ilb• y.��. Mark out Check-list Call Al
Vw. ror.�byd.com
SwitorY
` Contact: Mr Mark Grubbs Jr Caller Id: 38926
Z0180�0113 Address: 40 Federal Hill Rd Ph: 508-987-3977
Oxford Cell: 508-294-2301
Email: mgrubbsjrOa henkels.com Fax: 508-987-2293
Ticket Type Routine
MCI
tom,
User Reference 398 Quarry Brook Dr South Windsor
Ticket Date 01/10/2018 09:29:52
Work Start Date 01/15/2018
Ticket Expiry 02/09/2018
a
c f 4 l Yt H t z' ! T �.'. 4� ,. 398 Quarry Brook Drive SOUTH WINDSOR
+5�� Address -
�r p �t tPl •S�rt ,r�:n r, !fq BSn,�„�s... �,+ T i. s3.re Yet 1 th.:
3 4-,�+rE t
4+e s W' y Electric
Type of work Svc Install
r�j y a � u} 'kr a .: �1 y r 7 � � c s• i+
Machine Exc
Location of
<' t Roadway and Private Property
�a,F.';dy.t.i , iy Z �,.: Workplace
Location in Road Road R.O.W.,Sidewalk,Shoulder
Vrit`rf Excavator Henkels&McCoy Inc.
Y s4{+vdt`yd ` }{i+ �L if Sx?�'Slzi Ate. ry.F I6 Pre-marked YES
�htAriW s
Cross-Street Stonehaven Cir
v �a } a�P+ t�} r ; ,, rs • , Notes/ Description of works
x 'Oa^�.x' r s"IMer'�'`s y."'?::
11111
o ,' I me,µ ;i .\t.. *yLA�`.�X� r, s ,z.,l Please mark 360'from transformer#625 to#626 across from house#398 quarry
..... ,..... .a.�,Yr .. Brook Dr
NIM
!
• .
.Do not proceed with any excavation until all Public Utility owners listed have marked out their facilities or have contacted you directly. j
.Ensure you adhere to any State legislative requirements regarding safe digging requirements.
.If you damage an underground Public Utility you MUST advise the Public Utility owner immediately.
For more information on safe excavation practices,visit www.cbyd.com
0 - j
The Public Utility owners listed below have been requested to mark out the location of their facilities. Please note they may contact you directly to s
clarify any aspects of your ticket.
COX COMMUNICATIONS 800-598-0628 800-598-0628 NOTIFICATI Y/N
ON SENT
EVERSOURCE ELECTRIC 800-778-9140 .800-778-9140 NOTIFICATI Y/N
ON SENT
EVERSOURCE GAS 203-317-4501 800-942-7529 0.N SSENTT Y/N
ON E
FRONTIER COMMUNICATIONS 1-800-598-0628 1-800-598-0628 -. NOTIFICATI Y/N
ON SENT
NOTIFIGATi Y/N
THE METROPOLITAN DISTRICT 860-278-7850;3780 860-278-7850;3600 ON SENT
TOWN OF SOUTH WINDSOR 860-644-2511 x344 850-644-2551 NOTIFICATI Y/N
ON SENT
END OF UTILITIES LIST
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OnnCalidcroee-PoVfefed by PelionCafp l
Sub-Town/Town: SOUTH WINDSOR CCC:26113
Address: QUARRY BROOK DR WO:5T521568
I
Cross Street: WR:2567107
First Location: 625 Ext. System#: 800.3001672.0
Extra Info: Circuit: 141-6 Voltage: 13.8KV
Map Grid:
Job Description. ESO 8/1 QUARRY BROOK DR, SW/RPL BAD Appointment: Time:
PRI CABLE BETWEEN 625 &626
CrewHQ: TOLAWC
Job Type: EMTCEFD
Required By Date: 08/31/2015
Ready For Constr.- 09/14/2015
Pre-Check Completed: Y / N Name Date
Support Needed: Mntc N Test N
Number Locations 2 I
Transformers 0
Elec Poles 0
Elec Anchors 0
Poles Others 0
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Key Contacts
PC Name Phone Cell Business/are Name
Customer: 4
Assigned To: NICHOLAS(DSGR) KAMM (860)873-3442 TOLLAND `
Done as specified? Y / N Name Date ! /
If N : Reason/reference page
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Print Date:01/09/2018 Page 1 of 8
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