HomeMy WebLinkAboutStreet Cut Permits 85 High ridge road (4) 1700005 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 01/23/2017
GIS ID: 42300085 FEE: 0.00
MUNIS APPLICATION# 201700059 n F, pIRATION DATE:
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APPLICANT-1 h s its`
L`OCATION
NAME: EVERSOURCE a s ADDRESS n"ti$SII(H RIDGE ROAD
ADDRESS: 112 PROSPECT HILL RUAD KWNER r CHALI{ONDA SRINIVASA&ARUNA
EAST WINDSOR,CT(}4608$ = 851I'GI RIDGE ROAD
PHONEI.ITH WINDSOR,CT 06074
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WORK DESCRIPTION: GA LE / '°,5EgV�OE t 'N ti ;
APPLICANT AGREES TO FURNISH THTOWI`T QP 30IYT�I I"I�7DS{1 TXiE A1vIIINT�O
1 1 (5ND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AIr1I'' PE1jgES INCIIT)B '1'3E,TQWI , {Ii IVIAINTENANCE OR REPAIR WORK IN .
CONNECTION WITH THIS PERMIT AND TE A1�PLICAIT ISAMII,IAR „TH.41D WTI L ABIDE.BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF S(U�H WII+IDSO{'S STR$ T CiJ2 pIrRMIT MANUAL.
ISSUED Y DA `E>INSPECED INSPECTED BY
1/23/2017 2702 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT Na: 0 D o g' CONTRACTOR: -
LOCATION:
TYPE OF WORK: c.2 �c
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS: x
SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑YES ❑ NO
AS-BUILT:
INPUT: ox. DATE:
S/mo1[oy/forms 2014 Town of South Windsor INPSfiCWN'REPORT 14 "'
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Appl. Na. TOWN OF SOUTH WINDSOR
Permit No.
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PUBLIC WORKS DEPARTMENT ,
1640 SULLIVAN AVENUE
SOUTH WINDSOR,CT 06074
FEE-4251100
Name of -_ ;-
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Location of propop d Mr M6,1!* 1
Describe fully rptW.bf.permit ul f
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Ste data .. - trine for` letio..:
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Ca11::Before-You Dig No. Mg::1Natec Supply; [I Publio Water e
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Exlsti Sew�ng' p Service Pu6iic Sewer ;:Septic
PLEASE NOT E• THE DEPOSIT FOR THE PERMANENT`PAVEMENT PATCH AND CURB REPLACEMENT IS A:'
1pREJMINARY EST#MATE.` THE APPLICANT IS°RESPONSIBLE FOR THE t+ilLl.FINAL.CAST OF THE
'PERMANENT'PATCH AND CURB,` EPLACEMIOM INCLUDING ANY INCREASES IN PATCH AREA,CURB-
�I.ENGTH,TRAFFIC 0ONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYIRCALLY
COMPLETED WITHIN AWEAR OF THE'TEMPORARY PATCH B.UT IT COUE.D BE LATER THAN A YEAR.
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proposed`r+rork ar tumisfi
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two coples of&e r g r
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Est.Patch Unit Prise
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Est Curb Replacerns t,,,,,„�
Est.Curb Unit Price$
Est.Curb Cost,
- Ems:Tr4ffic Unit CostsAe
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AGREE TO FURNISH T01HE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE
TOOF SOUTH„WINDSOR FOR ANY EXPENSES NCURRED BY Me TOWN FOR MAINTENANCE OR:REPAIR WORK IN
CO(VNECT ION Wi71!TkIIS P t itTANt _THAT I..AI4 i~A tI lA 1I1fI H v_ �1�V►ILL plSi�II Z THE RULt~S:AND REGUUItEOPIS FOR,
PERMITS i'iNEtt IN ..bTC11lN Ifi M ll�l[ FIk -57'f; CUT P. �TU4i.:,
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PLEASE ALLOW AT LEAST TWO WORKING DAYS AFTER APPLICATION FOR ISSUANCE OF PERMIT
WORK MAY NOT BEGIN UNTIL A PERMIT HAS BEEN ISSUED
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES.
Street Excavation Permit 08 M 1e-22-0
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(CALL, BEFORE YOU DIG. - CT)
01/21/2017, 20:48:3.4
1-5G YANK/G -C1 -CW --F5
-GV -OT -SW
Date: 0.1/21/2013 Time: 20•48
Request #: 2.0170400039 Prev. Request #c
rLatitude: 4T.825946 Long
itude. ._-72_52337:0:.
kl,nQs: 85 Street: HIGH RIDGE ROAD '#�; 50IITH :f1TNDSOR [
Nearest Cross StreetGLENWOOD ROAD
Type of Work: :. GAS SVC:,REPAIR MACHINE EXC
Area is Marked: - YES
Remarks'...
EVERSOURCE TO DO EMERGENCY WORK TO REPLACE LEAKING GAS SERVICE.
Start Date: 01/21/2017 Start Time: 21:00
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Caller: MR STEPHEN MOORER Call Back:
Phone Number: 860 919 2294 Alt. Phone: 860 292 2241
Paz #: Email: STEPHEN.M00RERMERSOURCE.COM
E Contractor: EVERSOURCE Excavator: EVERSOURCE
& Address- .. 112 PROSPECT HILL ROAD City: EAST:WINDSOR State: CT.:.:` Zip, . 06088
Were pre-construction marks visible.? ❑Yes ❑ No
What facilities were marked?. ❑Main ❑ Service ❑ Both
�.
ty type- ❑Steel ❑Plastic ❑ .Cast Iron
Main facility material �
. F s._...._ _._....
Service facility material type? ❑Steel ❑Plastic 0 Cast:lron
.............
How were the gas facilities located? ❑ Conduclive ❑ Induclive ❑ measurements
Where was the connection made? ❑ Meter Value El Test wire in box ❑Tracer wire on service ❑ Direct connect to pipe
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_ W Did measurements match-the signal? ❑Yes❑ No What was.used for measurements? ❑GIS ❑ Selvice Card
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