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HomeMy WebLinkAboutStreet Cut Permits 490 Buckland Road 1900083 TOWN OF SOUTH WINDSOR, .CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 06/03/2019 GIS ID: 15300490 a. FEE:FEE• 50.00 MUNIS APPLICATION# 201901097 1''" x- ., EXPIRATION DATE: 06/02/2020 OF APPLICAN{Tr Fw`off- LOCATION NAME: METROPOLITAN DtSTRICT ADDRESS' }9b'BiCKLAND ROAD ADDRESS: 125 MAXIM ROAD y' 0 HAVEN PROPERTIES LLC i ONE CROSSING HARTFORD,CT 06114a: ' ` 3 PHONE '"k �� WORK DESCRIPTION: INS` ALLIINrr.1%;.. 1" SERVICE May}. F S •,3t L �6 4 ., APPLICANT AGREES TO FURNISH THE*,TOT QF SOUTH WINDSOYi THE tMOUITQF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AN., .-h E1`T ES INC[1R D B�T IIt TCxWI ,FpR11�fAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND T .•,.,APVILI.0 IS FAMILIAR WITH t TI7 Vf�II L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN'F„SOUTH,WIIVDS R',SSSTRI E ZJT PLZIZMIT MANUAL. fiAV /lo ISSUED BY- ' DATE INSPECTED INSPECTED BY 6/3/2019 3:14 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** ...... ..... . k 1 i r e4" t f $Y ) t' 5 S 1 f ,+L t k a Whl r t S t 1 Y •e:r. Tpm.m ort sou '.w=080R INSPEC'nON REPgRT PE NO.: q CONTRACTOR: RMIT MN: L n LOCA TYPE 4F WORK. S . . : . DATE INSP:. DATE INSP NEEDED: INSPECTED Bv: PROGRESS: rt SEPTIC TANK pUNtPED•,*SMASHED;FILLED WITNESSED YES L� NO' , AS BUILT: ' T: DATE INPU .• S/malloy/forms2om Taws of youth Windsor•mpsknbN ImPbRT14 APPLICATION FOR STREET EXCAVATION PERMIT iAppl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $50.00 Name of Firm Phone No. ��r� Address of Firm 5" � f✓��.y� �-- Zip Code Location of proposed work 1 q® Describe fully nature of permit requested Starting date STD _„ _ Call Before You Dig No ��� PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND "E TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PAT7- Pavement UT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut Cut ❑Curb Cut ❑Sidewalk Cut ❑ Existing Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: �ublic Water ❑Well Sewage Service: ❑ Public Sewer ❑Septic Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing No.cuts._ I Est.Patch Size(s) sf Est.Pvt.Thickness in. Est.Patch Unit Price Est.Patch Cost Est.Curb Replacement ft ( Est.Curb Unit Price$ /ft Est.Curb Cost$ ti 4 Est.Sidewalk Replacement r Est.Sidewalk Unit Price$ /sf Est Sidewalk Cost$ I Est.Traffic Hours hr ti I -Est.Traffic Unit Cost$ Ihr 1 Est.Traffic Control$ h DRIVEWAYS must b 3t or more from the property Lin®per Amt.of Deposit$ section 2.17 of the zi g regulations E Total Due$ Applicant is respond le far tacting the Police Dept.and C.B.Y.D PERMIT SHALL_BE T J�O BSITE AT ALL TIMES ( )Cash ( )Check# '7 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 R ULATIONS OR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed: Print Namei `/�� G /�°'�s Date: S l Engineerin rmits/Street Excavation Permit 2017 From: call center@cbyd.com Sent: Wednesday, May 08, 2019 1:25 PM To: CBYD Subject: Locate Request - 20191903882 Attachments: 20191903882. PDF (CALL BEFORE YOU DIG - CT) 05/08/2019 13:22:45 -5G -Cl -CW -F5 -GV 2-SW SWINDS -W3 -------------------------------------------------------------------------- *** REMOTE BATCH ENTRY *** ***** ROUTINE ***** TIME. . 13:22 DATE. .05/08/2019 REQUEST NO. . .20191903882 LATITUDE. . 41.824224 LONGITUDE. .-72.552903 TOWN. . . . . .SOUTH WINDSOR ADDRESS. . .490 STREET. . . .BUCKLAND ROAD t i NEAREST i CROSS STREET. .ELLINGTON RD ------------------------------------------------------------------------- TYPE OF WORK. . . . .WATER SVC INSTALL MACHINE EXC AREA IS MARKED. . .YES REMARKS: INSTALLING A NEW WATER SERVICE FOR #490 BUCKLAND RD FROM THE WEST SIDE OF BU CKLAND RD TO THE PROPERTY LINE OF #490. PLEASE MARK OUT 50' IN ALL DIRECTION S. ---------------------------------------------------------------------------- START DATE. . . . . .05/13/2019 START TIME. .00:01 CALLER. . . . . . . . . .MR PETER STOCHLINSKI CALL BACK. . . . . . . PHONE #. . . . . . . . .860-27&-7850 FAX #. . . . . . . . . . . ALT. PHONE #. . . .860-798-2567 EMAIL ADDRESS. . . PSTOCHLINSKI@THEMDC.COM CONTRACTOR. . . . . .METROPOLITAN DISTRICT COMMISSION ADDRESS. . .. . . . . . . 125 MAXIM ROAD CITY. . . . . . . . . . . .HARTFORD STATE. . . . . . . . .CT 20o p 7S TION FOR STREET EXCAVATION PERMIT ---. ` APPLICATION Permit No. TOWN OF SOUTH WINDSOR PUBue WORKS DEPARTMENT FEE. Appl. Na. CT 06074 TOWN HALL JW SULLIVAN AVENUE SOUTK WlNDSpR, < ��j Name of Finn phone No. - �'�' ,� Tip Code �� Address of Firm S`�� f�'�r•y� -�'i Location of proposed war /"o .. M /'� yx Describe fully nature of permit requested .' �. Call Before You frig No Starting date PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT'r THE PIrl2MANENT PATCH AND C CURB REPLACEMENT�C IG ANY MANENT PATCH BY ESTIMATE, HB APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COSONTRACT INCREASESTYPICALLY COMPLETED TED AREA, THIN A YEAR OF T TEkIPC7i7ARY PATCFFIC CONTROLO UT IT�CbEJl.t7 BE LATER CTHAN A YE4�PER Check Applicable: Q No Pavement,Curb or Sidewalk Cut Pavement Cut 0 Curb Cut 0 Sidewalk Cut © Existing Driveway,No Changes ©Proposed Driveway Widening 0 Proposed New Driveway Water Supply: [Public Water ©Well Sewage Service: 0 Public Sewer a Septic Show sketch of proposed work or furnish Indicate North This seetlon to§e Jed out by Town two copies of separate drawing 0No.cuts Est,Patch Sixes) sf Est,Pvt.Thickness in, ESL Patch Unit Price J Est.Patch Cost - Est.Curb Replacement f# RECEIVED Est,Curb Unit PriceIMAY $ m r Est Curb Cost$ Est.Sidewalk Replacement sf ACCOUNTS PAYABLE Est.Sidewalk Knit Price%fsf Est Sidewalk Cost 5� �c.x'�5CDC 0 c`1.1 I ac)S Est.Traffic Hours hr �1 0' 2,©D -7 Cj Est.Traffic Unit Cost$ __ _ fir C;23o s("5 Est Traiic Control$ RRNBWAYS must be aft or more from the property line per Amt of Deposit$ section 2.17 of the zoning regulat!ons Applicant is responsible for contacting the Police Dept.and C.S.Y.D Total Due$_ PERMIT SHALL BE KEPT ON JOSSITE AT ALL TIMES ( )Cash ( )Check#_ G10 Paid By I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION NTH THIS PERWT AND THAT I AM FAMILIAR WITH AND WILL ASIDE SY THE RULES AND R44QULATIONS FOR PERMrrS AS OUTLINED IN THE TOWN OF SOUTH WiNDSOR'S STREET CUT PERMIT MANUAL. Print Namef 2Signed: m 3af Enginee0ngpmlrs/Str avallonPer yo.aasi;Rev w2 : THE.METROPOLITAN DISTRICT-PAVEMENT CUT DATE: ADDRESS. Q BILL.IQQ YE'S e'rvV' VtitO# ,CLOSEST STREET-jet TOWN cc �V.:Iz STATE HIGHWAY D YES DFIAW SKETCH SHOWING:Gp:CATION;AND SIZE:QF CUTS:AbI -I CROSS SECTION OF PAVEMENT E NEET ITUM:,] -' D CONC.---- ' ❑RF3EMIX " 0SIDEWALK DB}TU1N; " ❑CONG._7 D FLAG " I Ea.CLlfi9': 617UM:._' D CONGA_' p STONE:—, ElDRIVEWAY ❑SITUM'. CONE. 2dRASS LOAM&SEED NEEDED DYES �j REASON FOR CUT 0DEPTH OF EXCAVATION; t NUHIBEk OF CUTS: { ib DATE OF FIRST CUT. IS JO$COMPLETED: YES LINO FOFiEM;RN: i -- E T PAVEMENT -CONTRACT NO,: e BITUMINOUS 0 CONCRETE D PREMIX C DATE COMPLETED. ACCOUNT NUMBER:. AI.CULATIONS ,} r flC4, 1 f'a ,F cus ITE ITEM ITE IIEYI PAVING INSPECTOR CONTRACTOR (ORIGINAL) (YELLOW}