HomeMy WebLinkAboutDrain Layers Permit Miller Road (2) 700180 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER
' STREET CUT PERMIT
DATE: 10/25/07
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GIS ID: 59709999
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NAME: _>> VOCATION
YANKEE GAS <.�:.y«< ;s,
ADDRESS: :1ADD
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112 PROSPECT HILL: �<.� :..
OF SOUTH
EAST WINDSOR, WINDSOR
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60-292-2242
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APPLICANT AGREES TO FURNISH THE " '"`°"TOLV17F S` TTH:fiSC :, Ip:::'
THE TOWN OF SOUTH WINDSOR FOR ANY`F-PEA �REQUIRED AND TO REIMBURSE
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CONNECTION WITH THIS PERMIT AND THE ARfL CA T f ' AI IT ;.1 -'" " :; ": R 11AINTENANCE OR REPAIR WORK IN
WT`TH WkI I ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SdTJ;I�H'A„: ,SkS REE IT MANUAL.
ISSUED BY DATE INSPECTED PE TED BY
10/25/2007 10:48 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR:_
LOCATION: wI l[ec
TYPE OF
Y
DATE INSP NEEDED: DATE INSP: c5
INSPECTED BY: JJ
WORK IN
PROGRESS: c, - 5vT Mim,tO
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INPUT: DATE:
W/2007 Town of South Windsor INPSECTION REPORT 07
Molloy,Catherine
From: CallCenter@CBYD2.com
Posted At: Wednesday, October 24, 2007 9:17 AM
Conversation: Locate Request-20074301861
Posted To: CBYD
Subject: Locate Request-20074301861
(CALL BEFORE YOU DIG - CT) 10/24/2007 09:17:15
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-OT 4-SW SWINDS -T5
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*** REMOTE BATCH ENTRY ***
***** ROUTINE *****
TIME. .09:17 DATE. . 10/24/2007
REQUEST NO. . .20074301861
LATITUDE. .41.8481254 LONGITUDE. .-72.5255928
TOWN. . . . . .SOUTH WINDSOR
ADDRESS. . .565
STREET. . . .MILLER RD
NEAREST
CROSS STREET. .ELLINGTON ROAD
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TYPE OF WORK. . . . .RELOCATE GAS MAIN
AREA IS MARKED. . .YES
REMARKS:
WORK STARTING APPROX 250' SOUTH OF INTERSECTION
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START DATE. . . . . .10/29/2007 START TIME. .07:00
CALLER. . . . . . . . . .CURTIS BENASHSKI
CALL BACK. . . . . . .7:30-4
PHONE #. . . . . . . . .860-292-2219
FAX #. . . . . . . . . . .860-292-2269
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . .YANKEE GAS SERVICE CO.
ADDRESS. . . . . . . . .112 PROSPECT HILL RD
CITY. . . . . . . . . . . .EAST WINDSOR
STATE. . . . . . . . . . .CT
ZIP. . . . . . . . . . . . .06088
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EXCAVATOR DOING WORK. .YANKEE GAS, RH WHITE,
ISSUED TO: DATE: TIME: BY:
DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY:
CALL BACK: 1) DATE: TIME: BY: 2) DATE: TIME: BY:
PERSON CONTACTED: PERSON CONTACTED:
1
APPLICATION FOR STREET EXCAVATION. PERMIT
TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074
FEE $25.00
Name of Firm y4t,N.t r � Ei;v,i_i� Lc
Phone No.
Address of Firm 1►.Z i'i;�41'e��t` i-Ii��
Location of proposed work IV LLC,
Describe fully nature of permit requested
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Starting date 11'c��'�iti��i�i� '��-*��� �r
Approx. time for completion .3. IY e C,,I
Call Before You Dig No. G u 1 ,i R t,t Traffic Services Control No.
Show sketch of proposed work or furnish
two copies of separate drawing Indicate North This section to be filled out by
Town of SOUth't Indsor
Pavement Cut
No.cuts
(!D Est Size of Perm.Patch(s)
Est Pvt.Thickness in.
Est Unit Price$
Amt.of Deposit$
Total Due$
by
.
)Cash( )Check# .
Permanent Patch
i
8ST
tL� No. Cuts
Size of Patch(s)
K
Final Billing
n9
Amt Due Payee
Amt.Due Town
$
By
_ Applicant is res nsible for contactin
the Police De t.and C.B.Y.D. -
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINOSOR THE AMOUNT OF BOND REQUIRED ANO TO REIMBURSE THE
TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAIM ENANCE 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:
Date:
Title:
Driver's License M
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES