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HomeMy WebLinkAboutInstall gas main extension Street Cut Pe 700190 TOWN OF SOUTH WINDSOR, CT PErRMI NUMBER �(' STREET CUT PERMIT DATE: 11/06/07 GIS ID: 84000187 FEE: 00 MUNIS APPLICATION# 200701810IRATION DATE: 11/05/08 APPLICANT !=:th,. �; ;�.: '°:::. LOCATION NAME: Y n:r<`'4y<..,.:'' .< :,,;" ANKEE GASr ,:;.: ;>>.5 ` 7 7<,BOUT:; SAT > .:..:...:..< :!. :,.: I ELLITE ROAD ADDRESS: 112 PROSPECT HILL ; ( °>..:. ':4LI1 1 1OBERT r�1 : ::i,.:.. . EAST WINDSOR CT b& ": 2>: Q.8.8 ,.. :°`Iql: -10�,SATELLITE RDV ,., ..'' ` II�TDSO,: T R CT 06074 PHONE 86 0-292-22 42 >fE>r WORK DES ,!DESCRIPTION: �,IJ. �1� �E1�� A' �E 'yI :TC�.:>�iJ;�LDING Mg APPLICANT AGREES TO FURNISH THE T( WN ?P UTH; Oi, 1 'O :.I C1I ITUIRED AND TO REIMBURSE RE THE TOWN OF SOUTH WINDSOR FOR ANV1,9 tV F01 <{�1. 1NTEN�ANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE XPR�I 1N T' IVI :: H TI 'AI�IIY''V L "ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SQ7Ti1DSIY "S IC T RIT1 MANUAL. ISSUED BY DATE MWCTED INSPECTED BY 1 1/6/2007 1 1:OOAM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** ..ter 1 .5 `k.:. �+k> y.Y. y .. .A TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: ©o/ ® CONTRACTOR: ^_ LOCATION: I R n 4� TYPE OF WORK: VVLA'i DATE INSP NEEDED: DATE INSP: INSPECTED BY: 6D WORK IN PROGRESS:_A x 3a- c AS-BUILT: INPUT: DATE:_ W/2007 Town of South Windsor INPSECTION REPORT 07 Drabek, Bernard From: CallCenter@CBYD2.com Posted At: Friday, November 02, 2007 2:56 PM Conversation: Locate Request-20074403422 Posted To: CBYD Subject: Locate Request-20074403422 (CALL BEFORE YOU DIG - CT) 11/02/2007 14:56:20 -5G -Cl -GV -J1 -OT 5-SW SWINDS -T5 -W3 -------------------------------------------------------------------------- *** REMOTE BATCH ENTRY *** ***** ROUTINE ***** TIME. .14:56 DATE. .11/02/2007 REQUEST NO. . .20074403422 PREVIOUS REQUEST NO. .20074002417 LATITUDE. .41.8226184 LONGITUDE. .-72.5999870 TOWN. . . . . .SOUTH WINDSOR ADDRESS. . .187 STREET. . . .S SATELLITE RD NEAREST CROSS STREET. .NUTMEG RD S. -------------------------------------------------------------------------- TYPE OF WORK. . . . .INSTALL GAS SERVICE AREA IS MARKED. . .YES REMARKS: STARTING ACROSS THE STREET FROM THIS PROPERTY AND GOING TO THE LEFT SIDE OF THE BUILDING. -------------------------------------------------------------------------- START DATE. . . . . .11/07/2007 START TIME. .08:00 CALLER. . . . . . . . . .LARRY CALL BACK. . . . . . . PHONE #. . . . . . . . .860-292-2242 FAX #. . . . . . . . . . .860-292-2269 ALT. PHONE #. . . .1-800-989-0900 EMAIL ADDRESS. . .TAITLJ@NU.COM CONTRACTOR. . . . . .YANKEE GAS ADDRESS. . . . . . . . .112 PROSPECT HILL RD CITY. . . . . . . . . . . .EAST WINDSOR STATE. . . . . . . . . . .CT ZIP. . . . . . . . . . . . .06088 -------------------------------------------------------------------------- EXCAVATOR DOING WORK. .YANKEE GAS AND R.H. 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 Drabck, Bernard From: CallCenter@CBYD2.com Posted At: Friday, November 02, 2007 2:56 PM Conversation: Locate Request-20074403421 Posted To: CBYD Subject: Locate Request-20074403421 (CALL BEFORE YOU DIG - CT) 11/02/2007 14:55:39 -5G -Cl -GV -Jl -OT 4-SW SWINDS -T5 -W3 -------------------------------------------------------------------------- *** REMOTE BATCH ENTRY *** ***** ROUTINE ***** TIME. .14:56 DATE. . 11/02/2007 REQUEST NO. . .20074403421 PREVIOUS REQUEST NO. .20074002413 LATITUDE. .41.8226184 LONGITUDE. .-72.5999870 TOWN. . . . . .SOUTH WINDSOR ADDRESS. . .175 STREET. . . .S SATELLITE RD NEAREST CROSS STREET. .NUTMEG RD S. -------------------------------------------------------------------------- TYPE OF WORK. . . . .INSTALL GAS MAIN AND SERVICE AREA IS MARKED. . .YES REMARKS: WORKING ACROSS THE STREET FROM THIS PROPERTY AND GOING 150 FT EAST ALONG THE EDGE OF THE ROAD. -------------------------------------------------------------------------- START DATE. . . . . .11/07/2007 START TIME. .08:00 CALLER. . . . . . . . . .LARRY CALL BACK. . . . . . . PHONE #. . . . . . . . .860-292-2242 FAX #. . . . . . . . . . .860-292-2269 ALT. PHONE #. . . .1-800-989-0900 EMAIL ADDRESS. . .TAITLJ@NU.COM CONTRACTOR. . . . . .YANKEE GAS ADDRESS. . . . . . . . .112 PROSPECT HILL RD CITY. . . . . . . . . . . .EAST WINDSOR STATE. . . . . . . . . . .CT ZIP. . . . . . . . . . . . .06088 -------------------------------------------------------------------------- EXCAVATOR DOING WORK. .YANKEE GAS AND R.H. 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 cLX - Z�'z zLyZ APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00 Name of Firm 1) ee- Lc5 Phone No. ����� 2- Address l `� of Firm lAt Location of proposed work I , ` c-V VN (`--T En Des ribe fully nature of permit requested !'1:� c l �`Y1Cxl( c -ey i C)-y� 0 A u J�. Starting date_-) r Approx.time for completion C&TLIS Call Before You Dig No. �C�U`1�{UC� 4( Traffic Services Control No. �200'7 00,;2 1 7 Show sketch of proposed work or fumish Indicate North This section to be filled out by two copies of separate drawing Town of South Windsor Pavement Cut No.cuts Est.Size of Perm. Patch(s) I15 FY7 Est. Pvt.Thickness in. Est. Unit Price$ Amt.of Deposit$ Total Due$ by ( )Cash( )Check# Permanent Patch No. Cuts (Y-k Cam- Size of Patch(s) QJ Final Billing f $ Amt. Due Payee CX e wAin5 Amt. Due Town C;O S CyA a i n $ By Applicant is responsible for contacting Date the Police Dept.and C.B.Y.D. 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 OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed: Q"a Date: I l I I d7 Title: �od intC.b oo t ec b, Driver's License#: PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES