HomeMy WebLinkAboutGas Main Street Cut Permits 124 Brookfie Y
Permit No. 3320
.Da Town of South Windsor, CT e 06/17/2002 Street Excavation Permit
s
Expiration Date 06/17/2003
Descrip: INSTALL GAS SERVICE TO CLUBHOUSE
wItlowbieo�C, C�o[F Ccur�,SE,
Applicant Location
Name YANKEE GAS OK ELD STREET
- Addr. 112 PROSPECT HILL R
E. WINDSOR CT 0608 GAS
Phone (860)292-2242
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Applicant agrees " h
or the amount of bond
required and to reim U . A} o , h r r any expenses
incurred by the Town fpt e pa connection with this
permit and that appli a i an ide by the rules and
regulations for permi s �' th Windsor's Street
Cut Permit Manual .
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* * PERMIT L 'TIMES.
Issued byJA
Date Completed nspected By ..�_:, Z..ez�
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3320 Contractor YANKEE GAS
Location 12 lf2 bWFIJEL-tYAT-R8ET Address 112 PROSPECT HILL RD
Type Work GAS E. WINDSOR CT 06088
one No. (860)292-2242
Date Insp Needed
Lisp Z? a
Time Insp Needed, �m
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Inspected By
Work in Progress /J
4044'OR
Date 1I3IO2
�332a
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS:DEPARTMENT '
TOWN MALL
1S40 SULLIVAN AVENUE
SOUTH WINDSORo'CT
• FEE $2500
Name of Firm Phone
Address of Firm 11a- {
Location of proposed wo r
Describe fully nature of permit fews! SIT, a-
Staiting date„—J 8 76%' ., Approx.time fta'campietiort,.,;
Call Before You Dig: o:� o`t 0 Q6 75..__Trof is Sor'Aws Co*d I�b.
Show posed wont or famish TOM„fi� d out.bv Town of South Windsor
two co ' separate drawing
E�!
Indf North Prop.size of at
No.aft
Amt'of Deposit$ by
Cash Chfx*
cut size attar Perm.Patch
No. Cuts.,
pol,Z 8 b�8 . _ Finaliiling$
- -°_ ` _ G strc aJ
Arta.Due
Ma cam- 30� �/J
Amt.Due Town$
(51
Applicant is responsible for contacting by datie
the Police De and QB,Y. -.
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 WtfH 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: � �7/d
Title• D.L#•
PERMIT SHALL BE KEPT ON 3065I1E AT ALL TIMES
Standard Forms\Permits\Street E=vaUon Permitdoc
(CALL BEFORE YOU DIG - CT) 06/17/2002 09:42: 14
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***** EMERGENCY *****
T I ME. . 09:37 DATE. . 06/17/2002
REQUEST NO. . . 20022500213
LAT I TUDE. . 41. 8568038 LONGITUDE. . -72. 5695648
TOWN. . . . . . SOUTH WINDSOR
ADDRESS. . . 124
STREET. . . . BROOKFIELD ST
NEAREST
CROSS STREET. . TROY RD
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TYPE OF WORK. . . . . EXC TO INST GAS SERVICE
AREA IS MARKED. . . YES
REMARKS:
WKING FROM ST TO THE LEFT SIDE OF NEW CLUB HSE. . . . . . . .
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START DATE. . . . . . 06/18/2002 START TIME. . 08:00
CALLER. . . . . . . . . . LAURIE TAIT
CALL BACK. . . . . . . 7:30-4
PHONE #. . . . . . . . . 860-292-2242
FAX #. . . . . . . . . . . 860-292-2269
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . . YANKEE GAS SERVICES
ADDRESS. . . . . . . . . 112 PROSPECT HILL RD
CITY. . . . . . . . . . . . EAST WINDSOR
STATE. . . . . . . . . . . CT
ZIP. . . . . . . . . . . . . 06088
--------------------------------------------------------_.----------------- -
EXCAVATOR DOING WORK. . SAME
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: