HomeMy WebLinkAboutGas Street Cut Permits 90 Buckland Road Permit No. 4126 Town of South Windsor, CT
' Date 11/14/2005 Street Excavation Permit
Expiration Date 11/14/2006
Descrip: INSTALL 2" GAS SERVICE'' I<_R6.11°' •;.:,_.
Applicant Locatin
Name YANKEE GAS ¢T):g8- BUCKLAN ;120AD
Addr. 112 PROSPECT HILL RD
E. WINDSOR CT 06p86 T of1ryr SAS
Phone (860)292-2242
Applicant agrees to :;fns:h::,the Townf to Windsor the amount of bond
required and to reimburse the;. owX3 -OU .1.-pfbr :.Or i any expenses
00,
incurr
ed b the Town=.
Y e.�x:anceor"�repair w25r.1. n with this
.
Permit and that appl�pant bicte,by 'tAe rules and
regulations for permits a oiltiineti � the �W#� of S ruth W. zid 'or's Street
Cut Permit Manual.
* * PERMIT TO ESE'zK 'P ON"3OB.,: .I-T-- ';AT::::A'DL:,>.,TT'ME'S.
Issued by ----
Date Completed .......—........ Inspected By _1-0&40 � ,L-
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 4126
Contractor.YANKEE GAS_
Location qQ Q Z%TCXLA= ROAD ..,...Add re 112 :PR48PECT"`HILL RD
Type Work GAS
E: I�IDBQT CP 06=088
Phone,No...f8 }292 242
Date Insp Needed Dt-----_—___— ---
sp {;
---------- 21ne Irr
Time InsNeed T i > ">
Q 'tS ,,s
Inspected By
Work in Progress
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Page 1
From: <CallCenter@CBYD.com>
To: <cbyd@southwindsor.org>
Date: Thu, Nov 10, 2005 3:02 PM
Subject: Locate Request-20054602649
(CALL BEFORE YOU DIG-CT) 11/10/2005 14:56:29
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*****ROUTINE *****
TIME..14:56 DATE..11/10/2005
REQUEST NO...20054602649
LATITUDE..41.8101654 LONGITUDE..-72.5550041
TOWN......SOUTH WINDSOR
ADDRESS...90
STREET....BUCKLAND RD
NEAREST
CROSS STREET.-TAMARACK AVE
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TYPE OF WORK.....EXC TO INST GAS MAIN
AREA IS MARKED...YES
REMARKS:
WRKNG IN BETWEEN PLE 8 & PLE 9 LC ACROSS ST FROM PROP, CROSS ST
&GOING 400FT INTO PROP 90... THIS IS EVERGREEN RUN PROP
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START DATE......11/16/2005 START TIME..07:30 � �
a
CALLER..........RON THOMPSON /1r5j ,
CALL BACK.......7:30-4 I -4 ��p
PHONE#.........860-292-2219 l' S
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..SAME///R H WHITE COMPANY
ISSUED TO: DATE: TIME: BY:
DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY:
rtr-r-Ltt.oHI IUN 1-UK STREET EXCAVATION PERMIT 412(,
TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
TOWN HALL
1640 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074
FEE $25.00
Name of Firm_ L-d,5 Phone No. S 6 C) 2 9 a —
Address of Firm_ / / Z i �?p < ,Cl
Location of proposed work L{ e L r�N S2 i� E7 V r}2 6_ O E L-F^/
Describe fully nature of permit requested_ -TA1,5 7 W ( 2 ' S L 11 2 V/CC�—
Starting date // - Z ! - v,5 —
Approx. time for completion v S
Call Before You Dig No. 2 oo;, 4 6 4. y Traffic Services Control No.
Show sketch of proposed work or furnish
two copies of separate drawing '�° Indicate North This section to be filled out by
Town of South Windsor
Pavement Cut
�%C1 9 L' — No.cuts
0*1
�4 Est.Size of Perm. Patch(s)
vc:�'2 G.rzrc-iy r2�+.�s/
Est. Pvt.Thickness in.
Est. Unit Price$
Amt.of Deposit$
j�.i,{ G��✓�Pl c� %�
Total Due$ by
Cash( )Check#
Y Permanent Patch
No. Cuts
Size of Patch(s)
�C�' I� Final Billing
Amt.Due Payee
Amt. Due Town
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 F
PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. OR
Signed: o— Date:
Title: cc i L At iy cz Driver's License#:
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
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