HomeMy WebLinkAboutGas Street Cut Permits Foster Street Ext TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 4158 ,,:>..,:...
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Location FOSTER STREET EXTENSION ;t; a`c`t'or YANKS'E""GAS
A* dres. ,'< 112;,''F3:R $'PECT'=KILL RD
Type Work GAS
Fr.o>:::W:Z ND S'O •::'C� "d:::r.088
Phone "iVo E864),29.2 2''24.2
Date Insp Needed -------------- Da to
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Time Insp Needed ;4 o•
Inspected By
Work in Progress 'Te-5 �
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Permit No. 4158 , Town of South Windsor, CT
Date 03/21/2006 Street Excavation Permit
Expiration Date 03/21/2007
Descrip: TEST PITS FOR GAS MAIN'"L(} Af16N''MILLE'R' D. D.RAII7<. PROJ.
Applicant "' LoFat, on
Name YANKEE GASfIt 'ST22ETK3TISOI.
Addr. 112 PROSPECT HILL RI7 "' ' "�6'""'
ss:..
E. WINDSOR CT 0d'088
'I e esf Work GAS,
Phone (860)292-2242 t.. :
Applicant agrees; tcx fsir�ish the;2wn aau :h Winsq tkae.•>amaUnt of bond
required and to reiinburs ;the, Town of;Soak�h �7�h isor fog" any expenses
incurred by the Towa far niainenane kx rp 3tmk �g2 .G(sniiec'�icn with this
permit and that appkicattt';as fcmilisr wit.:h :axsc &z :; aha s 'by the rules and
regulations for perm'3ts:<as'sowtl'sink:d::;.=.ti;rii >sp3s> d'>' ""'?Sx�at.h.;'Wgri"i'dsgr s S
W. treet
Cut Permit Manual.
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PERMI
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Issued by ----------�n-- — Title ,w_
Date Completed >:......:.I:n.s>•seted B �_
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APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF'SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074 44c?
FEE $25.00
Name of Firm f � (� S' Phone No. �
Address of Firm
Location of proposed work
fo('— C �c t V(- �c F
Describe fully nature of permit requested_ /:),,
Starting date Approx. time for completion
Call Before You Dig No. Traffic Services Control No.
Show sketch of proposed work or furnish _This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
Pavement Cut
L (� vri C No.cuts
Est.Size of Perm. Patch(s)
Est. Pvt.Thickness in.
Est. Unit Price$
Amt.of Deposit$
Total Due$ by
( )Cash( )Check#
Permanent Patch
No. Cuts
Size of Patch(s)
L c )7 %y Final Billing
VM z $
75
/ Amt. Due Payee
i
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 FOR
PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: Date:Date: S - �..
Title: Driver's License#:
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
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MILLER RD. p33oa
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d on this map shall be considered TITLE: Miller Rd. \
Gas and user(which is South Windsor N
i or entity who has received
purchase,exchange,gift, Ratio scale 1:340 E
it in confidence and c o c
P Divide second number by 12 to convert ratio to feet.Example 1:1200 is 1"=100' w
close it to any third party without Information shown is not guaranteed and Yankee Gas assumes no responsibility.
ssion of Yankee Gas. I Contractors are urnpd 10 call YankPP Gas-for further informqtin g s The Northeost Utilities
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d on this map shall be considered TITLE: Foster St.Ext.
Gas and user(which is South Windsor
1 or entity who has received
purchase,exchange,gift. Ratio scale 1:340
3p it in confidence and Divide second number by 12 to convert ratio to feet.Example 1:1200 is 1"=100'
:close it to any third party without Information shown is not guaranteed and Yankee Gas assumes no responsibility.
'ssion of Yankee Gas. p Y m The Norlheosl Ulililie:
Qontractors are uragd to call Yankee Qas for further at 1-800-989-0900
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;ed on this map shall be considered TITLE: Miller Rd.
e Gas and user(which is South Windsor "
m or entity who has received
e,purchase,exchange,gift, Ratio scale 1:267 e
eep it in confidence and Divide second number by 12 to convert ratio to feet.Example 1:1200 is 1"=100' w
isclose R to any third party without ft"
Information shown is not guaranteed and Yankee Gas assumes no responsibility.
nission of Yankee Gas. p dY• s The Norlheosl UlifillE
\� 1 Contractnrs are urued in call Yankee Gas for further Information at 1-800-989-0900
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d on this map shall be considered TITLE: Miller Rd. s
Gas and user(which is South Windsor
+or entity who has received
purchase,exchange,gin, Ratio scale 1:285
ep it in confidence and Divide second number by 12 to convert ratio to feet.Example 1:1200 is 1"=100'
close to any third party without Information shown
ssion of Yankee Gas. is not guaranteed and Yankee Gas assumes no responsibility. N The Norlheosl UliGlies
ontractors_arp uWed to call Yankee Gas for further information at 1-800-989-0900