HomeMy WebLinkAboutGas Street Cut Permits 571 Nutmeg Road (2) s �
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3247 Contractor YANKEE GAS
Location : # # A&P: Address 112 PROSPECT HILL RD
Ype Work GAS E . WINDSOR CT 06088
Phone No. ( 860 )292-2242
Date I nsp Needed Sill Date I nsp .
Time Insp Needed Ti Inp.
Inspected By
Work in Progress 4- •°tm2• 1a ' 'T� , £.J or-k7
Input Date
�Perm o. 3247 t Town of South Windsor, CT
i i�
Date 03/11 /2002 Street Excavation Permit
Expiration Date 03/11 /2003
Descrip: REPAIR GAS SERVICE
Applicant Location
Name YANKEE GAS 0671 , NUTMEG ROAD
Addr. 112 PROSPECT HILL RD
E . WINDSOR CT 06088 type 'O ",Work '-GAS
Phone (860 )292-2242
Applicant agrees to .furn"a"si the .Yawn of South Windsor the amount of bond
required and to reimburse.'th4 ;:Town of " tth W-indsor for any expenses
incurred by the Town fcir maintenance o repair. wflrk in connection with this
permit and that applicant 7 s F'fami i"'i�ar, :waith , and wt i"l 1 abide by the rules and
regulations for permits As �utlin�d. itt the:: Town "'of 'youth Windsor's Street
Cut Permit Manual.
* * PERMIT TO, BE ,Kr=PT ON" J"L38 SI?E AT i4LL TIMES.
Issued by e ��tz�J,C Title �F(:z,
Date Completed _- --- Inspected By
y
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm Phone N . 1Z 9 2,
Address of Firm ArCV- 8
Location of proposed work
Describe fully natu of perm' r nested C,,
ace N G. utc-��N
Starting date vryC Approx.time for completion -*� 2
Call Before You Dig No Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of South Windsor
two copies of separate drawing
Pavement Colt
Indicate North Prop.size of cut
No.cuts
Amt.of Deposit$ by
O Cash O Check#
Cut size after Perm. Patch
No. Cuts
Final Billing$
4 Amt. Due Payee
Amt. Due Towns$
Applicant is responsible for contacting by 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: ��o tap/ I _a' ^� Date: /4 io x LM . 1'.O 0 `2-
Title: V: ,/or L W ��G"' D.L.#:
PERMIT SHALL BE KEPT ON 30BME AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit.doc
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A SCALE
PROPRIETARY INFORMATION* SCALE: t INCH =92 FEET
THE MATERIAL CONTAINED ON THIS MAP SHALL BE DATE 3/7/2002
Yanked CONSIDERED PROPRIETARY TO YANKEE GAS AND USER 571 NUTMEG RD. N.
(WHICH SHALL BE DEFINED AS ANY PERSON OR ENTITY
WHO HAS RECEIVED THE MAP THROUGH SALE, PURCHASE. INFORMATION SHOWN IS NOT GUARANTEED
EXCHANGE, GIFT, OR OTHERWISE) SHALL KEEP IT IN AND YANKEE GAS ASSUMES NO RESPONSIBILITY.
CONFIDENCE AND SHALL NOT FURNISH OR DISCLOSE CONTRACTORS ARE URGED TO CALL YANKEE GAS
The Northeast Utilities System IT TO ANY THIRD PARTY WITHOUT THE PRIOR WRITTEN PERMISSION OF YANKEE GAS FOR FURTHER INFORMATION 1 860 989 6900