HomeMy WebLinkAboutGas Main Street Cut Permits Old Farm and 700086,,
PERMIT NUMBER TOWN OF SOUTH W I N D S O R, CT
: STREET CUT PERMIT
DATE: 06/19/07
GIS ID: 66309999
MUNIS APPLICATIO .Af';.:; "'R:•,°';'
N#. 200700921
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ADDRESS:
112 PROSPECT HILL � �RES,�"�:•.;;
: ,;;:::�': " &ABBE ROAD
EAST WIND ;:r:::.>.x.; .. f SOR CT ;'.8. "x::;:. ,,:> .R;::. :::: WN: I
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APPLICANT AGREE
S TO FURNISH THE "';:•§ '
THE TOWN OF SOU T WN"PVV '
SOUTH WIND :Q .'';<:i:�Or:<:
CONNECTION WITH THISSOR FOR ANI".:EI-IV Iv<5.:; '<` ~, <x I} '} OF'1iOND REQUIRED AND TO REIMBURSE PERMIT AND THI"; " QO :MATNTENANCE OR REPAIR
APPTAT ' <,� >`fZ . ".., WORK IN
FOR PERMITS AS OUTLINED IN THE TO NTH ANC WILL ABIDE BY THE RULES AND REGULATIONS
TOWN SfJL1I '. :IN1 '
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ISSUED BY
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6/19/2007 9:54 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** INSPECTED BY
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: DUC _ CONTRACTOR: Gvtlz
LOCATION: () ADDRESS:
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS:
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The material contained on this map shall be
considered proprietary to Yankee Gas and user TITLE:
(which is defined as any person or entity N
who has received the map through sale,purchase, Ratio scale 1:240 w e o Q
exchange,gift,or otherwise)shall keep it in Divide second number by 12 to covert ratio to feet.Example 1:1200 is 1"=100'
confidence and shall not furnish or disclose By;gisewrl
it to any third party without the prior written InfortnaWnsh-na not guaranlaW and Yankee Gas assumesnoresponsdy. s The Northeost Utilities S stem
permission of Yankee Gas. comraaorsarev�eoto cal iYankeeGas r.nnncr„romawnait-eoo-ees-osoo Date;11106/2007 107SeldenSt.,Berlin(T06037 Y
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Bernard Drabek-Locate Request Pg.,
20072404138
From: <CaliCenter@CBYD2.com>
To: <cbyd@southwindsor.org>
Date: Fri, Jun 15, 2007 2:30 PM
Subject: Locate Request-20072404138
(CALL BEFORE YOU DIG -CT) 06/15/2007 14:27:28
-5G -Cl -CW -GV
-OT 3-SW SWINDS -T5
--------------------------------------------------------------------------
***** ROUTINE*****
TIME..14:27 DATE..06/15/2007
REQUEST NO...20072404138
LATITUDE..41.8624780 LONGITUDE..-72.5412247
TOWN......SOUTH WINDSOR
ADDRESS...310
STREET.... ABBE RD
NEAREST
CROSS STREET..OLD FARM RD
-------------------------------------------------------------------------
TYPE OF WORK.....EXC TO INSTALL GAS MAIN
AREA IS MARKED...YES
REMARKS:
STARTING AT THE INTERSECTION GOING APPROX 200FT NORTH WORKING
IN THE ROAD BEHIND THE CURB LINE
-----------------------------------------------------------------------
START DATE......06/20/2007 START TIME..07:30
CALLER..........MIKE HANECAK
CALL BACK.......7:30-4
PHONE#.........860-292-2247
FAX#...........860-292-2269
ALT. PHONE#....
EMAIL ADDRESS...
CONTRACTOR......YANKEE GAS SERVICE CO.
ADDRESS.........112 PROSPECT HILL RD
CITY............EAST WINDSOR
STATE...........CT
ZIP.............0608 8
------------------------------------------------------------------------
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:
APPLICATION FOR STREET EXCAVATION PERMIT °7C,'" -3�,
TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074
FEE $25.00
Name of Firm `�^ 1��e L«s S�- v, e S C u. Phone No. (8 c-, u �
Address of Firm i i 2 t s n �_�" l� (1 P c� .
Location of proposed work 0 i l��; /� b h x c f
Describe fully nature of permit requested C)( c c.v,, z to : •,7 s �� c, y� u , r� /3
Ky t o �� c r y s s i nCA ig 2uo be C-0r b n
Starting date -_j � n �P- 2Q - 7 Approx. time for completion y 2 c o 7
Call Before You Dig No. 2 0 U 7 Z q 0 q / �3 P Traffic Services Control No.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
- Pavement Cut
No.cuts
Est.Size of Perm. Patch(s)
Est. Pvt.Thickness in.
Est. Unit Price$
Amt.of Deposit$
Total Due$ by
( ),Cash( )Check#
Permanent Patch
No. Cuts
Size of Patch(s)
Final Billing
Amt. Due Payee
Amt. Due Town
-0 7 D -7 $
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:_1G���� (/ ft L Date: 6 z/e'l Z u o 7
Title: C u^ +r J��i ov) T ioc-(1 n c , h Driver's License#:
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
TOWN OF SOUTH WINDSOR
ENGINEERING DEPARTMENT '
ADDRESS PERMIT NO. SHEET
OF
UTILITIES INSPECTOR TEMP.PATCH DATE
INSPECTOR COMPLETION DATE
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