HomeMy WebLinkAboutGas Street Cut Permits 91 Pine Knob Driv i TOWN OF SOUTH WINDSOR INSPECTION REPORT /
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Permit No. 4155 Con:trac.tor •:Y�,L.NKEE"`GAS,.,
Location 0091 PINE KNOB DRIVE Address pAQ;SQECT ::,,UILL RD
Type Work GAS : :.:NZND'SbR: :QT:,::6088
Phone Na .($ u292, 2242
Date Insp Needed _ : Ziz I"9
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Time Insp Needed Ilene ,Y) i v` J
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Inspected By X.
Work in Progress
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Input 'IV
., Dates - ��
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• Permit No. 4155 Town of South Windsor, CT
Date 03/15/2006 Street Excavation Permit
Expiration Date 03/15/2007
Descrip: EXCAVATE IN STREET T0.;REPAII2 GAS TAI
Applicant ¢ Loeati<on
Name YANKEE GAS 009I PINE KNOB F,�RIV�
Addr. 112 PROSPECT HJL&
E. WINDSOR CT 06-388 Pya of >G7orTcA5
Phone (860)292-2242
Applicant agrees to, furnish th .Tq an South $�� sdsaX h'e aunt of bond
required and to rembu. se thy: d4:011. any expenses
incurred by the Town for mr be Hance r1r r: p it "morl zn connect on with this
permit and that applicant ss ."famkiCh .ad.,�z71 'abzde.'`by .the rules and
regulations for perm Ittl:L ed' ;n "dwx ot, �okltk# Windsor s Street
Cut Permit Manual.
* * PERMIT TO"'$E 'KEPT ON AT ,Xi?L'`TI+IES.
Issued by --------------------- Titl. <,,..
Date Completed _ Inspected By
Bernard Drabek-Locate Request-20061100072 Page 1
From: <Cal ICenter@CBYD.com>
To: <cbyd@southwindsor.org>
Date: Mon, Mar 13, 2006 8:18 AM
Subject: Locate Request-20061100072
(CALL BEFORE YOU DIG -CT) 03/13/2006 08:11:31
-5G -C1 -CW -GV
-OT 1-SW SWINDS -T5
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*** REMOTE BATCH ENTRY***
***** ROUTINE*****
TIME. 08:11 DATE..03/13/2006
REQUEST NO...20061100072
LATITUDE..41.8343830 LONGITUDE..-72.5096855
TOWN......SOUTH WINDSOR
ADDRESS...91
STREET....PINE KNOB DR
NEAREST
CROSS STREET..AVERY ST
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TYPE OF WORK.....EXCAVATE TO REPAIR GAS MAIN
AREA IS MARKED...YES
REMARKS:
WORKING IN THE STREET IN FRONT OF HOUSE#91
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START DATE......03/16/2006 START TIME..08:00
CALLER..........ERROL GRAHAM
CALL BACK.......7:30-4
PHONE#.........860-292-2258
FAX#...........860-292-2269
ALT. PHONE#....
EMAIL ADDRESS...GRAHAEM@NU.COM
CONTRACTOR......YANKEE GAS SERVICE CO.
ADDRESS.........112 PROSPECT HILL RD
CITY............EAST WINDSOR
STATE...........CT
ZIP.............06088
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EXCAVATOR DOING WORK..YANKEEGAS
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 5
TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074
FEE $25.00
Name of Firm �lr� N k Phone No.3 0 92--.--A 15 g
Address of Firm / / 9P, '(L-o c'i I:IYI/ Q-1>
Location of proposed work f el Pj F INN 11' D r,
Describe fully nature of permit requested Z)e CAV 14'9, - / 0 JV C,,F&N- -V-�j P-�rA10?,
G/6 t' Z "k
Starting date 3 — /6.-1 fo 94jA6WP4FRtR Approx. time for completion_ H y
Call Before You Dig No._2 J vfc. I ( 0 0D 1 - Traffic Services Control No.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
Pavement Cut
No.cuts
Est.Size of Perm. Patch(s)
Est. Pvt.Thickness in.
Est. Unit Price$
S `S Amt.of Deposit$
Total Due$ by
( )Cash( )Check#
hs M A Permanent Patch
t---j- W D R K /a k �� No. Cuts
j 0, ' k gJ 4 Size of Patch(s)
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 FOR
PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed:el-Ij— Date: 3 </6 0Z
Title:_ —," /fir`-� V—,r C.61 Driver's License#:
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES