Loading...
HomeMy WebLinkAboutRepair gas leak Street Cut Permits 91 Pi 700027 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PERMIT DATE: 04/18/07 GIS ID: 72000091 '' - FEE: MUNIS APPLICATION# 200700463 >: €:.. .00 EXPIRATION DATE: 04/17/08 APPLICANT }.. vas.:..,. I �.C T OCAT IO N NAME: YANKEE GAS .:, YtEs `. M '.0]=PTE KNOB DRIVE ADDRESS: 112 PROSPECT HILL • CT p6 $8 :INS"T�1�TOB DR IVE EAST WINDSOR, "SQ fH'WINDSOR.CT 74 P °.... HONE - 86 - 02 22 9 242 WO RK DE SCRIPTION: CRIPT IO N: FIX CrAS"tE�. APPLI CANT NT AGR EES STOF FURNI SH TH E TOWN ..•,,,.,;,<..° vIREQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AN 'EN 1N " 1 p q lYIt11ATTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THL AI"PL C `I :F Y1 g $IDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN ODC3I>WIfiI^'..S T �>I?I R1v1IT`IVIANUAL. fS SUED BY DATESi 'EI✓ ET INSPECTED BY 4/18/20072:06PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: Z0 Q 0 a1) CONTRACTOR: �a x e CAS LOCATION:_ Pt` kvwl Wat ADDRESS: TYPE OF WORK: DATE INSP NEEDED: DATE INSP: INSPECTED BY: S WORK IN PROGRESS:_ ,ve C o rt � c ��- in d e r-f ' 3•, x 7 Cr A- S L e�.k INPUT: -- DATE:- 1 ( � o I z m z 0 0 D C w D � o m � o - m— � m _ m O � 45 17' .7511 ST I P 1959 7' 46 T— 62 3 9 -O Q8 45.5' 75"ST IP 1959 21.5 The material contained on this map shall be considered TITLE: plot_menu field 1 proprietary to Yankee Gas and user(which is plot—menu—field 2 defined as any person or entity who has received p the map through sale,purchase,exchange,gift, Ratio scale 1:238 or otherwise)shall keep it in confidence and Divide second number by 12 to convert ratio to feet.Example 1:1200 is V=100' shall not furnish or disclose o to any third party without Information shown is not guaranteed and Yankee Gas assumes no responsibility. ra aem ,, the prior written permission of Yankee Gas. Contractors are urged to call Yankee Gas for further information at 1-8 0-989-0900 [Date, m The SNor t Ste.,stlio Utilities System z , rn z O - 0 wow vr o m r o --I m- m v„ m -P; I' O 45' +ems 1 T .75"ST I P 1959 W V 46 623 9 8� w SQ8 O 45.5' 75"ST IP 1959 21.5 The material contained on this map shall be considered TITLE: plot—menu—field 1 proprietary to Yankee Gas and user(which e lot fnenu_tleld 2 defined as any person or entity who has received p the map through sale,purchase,exchange,gift, Ratio scale 1:238 c u or otherwise)shall keep it in confidence and Divide second number by 12 to convert ratio to feet.Example 1:1200 is V=100' shall not furnish or disclose it to any third party without the prior written permission of Yankee Gas. Information shown is not guaranteed and Yankee Gas assumes no responsibility. ra aem The Northeast Uttiiies Sysiem Contractors are urged to call Yankee Gas for further information at 1-800-989 0900 a e 107 Selden St.,Berlin CT 06037 APPLICATION FOR STREET EXCAVATION PERMIT �p�L7d TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINbSOR,CT 06074 FEE $25.00 Name of Firm 1 ) 1< k l- &� y �' �/q�-'-�"���Address of Fir Phone No 2 �c) cS �f' Location of proposed work el A-) A., Describe fully nature of permit requestedxC ,�u G ✓d L "-A � n1 F/A Starting date e(-, 3 / Approx.time for completion 4-7t? - Tj Call Before You Dig No."_ 0 D7 13 0 3 0( Traffic Services Control No. Show sketch of proposed work or famish two copies of separate drawing Indicate North This section to be filled out by Town of South'Windsor Pavement Cut No.cuts Est'Size of Penn.Patch(s) Est.Pvt.Thickness in. Est.Unit Price$ Amt.of $ Total Due$ by ( )Cash )Check# Permanent Patch No. Cuts Size of Patch(s) Final Billing Amt.Due Payee ArnL Due Town By Applicant is responsible for contactina the Police Dept.and C.B.Y.D. Date 1 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 ASIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed:_ 1-1-0 � Date:_ , �� - Driver's License M PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES ,//° 1 ■■■■r�■■■■■■ ■®■■■■■■■■■■�■■■■■■ ■■■■ ■■■ ■■ee■■■■■■■■■ ■®■■■■■■■■ ■■■■■■■■■ ■■■■e■■■■■■■�►■■■■■■r■■■mom■e■e■s■■■ US 0 MEN 0■■■■■1■■■eeeei■■■■■■■r■■■i■■■■err■■■ ■■■■■■■■■r■■reeeerr■rr■sir■rrerrrrr ■■■■■■■■eei■eis■■e■eeeeee��■■■■■ere■■ so i■■■■■■■■■■ ■■■■■■■eiii■�!e■mom e■■■■■■■■■■ie■i■ ■■■■■■■■■■■■■■■■life■i■■■■■■■■■■■■■■ ■■■■eeei■■■■eee■see■■s■■■e■■ea■■■■■■ ■■se■■■■■■■■■��■■e■■e■■■■■■■■■■ee■■■ lo■ee■■■■ie■■e ■■■M■■■■■■■e■■■■■■■ee■ i■■■■■■■■■■■■e ■�ENR■■ee■s■■■■■■ee■■■ i�■■■■■res■■■■ ■� : ■■■■e■■r�■■■■eee■r■ il■■■■■■e■r■■■ ■� 7"l 1 1r■■■■■el■r■■rerr■■ 1-lM®e®M■■M�����1 ��■■■■e®®■■■■e■e � Nieeee■ier■■■■rerr i■■■■e■■■e■■■■■ I �i■■■■■i ■■■■■e■e■ r/■e■r■■■e■■■r■■sre■■r■■■■■■e■eeeei■ ��■■■■■■■■e■■■■■■lee■■■■■■■■■■■■■■ee■ HE No ■■i■■■tee■■iii■elf■■■■■■■■I■■■■e■■■■e ■■i■/.i■■■■■■�■■eliee■■e■■e!■■■■■■■■■■ •• ■■i■ie■■eii■■i■■i■■■■■■■■e■e■■■ No mom No mom No ii■e■■■■■et■ei■■e■■■ ME 0 mom ■■e■■■ee■■■■■■ee■■■■■■■■ri■■■■ee■■■■ ■■■■■■■■■e■■■�■■■■e■■■■■�I■■■■■■ee■■ ■■■■■■■■■■■■■L■■■■MEN ■■■■��■■■■■■■ee■ OMEN MEN ■■■■■■eeeei■■I■■■■■■■■■■■el■■■■e■■■■■ IN mom ■■■■■e■■■■■■min■■■e■■■i■■■;■■■■■■■■■■ mom■■■■■■■■■■��■■■■■■■■■■e■■■■■■■mom No mom ■■■■■■■■■e■■■■■.■e■e■■s■e■■■■■■■■e■ ■■■i■e■■■■■■■■■■■■■■■■■■■■■■■■■■■e■ ■■MEIN■MEMO■■■■■■■■ie�■■■■■■■■■■e■■■