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HomeMy WebLinkAboutGas Street Cut Permits 20 Rockledge Driv TOWN OF SOUTH WINDSOR INSPECTION REPORT ....:.:....... Permit No. 3561 Contract`ti'r K'E'E<:.,QAS Location 0020 ROCKLEDGE DRIVE ,Ad'dre.s:s': :;. 112:`>`RG-SPECT.;.HILL RD Type Work GAS E WINDSQTS CT &6088 Phone Nv C$ 0 29 2242 i? Date Insp Needed Time Insp Needed Inspected By � ,y��c � ✓ Work in Progress _ CpfAC�?/✓ __ � wMt ky Date Permit No. 3561 Town of South Windsor, CT Date 08/06/2003 Street Excavation Permit Expiration Date 08/05/2004 Descrip: Applicant Location Name YANKEE GAS GO;2:0 ROCKLEDGE DR'IVR Addr. 112 PROSPECT HIjL RD ' E. WINDSOR CT OS4,b.8 Tie of itolc GAS: Phone (860)292-2242 f Applicant agrees; C'o flirrsiSh'the Tgvn cif 5auth Windsor: the amqunt of bond required and to reimburse. ,the Tot*n pf'; ouCh isr s'or for :'any expenses incurred by the Town fr�r rita��it1?ance 'sir repair art�rk �zz' onnectian with this permit and that appl`4cant �s fdPdf1:'A W*. b.,. rid wx�.� abide by the rules and regulations for permits as out}ihed fin;the dawn of` sQtf I Windsor s Street Cut Permit Manual. * * PERMIT TO ::DE REP' ON Zf3$ .uI P: T ALL TIMES. Issued by Date Completed ____ ___ Inspected By j APPLI_CATION FOR STREET EXCAVATION PERMIT - TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of Firm y� KfL �rt$ Phone No. p o� Z — 03 V 7 Address of Firm f/Z f Ro1PEc•-_ 11-11-4L /� LrryST wi..�i,,sOe O(ob8 Location of proposed work .P o Zo ck &!!�- 2>V E y Describe fully nature of permit requested -7-ZE6A-AC,-'Al K qS Sj0-P- s C W t1 /N S E Q7'iA-)C1 /4 Starting date 66-d Approx.time for completion O 13 - /$'-Z o©3 Call before you dig no. Traffic Services Control No. Show sketch of proposed work or furnish TO be filled Out by Town Of SO Windsor two copies of separate drawing Pavement Cut Indicate North Prop.size of cut a No.cuts O W u Amt.of Deposit i by (1 Cash()Check N h the $ �}i/t ocE(GQ�4S5) Cut size after Perm. Patch No.Cuts be // Final Billing ly 6 �sFS /�i4ihl S1 X �f OLC Amt.Due Payee >f ble-VEWAY A10"M Applicant is responsible for contacting !-fo us I -#a I Amt.Due Town $ the Police Dept.and C.B.Y.D. 'by date I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO RQMBURSE 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• 6 Title's`-7 EG1.4 t iS i PELF%/o.JS P�o�cT— D.L.ff PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES