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HomeMy WebLinkAboutGas Street Cut Permits 89 Sullivan Avenu TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 4055 C o n t,�ae'•C`o r"""`�}1V'�C L�E•.:,�,�1 S Location 0089 SULLIVAN AVENUE " lf4cirei> 112." 'RQS.pECT;:.:.HILL RD Type Work GAS �: P,.;,;;.WINf3SO.1 CT „`a46 88 b Fk. Date Insp Needed Time Insp Needed r,< 'M a. Ins pected p ed By e ct — 3'i T s Work in Progress ----( /���, \a? -- : Inp7L '„ s's' Et `te -------- F"' ---------- Permit No. 4055 Town of South Windsor, CT Date 08/02/2005 Street Excavation Permit Expiration Date 08/02/2006 f' Descrip: NEAR 89 SULLIVAN -;TTSFiLli""TF '''S, `{T' e.>.;, 4 A li s.:. PP cant L©c ,ilp n zy�yM1�' Name YAN KEE GA S SIV U 112 PROSPECT H Addr. "r E. WIND SOR CT Q 8& v Phone (860)292-2242 Ap plicant cant agree' ` "to<f' xxd ' "th PP g s �< s.k?', the Tr,,,�#;;�a "� •t6�.:attictiznt of bond rw::...; e uired and to rejhn}�se>':t#q e:,, obi>>:'.t >fau :�•prz'r:`.;:: ;eX enses incurred by the Towf f.p `z ;z: G na a >eSx:': `a <::Yo 'roc:>< ri<''.:e n� � �w«�. ect'i;�n with this permit and that aPPT°?C it': s .R f :a .:< } :.k z &--w " e.....:, a<,:.. .: inE 1...: i.d, by`tke rules and regulations for permits as `pu. i1e1.;; 's; '8'<' Fzh,r.;>eTf 5p; Tinds'or's Street Cut Permit Manual. "> PERMIT T'>.,g.� * O.:. SE , :PT�" .;sd'OB'� 'T.'TP...��I" A.�,Z:, 'F.ZM <S. Issued b y. Date Completed Inspected B c. ' APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 FEE $25.00 Name of Firm l9 w Phone No,-2-6 3 5�G Address of Firm �C Location of proposed work �'`j s'm/ Describe fully nature of permit requested e ,� y„ d . � Starting date IrK"--1-4 r-6 S Approx. time for completion_ LU.C- r Call Before You Dig No.--12o o S 320 91 / Traffic Services Control No. Show sketch of proposed work or furnish This section to be filled out by two copies of separate drawing Indicate North Town of South Windsor Pavement Cut Sep . No.cuts Est.Size of Penn.Patch(s) Est.Pvt.Thickness in. Est.Unit Price$ Amt.of Deposit$ Total Due$ by ( )Cash( )Check# Permanent Patch No. Cuts Size of Patch(s) Final Billing Amt.Due Payee Amt.Due Town 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 OUTLINEQW THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signe Date: R'— z Title Driver's License#: /A PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES i r— cs 00' 0 L� �— 00 Q 06 0� .� Zcr V 1 m 6164 dH 1S SL' AOO 1E z 00 CO ,,1 J Q) i I ® �� V "h I The material contained on this map shall be r TITLE: plot—menu—field 1 nncieiaraef nrnnriafane fn Ynnkaa C,=and i icar OU iidiuwidUUK- LUUdW Kequest-LUU53ZUUyI"1 Page 1 From: <CalICenter@CBYD2.com> To: <cbyd@southwindsor.org> Date: Mon, Aug 1, 2005 5:32 PM Subject: Locate Request-20053200911 (CALL BEFORE YOU DIG -CT) 08/01/2005 17:27:55 -5G -C1 -CW -GV -J1 -OT 1-SW SWINDS -T5 -------------------------------------------------------------------------- *** REMOTE BATCH ENTRY*** ***** ROUTINE ***** TIME..17:27 DATE..08/01/2005 REQUEST NO...20053200911 LATITUDE..41.8569183 LONGITUDE..-72.5986480 TOWN......SOUTH WINDSOR ADDRESS...89 STREET....SULLIVAN AVE NEAREST CROSS STREET-COMMERCE WAY -------------------------------------------------------------------------- TYPE OF WORK.....EXCAVATING AREA IS MARKED...YES REMARKS: INSTALL TEST STATION SE SIDE OF INTERSECTION -------------------------------------------------------------------------- START DATE......08/04/2005 START TIME..08:00 CALLER..........ROY CALL BACK.......8-5 PHONE#.........860-537-3601 FAX#...........860-537-3672 ALT. PHONE#.... EMAIL ADDRESS... CONTRACTOR......GLEN DRILLING ADDRESS.........532 NEW LONDON RD CITY............COLCHESTER STATE...........CT ZIP.............06415 -------------------------------------------------------------------------- EXCAVATOR DOING WORK..GLENN DRILLING ISSUED TO: DATE: TIME: BY: DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY: CALL BACK: 1) DATE: TIME: BY: 2) DATE: TIME: BY: