HomeMy WebLinkAboutGas Street Cut Permits 2800 Tamarack Ave TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 4118 Contra:aC'or"YANKtZ:1G4,S
Location 2800 TAMARACK{ AVE A3dresa. 112 PPOS>BECT'..;HILL RD
Type Work GAS0"15;088
Phone -Vo �8Fy0i')29 �a
Date Insp Needed
--------- Date In. p0
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Time Insp Needed
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Inspected By
Work in Progress
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Input, K1ate _� '��U --
Permit No. 4118 Town of South Windsor, CT
Date 11/01/2005 Street Excavation Permit
Expiration Date 11/01/2006
Descrip: FROM CURB TO SO SI;)7E 0"F;;,.BLD.G:::;"t7Q.,.Rg D,C.fTT::LAS SERV. tE
Applicant Z�ocat o4a
Name YANKEE GAS TAMARACK..EVE,
Addr. 112' PROSPECT HILL R:P
E. WINDSOR CT 060 ,$_ tge of . trrs ,OAS
Phone (860)292-2242
Applicant agrees, to ;;furnlsxv:the e ai-count of bond
required and to reitt dr e the Tout 'oi u h k7 titlsor f a'r and ,expenses
incurred
ed by the Towdi for twim''t z�anc>e`or"re'`a'ir<'`vYb"r"k::>::3 :a
p : n.;::%p:0 nection with this
permit and that applicant :fatttil h * t ne '.:.ov 11 abide by the rules and
regulations for permi`t:s as;, 0 t':1';:ine` ::' 1?`;'tYk¢ ai 1..>o'f Sani";Ii TR:' or'l;n s s Street
Cut
Permit
Man
ual.
* * PERMIT TO "Et KEPT - ON i—TO''I3 S:Z�+ AT AIL TIMES.
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Issued by \ itl"' Y
Date Completed Inspected By
Bernard Drabek-Locate Request-20054403364 Page 1
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From: <Cal ICenter@CBYD.com>
To: <cbyd@southwindsor.org>
Date: Fri, Oct 28, 2005 2:45 PM
Subject: Locate Request-20054403364
(CALL BEFORE YOU DIG -CT) 10/28/2005 14:40:35
-5G -C1 -CW -GV
-OT 5-SW SWINDS -T5 -W3
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*****ROUTINE*****
TIME..14:40 DATE..10/28/2005
REQUEST NO...20054403364
LATITUDE..41.8193435 LONGITUDE..-72.5529441
TOWN......SOUTH WINDSOR
STREET....BUCKLAND RD
NEAREST
CROSS STREET..DEMING ST
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TYPE OF WORK.....EXC TO INSTL GAS SERVICE
AREA IS MARKED...YES
REMARKS:
WORKING APPROX 330 FEET SOUTH OF THE INTER ON THE WEST SIDE
OF THE RD.WORKING FROM THE CURB TO THE REAR OF THE BLDG.
PLEASE NOTE PLE 36 IS LOC ACROSS THE ST FROM THE PROP.
THIS PROP IS A PART OF EVERGREEN WALK MALL.
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START DATE......11/02/2005 START TIME..08:00
CALLER..........ERROL GRAHAM
CALL BACK.......7:30-4
PHONE#.........860-292-2258
FAX#...........860-292-2269
ALT. PHONE#....
EMAIL ADDRESS...
CONTRACTOR......YANKEE GAS SERVICE CO.
ADDRESS.........112 PROSPECT HILL RD
CITY............EAST WINDSOR
STATE...........CT
Z I P.............06088
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EXCAVATOR DOING WORK..SAME
ISSUED TO: DATE: TIME: BY:
DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY:
APPLICATION FOR STREET EXCAVATION PERMIT `► �I
If TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074
FEE $25.00 c2
Name of Firm / �4�� GlA �5' Phone No. �' 7 -P-c2 Z-`2;),�
Address of Firm / If yo cS le x C-`r
Location of proposed work 2- g'Q 1 lM k r 12 Gk /0 V.
Describe fully nature of permit requested -2CC d f1VY-,C- d=e- D r-1 C G.{F, "d L- f t1 ttT7-4
J I �I 61f I a te' B U t l- D I f�j ( D p v) C u.Y'.;
Starting date / / " 0 2 — z-0 � S Approx. time for completion
Call Before You Dig No. 2 C O S ®3 3 E Cl Traffic Services Control No.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing I dicate North Town of South Windsor
Pavement Cut
No.cuts
Est.Size of Perm. Patch(s)
Est. Pvt.Thickness in.
Est. Unit Price$
Amt.of Deposit$
Total Due$ by
( )Cash( )Check#
Sk Z Permanent Patch
No. Cuts
Size of Patch(s)
� v
Final Billing
Amt. Due Payee
9R poste $
-<- . ] Amt. Due Town
J $
C ow
b(LLrh 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.
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Signed: C ( Date: C D
Title: Driver's License#:
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES