HomeMy WebLinkAboutStreet Cut Permit 38 Hayes Road 800169 TOWN OF SOUTH WINDSOR, CT
.:PERMIT NUMBER STREET CUT PERMIT
DATE: 09/24/08 a 43 x
GIS ID:40200038
00
MUNIS APPLICATION# 200801496 �w� f FEE:
` ;` t � �.' �"IRATION DATE: 09/24/09
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NAME: YANKEE GAS ICA �st " ° y OCATION
APPL
.. WAYE�ROAD
ADDRESS: 112 PROSPECT HIL
JOEL&KARA
EAST WINDSOR,CI 6608
"r r; V,,:{A HAYED ROAD
`
PHONE 860-292-2242 '� TMNDSOR,CT 06074
WORK DESCRIPTION: INS ll `"
..:
APPLICANT AGREES TO FURNISH THE I` OF° ( J1'1 O X T F B RE I D.: . : S
THE TOWN OF SOUTH WINDSOR FOR ANIXP IhtG. 0 .1VIAINTENANCE OR REPAI R WO
CONNECTION WITH THIS PERMIT AND THE }.: .., ;.
4N3`fi� ` TIIxRE mmw
1D VdL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF ggnov—13�V T uR', •SST E (SETT P IT MANUAL.
�� .4 ram•
ISSUED BY DATE SPECTED INSPECTED BY
9/24/20083:58PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
i
TOWN OF SOUTH WINDSOR INSPECTION__REP_ORT
PERMIT NO.; R CONTRACTOR:_
LOCATION: 3SU,P (z/)a
TYPE OF WORK: 1 5 \ V 1 C
—— DATE INSP NEEDED: DATE INSP:� of
INSPECTED BY: f b
WORK IN
PROGRESS: 4
of—
AS-BUILT:-
INPUT: -- DATE:__
SCAN NMI Emu
W MV Town 0 South Windsor INMEMM REPORT 07
09/24/2008 WED 15: 23 FAX 860 292 2202 0002/002
' J �
APPLICATION FOR STREET EXCAVATION PERMIT SOO& 9
TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR,CT 06074
FEE $25.00
Name of Firm f k( - :� t..'7 CAS
Phone No.
Address of Firm (JrDl c
Location of proposed work '�LE�r°.S
Describe fully nature of permit requested_ i in 5 TE ( Qa.5
�J
Starting date o( )46[a Approx. time for completion I .0-1-1
Call Before You Dig No. 00 (>z� ) (3 Traffic Services Control No.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
44" 3cc�) Pavement Cut
No.cuts
} Est.Size of Perm.Patch(s)
Est. Pvt.Thickness in.
Est.Unit Price$
f Amt.of Deposit$
Total Due$ by
{ )Cash( )Check#
Permanent Patch
} �s No. Cuts
Size of Patch(s)
Q.S Rai n
• Final Billing
O -e_ ro O-A Crt>3 S i r1 Amt. Due Payee.
Amt. Due Town
SCANNED
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 A131DE BY THE RULES AND REGULATIONS FOR
PERMITS /OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: V J lr�c Date:-
Title: �I �; tc 1U(Rfl/l �.� Driver's License#:
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
r Molloy, Catherine
From: CallCenter@CBYD2.com
Posted At: Saturday, September 20, 2008 8:20 AM
Conversation: Locate Request-20083900013
Posted To: CBYD
Subject: Locate Request-20083900013
(CALL BEFORE YOU DIG - CT) 09/20/2008 08:20:12
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*** REMOTE BATCH ENTRY ***
***** ROUTINE *****
TIME. .08:19 DATE. .09/20/2008
REQUEST NO. . .20083900013
LATITUDE. .41.8501174 LONGITUDE. .-72.5562841
TOWN. . . . . .SOUTH WINDSOR \
ADDRESS. . .38
STREET. . . .HAYES RD
NEAREST
CROSS STREET. .LOCUST ST
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TYPE OF WORK. . . . .INSTALLING GAS SERVICE
AREA IS MARKED. . .YES
REMARKS:
WORKING FROM THE OPPOSITE SIDE OF THE STREET AND GOING TO THE FRONT OF HOUSE
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START DATE. . . . . .09/25/2008 START TIME. .08:00
CALLER. . . . . . . . . .LAURIE TAIT
CALL BACK. . . . . . .7:30-4
PHONE #. . . . . . . . .860-292-2242
FAX #. . . . . . . . . . .860-292-2269
ALT. PHONE #. . . .1-800-989-0900
EMAIL ADDRESS. . .TAITLJ@NU.COM
CONTRACTOR. . . . . .YANKEE GAS SERVICE CO. SCA
ADDRESS. . . . . . . . .112 PROSPECT HILL RD
CITY. . . . . . . . . . . .EAST WINDSOR NNED
STATE. . . . . . . . . . .CT
ZIP. . . . . . . . . . . . .06088
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EXCAVATOR DOING WORK. .YANKEE GAS AND R.H. WHITE
ISSUED TO: DATE: TIME: BY:
DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY:
CALL BACK: 1) DATE: TIME: BY: 2) DATE: TIME: BY:
PERSON CONTACTED: PERSON CONTACTED:
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