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HomeMy WebLinkAboutStreet Cut public utility 84 Hillside Dr 800146 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 08/22/08 GIS ID:43800084 ;. FEE: MUMS ,x °u APPLICATION# 200801306 .,"4 ''$' ;. ^' 00 #;,:..,.r ,. {'°;'Y -':fy , :3 ;°E lRATION DATE: . APPLICANT .".k. LOCATION NAME: YANKEE GAS . fit., , .... . r "$#HIIS ADDRESS: 112 PROSPECT HIL Rn "�` DE DRIVE x , ER D EAST WINDSOR,CrNALD F JR&CHRISTINE G 8 ; luS.DE DRIVE PHONE 860-292-2242 k" '} : _ ; " :¢. TH` DSOR,CT 06074 �:, 4 5. WORK DESCRIPTION: EXC*%kTL GAS x Eft ICE �tS...v' sw`n 1' :�'r' '.'. s.`'$;t', a;'xw,..a.�k.'Ilk y �, APPLICANT AGREES TO FURNISH THE �e�, 5s 'fix a ' 1 �QF�UT � J1 F ND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANI S sz3VT:. OVA;.Old' AINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE r ., FOR PERMITS AS OUTLINED IN THE TOWN OF �� LT ND� ILL ABIDE BY THE RULES AND REGULATIONS ,� ST tT 1T&IT MANUAL. O `7 ISSUED BY DATE INSPECTED INSPECTED BYE 8/22/20089:25AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: I Co CONTRACTOR:_ LOCATION:_ 8 N TYPE OF WORK:_'::Fxca.oq4-e, fi0 "sTw -DATE INSP NEEDED: DATE INSP: a A INSPECTED BY: WORK IN PROGRESS: AS-.BUILT: GyY� INPUT. DATE:_ 3 � "0 q W/2007 Town of South Windsor INPSECTION REPORT 07 APPLICATION FOR STREET EXCAVATION PERMIT 9 00 1 Appl. No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT TOWN HALL 1640 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00 Name of Firm zyk k)CAr 6:,qs Phone No.8 6 a Address of Fir 11 Z f R- o J' P a-C7 1J, I I P_ jr 60 Zip Code Location of proposed work_ Describe fully nature of permit requested VC✓d-V A-1-�V- V-0 G ied-J c-3 Ar(z-V/ C &- Starting date Approx.time for completion Call Before You Dig No.1Z (� �2 b f'�! PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT 1S RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed work or furnish This section to be filled out by two copies of separate drawing Indicate North Town of South Windsor No.cuts Est:Patch Sizes) sf Est.PvL Thickness in. Est:Patch Unit Price$ Jsf Est.Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price$. eft . Est.Curb Cost$ Est.Traffic Unit Cost$ /hr Est.Traffic Control$ AmL of Deposit$ Total Due$ O Cash O Check# Applicant is responsible for contacting Paid By 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. Signed Date: Title: �i L A�- Driver's License#: PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Street Excavation Permit 08.doc 3 : 7 A ■ W A V A A H co N ■ O O ■ 6 s� v�' < •e A � • ■ ors I�-x-- ■ �e ■ O : r 13 - N N O � N • 1 ■ 0'' NO LOCATION 4"X IP 1965 ® n 4 X IP 1965 CIL 1.5 ° 3 T © w to w w 9.4 •92• The material contained on this map shall be considered TITLE: plot_menu_field 1 proprietary to Yankee Gas and user(which is lot menu_field 2 defined as any person or entity who has received p the map through sale,purchase,exchange,gift, Ratio scale 1:396 Z o 0 or otherwise)shall keep it in confidence and Divide second number by 12 to convert ratio to feet.Example 1:1200 is 1"=100, m shall not furnish or disclose it to any third party without Information shown is not guaranteed and Yankee Gas assumes no responsibility. fa aem the prior written permission of Yankee Gas. Contractors are urged to call Yankee Gas for further information at 1-800-989-0900 Date, m T 107&e den Berlin CT 0603 System