HomeMy WebLinkAboutStreet Cut public utility 122 Newmarker 800211 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 01/08/09
GIS ID: 63300122
MUNIS APPLICATION# 200900012 FEE: 00
EXPIRATION DATE:
APPLICANT LOCATION
NAME: YANKEE GAS AJRESS 122 NEWMARKER ROAD
ADDRESS: 112 PROSPECT HILL RD OI'E NAT'SISIY CHARLES J&
EAST WINDSOR CT 0608$ RAN 3 ROAD
PHONE 860-292-2242
ELY 1NGTON,CT 06029
WOR
K DES
CRIPTION:
CRIP T I ON•
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5 APPLICANT AGREES TO FURNISH THE
THE TOWN OF :..< ;
SOUTH WINDSOR FOR AN i'„ 5 & ,. EIMBURSE
� l 1 BOND REQUIRED AND TO R. FQI"MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE PIC `l .T " Al ? Ir' . 1IANDVILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TO WN OF '
..
ST ? Tu I RMIT MANUAL.
l� O o
ISSUED BY DATE INS ECTED INSPECTED BY
1/8/200911:31AM *** PERMIT TO BE KEPT 0N JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: : Db 1 l CONTRACTOR: `a Le s
LOCATION:_ 1 a lVe
TYPE OF WORK: Z'n s 7►41 l
-=--_- -=- -DATE INSP NEEDED: DATE INSP:_4 6
- INSPECTED BY:
WORK IN
PROGRESS: �ec�
AS-BUILT:
INPUT: C: V k DATE:__ I _�- 0
W/2007 Town of South Windsor INPSECfION REPORT 07
APPLICATION FOR STREET EXCAVATION PERMIT awo? 1
TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074
FEE $25.00
(�
Name of Firm �o-n e.°L S Phone No. 960 -2 (O
�-Z 2 y Z
Address of Firm I 1 Q- (D 2 C
Location of proposed work 7—Z (- ('-
Describe fully nature of permit requested F( am 0.S r\(1 EVE
Starting date IR ID Approx. time for completion
Call Before You Dig No' (MD 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
No.cuts
Est.Size of Perm. Patch(s)
Est. Pvt.Thickness in.
Est. Unit Price$
Amt.of Deposit$
Total Due$ by
( )Cash( )Check#
� s Hai f) is I Permanent Patch
C,Urb No. Cuts
. In grass
Size of Patch(s)
+f��rnarlC,.er �
Final Billing
Amt. Due Payee
$
Amt. Due Town
$
qJ
By
Applicant is responsible for contacting A 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 g
OUTLINED)OUTLINED)q THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: C. Date: ) /W oq
Title:�f�11S�i G17(�'I '�'2 ). Driver's License#:
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Jan 06 09 09: 08a p, 1
01/05/09 Call Before You Dig -> 8608703584 Pg 1/1
(CALL BEFORE YOU DIG - CT) 01/05/2009 15 :02 :46
-5G _Cl -CW -GV'
-OT -SW -T5 2-VN VERNON
T ----------------------------------------------
*** REMOTE BATCH ENTRY **
***** ROUTINE *****
TIME. . 15 :02 DATE. . 01/05/2�09
REQUEST NO. . . 20090200439
LATITUDE. . 41.8519905 LONGITUDE. , -72. 4990755
TOWN. . . . . . SOUTH WINDSOR
ADDR.ESS:. . .1.22
STREET. . . . NEWMARKER RD
KEAREST
CROSS STREET-. ..DEBBIE DR
-------------------------------- _------_--_-----------------------------_--
TYPE OF WORK. . . . . INSTALL GAS SERVICE
AREA IS MARKED. . .DIES
REMARKS:
WORKING FROM- STREET TO LEFT SIDE OF HOUSE
-------_-------------------------------------------------------------------
ST•ART DATE. . . . . .01/08/2009 START TIME. .08:00
CALLER. . . . . . . . . . LAURIE TAIT-
•CALL BACK. . . . . . .7:30i 4
PHONE i#. . . . . . . . . 860-292-2242,
FAX U. . . . . . . . . . .86D-292-22G9
ALT. PHONE N. . . . 1-800=989-0900
EMAIL ADDRESS.. TAI.T:L.I&UU_.-CGM
CONTRACTOR. . . . . .YANKEE GAS SERVICE CO.
ADDRESS' ' * "' '11,2 PROSPECT HILL RD
CITY. . . . . . . . . . . .EAST,WINDSOR
STATE. . . . . . . . . . ..CT
ZIP. . . . . . . . . . . ... 06088
-------------------------------------------------------------------------
EHCAVATOR DOING WORK. . YANKEE GAS
ISSUED TO: DATE: TIME: BY:
DATE/TIME ARRIVED: - TIME LEFT: COMPLETED BY:
CALL BACK: 1) DATE: TIME: BY: 2) DATE: TIME: BAY:
PERSON CONTACTED: PERSON CONTACTED: