HomeMy WebLinkAboutStreet Cut public utility 300 Governors 900161 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 12/04/09 //
GIS ID:36900300 �% 4 FEE: 00
MUNIS APPLICATION# 200901474 ' RATION DATE:
APPLICANT =LOCATION
NAME: YANKEE GAS
-RERNORS HIGHWAY
ADDRESS: 112 PROSPECT HILLS y WaON TECHNOLOGIES CORPORATIO
EAST WINDSOR,CT�6 8 GOV RNORS HIGHW
�STIVINDSOR,CT 06074
PHONE 860-292-2242 0010
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WORK DESCRIPTION: EXCAIl � �S A VC 'ROM STREET TO
CELL t_OWEI y
APPLICANT AGREES TO FURNISH THE T&,W%F SQT�I_ S � $ SND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY 1 VPENC F �I�(IAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE API L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF S�QITID3R, TTTZT 1' IT MANUAL
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ISSUED BY DA E INSPECTED INSPECTED BY
12/4/20092:04PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR:
LOCATION:
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: 3 0
INSPECTED BY: 00
WORK IN
PROGRESS: ''av+I o u-7OK J Crn55 04LVL AcO ss
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SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED [-] YES ❑ NO
AS-BUILT:
INPUT: DATE: 7
W/2007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1540 SULLIVAN AVENUE Date:
SOUTH WINDSOR,CT 06074
FEE $25.00
Name of Firm Y a►^ Ye e GGs S e r v c c es Cc, . Phone No.��� 2� Z ` 2 Z`f 7
Address of Firm l 2 ?,(o r e'f 14 c l( f,d - E4 s 7'W• 4 s o r Zip Code o y & 8
Location of proposed work 3 o U G o v er r,o rs Ce L TGW r
Describe fully nature of permit requested_ e x Cu v ti f „q '-fa,,,s�4 ��s sir v r c P Leo r 1< r�g
Starting date r 2� 9/ 2 oy Cj Approx.time for completion 3 d c X s
Cali Before You Dig No. z Go ! Existing Water Supply: ❑ Public Water ❑Well
Existing Sewage Service: ❑ Public Sewer ❑ Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
No.cuts
Est.Patch Size(s) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price$ /sf
S e e a " aC_�e S(<e- J C_Y1 Est.Patch Cost$
Est.Curb Replacement It
Est.Curb Unit Price$ /ft
Est.Curb Cost$
Est.Traffic Unit Cost$ Mr
Est.Traffic Control$
Amt.of Deposit$
Total Due$
)Cash ( )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
/I/N THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: � (� Date:_ !2�s 2u yS
Title: yu vN� ¢e G, s Cap;W Co r%%_�ru Lt—%G^ Driver's License#:
PLEASE ALLOW AT LEAST TWO WORKING DAYS AFTER APPLICATION FOR ISSUANCE OF PERMIT
WORK MAY NOT BEGIN UNTIL A PERMIT HAS BEEN ISSUED
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Street Excavation Permit 08 REV 10-22-08
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(CALL BEFORE YOU DIG - CT) 12/03/2009 13:39:22
-3W 11-5G YANK/G -C1 -CW
-GV -J1 -OT -S1
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***** ROUTINE *****
Time: 13:39 Date: 12/03/2009
Request #: 20094902254 Previous Request #:
Latitude: 41.8325805
Longitude:-72. 6040080
Town: SOUTH WINDSOR
Address: 300
Street: GOVERNORS HWY
Nearest Cross Street: JOHN FITCH
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Type of Work: EXC TO INSTALL GAS SVC
Area is Marked: YES
Remarks: WORKING FROM ST TO CELL TOWER
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Start Date: 12/08/2009 Start Time:07:30
Caller: MIKE HANECAK
Call Back: 7:30-4
Phone Number:860-292-2247
Fax #: 860-292-2269
Alt. Phone:
Email:
Contractor: YANKEE GAS SERVICE CO.
Address: 112 PROSPECT HILL RD
City: EAST WINDSOR
State: CT
Zip: 06088
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Excavator Doing Work: SAME/R.H WHITE
Issued To: Arrived:
Issued Date: Time Left:
Issued Time: Completed By:
Issued By: Completed On:
Call Back
1)Date: 2)Date:
Time: Time:
By: By
Person Contacted: Person Contacted: