HomeMy WebLinkAboutStreet Cut Permit 07809999 Barber Hill R TOWN OF SOUTH WINDSOR INSPECTION REPORT 61011
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Permit No. 4331 Cont:z,ECd'tor YANKEE"G'AS.
Location SOUTH OF VINTAGE LN ;7ddre!C# %112:P OEOPECI-HILL RD
e Work GAS y
Type „. . ,$ >.:dAI.ZT D
TS'OFY;CC 0 .088
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Inspected By
Work in Progress
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Permit No. 4331 Town of ,South Windsor, CT
Date 11/07/2006 :.3 5 "% ""' Street Ex cavation Permit
Expiration Date 11/07/2007 a; >;y
Descrip: INSTALL 4" GAS MA. iT '
Applicant o"eko#
Name YANKEE GAS VI z` G 'fliN
Addr. 112 PROSPECT HI 2I� £ 1::r.�a
LI :
E. WINDSOR CT
Phone (860)292-2242
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Applicant <._k.. t
pP g '� }� a� ' u. i.vWindss"rFie' amcnt of bond
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required and to reibur e`` �.` '
Q S oxS£����. ct��1�.. r�A "� 'q ' en s e s
incurred b'y the Tow f3,[CYY>4i; nsCep r..wrxtnti'on with this
permit and that applica 1.nt bkce<by tie rules and
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regulations for permit,s a.s' oatlinecT .=.f of .to 11-.4—la dsor's Street
Cut Permit
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* ,r PERMIT TO'..��Y. >..,i'' •'�. :.:�n•'�i`:.`�":�,;�=' .
K •Pf O JO$ `9> 3 ..,A 'zAT .TT ES. * r
Issued b
y v/mot ' 3' "
Title ---------
-Date Completed _— ---___-- Inspected By }��y,�`> M�T
APPLICATION FOR STREET EXCAVATION PERMITAisj—
PUBLICTOWN OF SOUTH WINDSOR Permit No.
WORKS DEPARTMENT
TOWN HALL
1640 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074
FEE $25.00 FQ.u. Z q z- z z c
Name of Firm Phone No. T)0(7 , Z q 2 • Z Z`! Z
Address of Firm
Location of proposed worker
.Describe fully nature of permit requested C k,a (Yl n-i 1
Starting date Approx. time for completion G� �-
Call Before You Dig No. f CSC-)b,,Lit{ D0 0 L Traffic Services Control No.
Show sketch of proposed work or famish
two copies of separate drawing Indicate North This section to be filled out by
Town of South'Windsor
Pavement Cut
No.cuts
Est.Size of Perm.Patch(s)
Est.Pvt.Thickness in.
Pro pvs e-A AL. GAS M A I K Est.Unit Price$
Amt.of Deposit$
barber 11 -�-A Total Due$ by
( )Cash( )Check#
Permanent Patch
Vinftye.
No. Cuts
11 Size of Patch(s)
Final Billing
$
Amt.Due Payee
4- $.
C
yAmt.Due Town
By
Applicant is responsible for contactingate
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 A OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed:
Date:_ ( C)U
T'
Title: oil� �t y ��;,1� -� pCA ct L( S( Driver's License#:
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
TOWN OF SOUTH WINDSOR
ENGINEERING DEPARTMENT
ADDRESS
PERMIT NO. SHEET
UTILITIES OF
INSPECTOR TEMP.PATCH DATE
INSPECTOR COMPLETION DATE
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COMPUTATION SHEET
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The material contained on this map shall be considered TITLE: plot_menu_field 1
proprietary to Yankee Gas and user(which is plot_menu_field 2
defined as any person or entity who has received
the map through sale,purchase,exchange,gift, Ratio scale 1:1504
or otherwise)shall keep it in confidence and Divide second number by 12 to convert ratio to feet.Example 1:1200 is 1"=100'
shall not furnish or disclose it to any third party without Information shown is not guaranteed and Yankee Gas assumes no responsibility.
the prior written permission of Yankee Gas. m The Northeast Uliliiies System
From: <CallCenter@CBYD2.com>
To: <cbyd@southwindsor.org>
Date: Wed, Nov 1, 2006 2:23 PM
Subject: Locate Request - 20064402044
(CALL BEFORE YOU DIG - CT) 11/01/2006 14:22:13
-5G -Cl -CW -GV
-OT 4-SW SWINDS -T5
--------------------------------------------------------------------------
***** ROUTINE *****
TIME. .14:21 DATE. .11/01/2006
REQUEST NO. . .20064402044
LATITUDE. .41.8631420 LONGITUDE. .-72.5305023
TOWN. . . . . .SOUTH WINDSOR
STREET. . . .BARBER HILL RD
NEAREST
CROSS STREET. .MILLER RD
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TYPE OF WORK. . . . .EXC TO INST GAS MAIN
AREA IS MARKED. . .YES
REMARKS:
WORK STARTING APPROX 4600FT NORTH OF THE INTER ON THE EAST SIDE
& GOING 800FT NORTH TO THE NEW INTER OF VINTAGE LN
--------------------------------------------------------------------------
START DATE. . . . . .11/06/2006 START TIME. .08:00
CALLER. . . . . . . . . .LORI TAIT
CALL BACK. . . . . . .7:30-4
PHONE #. . . . . . . . .860-292-2242
FAX #. . . . . . . . . . .860-292-2269
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . .YANKEE GAS SERVICE CO.
ADDRESS. . . . . . . . .112 PROSPECT HILL RD
CITY. . . . . . . . . . . .EAST WINDSOR
STATE. . . . . . . . . . .CT
ZIP. . . . . . . . . . . . .06088
--------------------------------------------------------------------------
EXCAVATOR DOING WORK. .SAME/R H WHITE
ISSUED TO: DATE: TIME: BY:
DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY: