HomeMy WebLinkAboutStreet Cut public utility 8 Hearthstone 1000097 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER _ STREET CUT PUBLIC UTILITY
DATE: 06/07/10
GIS ID:41100008 �
FEE:
MUNIS APPLICATION# 201000684 00
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� `1WRATION DATE:
21
APPLICAN s
NAME: YANKEE GAS �� '-� ,LOCATION
ADDRESS: 112 PROSPECT HILLtEAxWE
STONE DRIVE
EAST WINDSOR CT g A WMAVA ANUJ&PREETI
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1 HAR*STONE DRIVE
PHONE 860-292-2242 f _ J�VSINDSOR,CT 06074
WORK DESCRIPTION: EXC �s
1A�N ON MILLER RD
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APPLICANT AGREES TO FURNISH THE T �' � f
THE TOWN OF SOUTH WINDSOR FOR ANYQY� S. - tZ Of
- ND REQUIRED AND TO REIMBURSE
CONNECTION WITH THIS PERMIT AND THEM 1
CFVIAINTENANCE OR REPAIR WORK IN
FOR PERMITS AS OUTLINED IN THE TOWN OF SoL ABIDE BY THE RULES AND REGULATIONS
� T IT MANUAL.
ISSUED BY DATE INSP CTED IN PECTED BY
6/7/20101:42PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 000 9-7 CONTRACTOR: eap
LOCATION:_
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: Z S
INSPECTED BY:
WORK IN
PROGRESS: ' ` g�-k, C 4 �-ee�4m 6d'E /1074A
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE:
W12007 Town of South Windsor INPSEMON REPORT 07
d L Q00 58(� APPLICATION FOR STREET EXCAVATION PERMIT , 00
0"9?
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074
FEE $25.00
Name of Firm !AVA S e N c e3 Co M P Q r Phone No. C �� Z S Z. -22 -7
Address of Firm tIZ i-ccpecf 1`I/ zf Wi id cr' C % Zip Code O�G��
Location of proposed work ear s 0 n S� n Sor
Describe fully nature of permit requested G' 7< v r"h S'fc, Qcq gq r y t c e o
aas MCI ;A 0V, Miller- 'Rd .
Starting date 5v r e zo r o Approx.time for completion T I V 20 10
Call Before You Dig No. 2U t 0 13 O 1 Z
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT, INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work orfumish This section to be filled out by
two copies of separate drawing Indicate North Town of South Windsor
No.cuts
W. U• v20 4 o0
Est.Patch Size(s) sf
Q Est.Pvt.Thickness in.
S -e e- g-�tr'G'r'^l e K e fck Est.Patch Unit Price$ /sf
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$ /ft
Est.Curb Cost$
Est.Traffic Unit Cost$ /hr
y 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 IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: ��'�=y Date: 6( �Z Za/c)
Title: Cc.,n S f TP c-� . Driver's License M
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Street Excavation Permit 08
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Status Open
Completed Date: _
(CALL BEFORE YOU DIG - CT) 06/03/2010 13:59:32
17-5G YANK/G -BB -C1 -CW
-GV -OT -SW -T5
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***** ROUTINE *****
Time: 13:59 Date: 06/03/2010
Request #: 20102302285 Previous Request #:
Latitude: 41.8517535
Longitude:-72.5340531
Town: SOUTH WINDSOR
Address: 8
Street: HEARTHSTONE
Nearest Cross Street: MILLER
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Type of Work: EXC TO INST GAS SERVICE
Area is Marked: YES
Remarks: WORKING FROM STREET TO HOUSE ON THE MILLER RD SIDE OF PROP
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Start Date: 06/08/2010 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: