HomeMy WebLinkAboutStreet Cut Permits 499 Rye Street (2) 1100078 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 07/06/11 =
GIS ID: 78600499 =" = FEE: 00
MUNIS APPLICATION# 201100706 EXPIRATION DATE:
APPLICANT` = LOCATION
NAME: YANKEE GAS ADDRESS: 499 RYA STREET
ADDRESS: 112 PROSPECT HILLR - flWiER: HARTANDONNA L
EAST WINDSOR, CT06088 499 RYESTREET
SOUTH WINDSOR,CT 06074
PHONE 860-292-2242 = -
WORK DESCRIPTION: REPLACE T ST;STATION IN STREET IN I?RQNT OF#499 RYE STREET
APPLICANT AGREES TO FURNISH THE TQWN OF SOUTH;yINI3S()R THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY-EXPI NSES INCURRED I3Y THE T�}WN -0 AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPLICANT--IS FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH�UINDSR'S'STREET CUTPERMIT MANUAL.
ISSUED BY DAT INSPECTED INSPECTED BY
7/6/201111:35AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 11 d b b CONTRACTOR: Y a ki kcL--e G•9 S
LOCATION: LI q q
TYPE OF WORK: )f) � + " nt p 4
DATE INSP NEEDED: DATE INSP: `I Ll Z
INSPECTED BY: L)
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: VL. DATE:_ (Q
W/2007 Town of South Windsor INPSECIION REPORT 07
APPLICATION FOR STREET EXCAVATION PERMIT //060 78
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC.WORKS DEPARTMENT
1540 SULLIVAN AVENUE Date:
SOUTH WINDSOR,CT 06074
FEE $25.00
Name of Firm Yqn ke Phone No. d 0.3 -S6 0 ' o)4h '7
Address of Firm Ija flrc)s f h d Zip Coded _
Location of proposed work R X e
Describe fully nature of permit requested _ e_ A lace 9 Cr If W-i
Li R
S�
Starting date Approx.time for oompletion .3 o o G
Call Before You Dig No. Z oll Q10 f) SS'' Existing Water.Supply: ❑Public Water ❑Well
Existing Sewage Service: ❑ Public Sewer ❑Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH;TRAFIC.CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or fumish This section to be filled out by
two copies of separate drawing indicate North Town of South.Windsor
No.cuts
Est.Patch Size(s) sf
Est.Pvt.Thickness in:
Est.Patch Unit Price$ /sf
Est.Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price_$_ /ft
Est:Curb Cost$
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
Amt.of Deposit$
Total Due$
( )Cash ( )Check#
Applicant is responsible for contacting Paid By
the Police Dept.and CB.Y.D.
-1 AGREE70. 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:CU a Date:_ t d/; o it
.Title: L g b o r e l Driver's License#: a_,fig 0 y 0
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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The material contained on this map
shall be considered proprietary to Title:
Yankee Gos and user(which is �
defined as any person or entity
who has received the mop through o e
sole, purchase, exchange, gift, or
otherwise) shall keep it in confidence
and shall not furnish or disclose it
Information shown is not guaranteed and Yankee Gas assumes no res onsibilityy. °"°'""'�'" The Northeost UtiNties System
to any third party without the prior Contractors are urged to all Yankee Gas for further information at 1 P800-959-09oD written permission of Yankee Gas. 9
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