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HomeMy WebLinkAboutStreet Cut Permits 770 Sullivan Avenue (2) 1100036 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 04/25/11 ". GIS ID: 87300770 = FEE: 00 MUNIS APPLICATION# 201100334 E 'IRATION DATE: APPLICANT =- ;LOCATION NAME: YANKEE GAS == AI3DRES 7t-6 SULLIVAN AVENUE ADDRESS: 112 PROSPECT HILL RD flWN I ; LJO MORE LLC EAST WINDSOR,CT,�w 77Q SULLIVAN AVE Sf UT- - WINDSOR,CT 06074 PHONE 860-292-2242 " i WORK DESCRIPTION: EXCAVATE M--N T W.S'I G-rL4 IItiIG STEEL GAS SERVICE WITH %4 INCH AS APPLICANT AGREES TO FURNISH THE Tl}WN OF SOUTH $SOI TEE AM©UNT 01'13&41)REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY-EXPENSE-3-INCUI�U W�THI TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE APPLRANT ISM FAME IA$WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSR STMET`CUT PERMIT MANUAL. ISSUED-13Y DATE INSPECTED INSPECTED BY 4/25/201110:39AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: I 1000 J CONTRACTOR: e LOCATION: - 1 Q 3 u,1 Vaz_ TYPE OF WORK:_ExcrLoa.je fD insec-L ex;�-r�yll s eeI qli s DATE INSP NEEDED: DATE INSP: t `� INSPECTED BY: i3 WORK IN PROGRESS: jam, r1� d�� OF P� c"i xxti.(�� SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: v� DATE: W/2007 Town of South Windsor INPSECTION REPORT 07 Aofloob3q APPLICATION FOR STREET EXCAVATION PERMIT II 0003(e Appl. No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT • '1540 SULLIVAN AVENUE Date: SOUTH WINDSOR,CT 06074 FEE $25.00 Name of Firm_ YAn l<P-e GGu s Ser J C eS C d n�r�! Phone No.L06c,) Z9 2- 2 Z `E Address of Firm e e c:t (4 i I f (Z a . L_ \AI ndso< Zip Code n 6 0 0E Location of proposed work 7 7 D S- (( t vq n Ay c : S e r vi c e o r R Describe fully nature of permit lrequested E x C a V cfe, 'f& 1 n s P r ex fee a cis •f'er-d,-C'F w n( As LC Starting date_ N C' ., 26 i Approx.time for completion Al a v zo � Call Before You Dig No. 20( ( 1 7 O 17 F)2 Existing Water Supply: ❑Public Water ❑Well Existing Sewage Service: ❑ Public Sewer ❑Septic PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH;TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. -Show sketch of proposed work or furnish This section to be filled out by two copies of separate drawing Indicate.North Town of South Windsor LL I_ No.cuts Ste lrt-a,� eo_ S� 2`c_k Est.Patch Size(s) sf Est.Pvt.Thickness in. W- (>. 2 U Z 7� U(� Est.Patch Unit Price$ /sf Est.Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price$. fft Est:Curb Cost$ Est.Traffic Unit Cost$ /hr Est.Traffic Control$ Amt.of Deposit$ Total Due$ O Cash O 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 TO�F SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed: Date:_ Title: YET C��ct• (Pr Y�. 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 M 10-22-08 S p:5� Pl iP2009 � � � ,� � � � � � " w 0�1 t` _ - R-8E--026 1 .25" X FOP. 1964 IRW S ewk ce �-O 7 -7 Sv ( ( \' v Afe QO f � o� J) th �d- tatus: Open ompleted Date: (CALL BEFORE YOU DIG - CT) 04/19/2011 13:59:05 20-5G YANK/G -C1 -CW -GV -OT -S1 -SW -T5 ----------------------------------------------------------- ***** ROUTINE ***** Time: 13:59 Date: 04/19/2011 Request #: 20111701782 Previous Request #: Latitude: 41. 8488266 Longitude:-72.5692240 Town: SOUTH WINDSOR Address: 770 Street: SULLIVAN AVE Nearest Cross Street: TROY RD ----------------------------------------------------------- Type of Work: EXC TO RENEW GAS SERVICE Area is Marked: YES Remarks: WORKING FROM STREET TO BLDG OFF OF TROY SIDE OF PROP ----------------------------------------------------------- Start Date: 04/22/2011 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 ----------------------------------------------------------- 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: 512 m a N x,q ! O r; LLJ C3 00 0- CIL I �g 0 G) ✓ V O ti961 dH-1S kti X b - 96� dH VIP w Q o a O ID O The material contained on this map Tine: shall be considered proprietary to Yankee Gas and user (which is defined as any person or entity who has received the map through Information shown is not guaranteed and Yankee Gas ° ° sale, purchase, exchange, gift, or 9 0 �— Q otherwise) shall keep it in confidence assumes no responsibility. Contractors are urged to call and shall not furnish or disclose it Yankee Gas for further information at 1-800-989-0900 to any third party without the prior Northeast Utilities System ort e N written permission of Yankee Gas. Plotted: 21—Apr-2011 By: gisewrl The ort St., Berlin CT 06037