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HomeMy WebLinkAboutStreet Cut Permits 9 Farnham Road 1100035 TOWN OF SOUTH WINDSOR CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 04/25/11 - - GIS ID: 32100009 „ MUNIS APPLICATION# 201100333 = = FEE: 00 - EIRATION DATE: APPLICANT - LOCATION NAME: YANKEE SERVICE C©, LG = ADDRESi; g-PARNHAM ROAD ADDRESS: 200 NORTH SOCIETY RQAD 0 PRODEAU PAUL CANTERBURY, CT 06331 9 ,A.RNHAM ROAD PHONE 860-546-9388 = OITTH WINDSOR,CT 06074 WORK DESCRIPTION: EXCAVATE I( INMR' EXIS I ING 3 INCH TEFL GAS SERVICE WITH 1/2 INCH PLATfC= APPLICANT AGREES TO FURNISH THE TOWN flF SOUTH V�I D§ T p,MO T OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY EXPENSE-S INCURRu3 1 y TIDE TOWN I OR,IvIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE APPIAI�I TS FAMIf IAR tITH AND WL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE9TO�)WN OF SflUTII WwbSR'S STRIJET CUTPERIVIIT MANUAL. ISSU BY - � DATE INSPECTED INSPECTED BY 4 �� 4/25/201110:05AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: 1 k 0 0 A CONTRACTOR: "Id►i Vee- LOCATION: °l �--czQ N lea►h �'00_.l TYPE OF WORK:Sx(,j. tk & 'jo5eCK exlsi�gq -Y/-/ 's l gas �/ +Ia), T DATE INSP NEEDED: DATE INSP: / INSPECTED BY: WORK IN PROGRESS:__ SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: S/FORMS/TOWN OF SOUTH WINDSOR INSPECTION Roll OP 333 APPLICATION FOR STREET EXCAVATION PERMIT I 1 Do0.35. Appl. No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT 1640 SULLIVAN AVENUE Date: SOUTH WINDSOR,CT 06074 FEE $25.00 Name of Firm YU,n �CPe (115 S,?rvt ces COM av) ��� 2ct2 - z 2 4- - �,�•�Phone No. Address of Firm 12 Pro s e C f" 14 " ? . I n cis 0 r- Zip Code 0 6,y 08 Location of proposed work of a r r w" 'd S e r v, c e d S1- Describe fully nature of permit requested- �5 X Ca 1 e to ('ri s P r .e K •t s rn 3/ ` S ee 2S cfs s er y% C'e W i 7 1`Z n� q,s )"i C_ . Starting date M0114. 2 0 I ( Approx.time for completion_ 2 o t f Call Before You Dig-No. 2 o 1 ( '7.0 t 7 &G Existing Water Supply: ❑Public Water ❑Well Existing Sewage Service: ❑Public Sewer ❑Septic PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL:FINAL COST.OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND-THE TOWN-S CONTRACT COSTS.THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR-OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed work or furnish two copies of separate drawing This section to.be filled out by Indicate.North Town of.South Windsor No.cuts �t ff L Est.Patch Sizes) sf Est.Pvt..Tliickness. Est.Patch Unit Price Jsf Est.Patch Cost Est.Curb Replacement ft Est.Curb Unit Price Est.Curb.Cost$ Est.TrafliiaUnit.Cost$ fir .: . Est.Traffic Control Z ' Amt.of.Deposit S Total Due$ ( )Cash O Check# Applicant is responsible for contacting Paid By the Police Dept.and C.B.Y.D. 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: T/G�n� C� Date: Title: TrC_k• 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 P"10-22-08 . 3 �o fv ��Z pla sT C ►n So r �excav���0 ey, Ser 2yc si tatus: Open ompleted Date: (CALL BEFORE YOU DIG - CT) 04/19/2011 14 :00:07 21-5G YANK/G -C1 -CW -GV -J1 -OT -SW -T5 ----------------------------------------------------------- ***** ROUTINE ***** Time: 13:59 Date: 04/19/2011 Request #: 20111701786 Previous Request #: Latitude: 41.8629370 Longitude:-72.5771618 Town: SOUTH WINDSOR Address: 9 Street: FARNHAM RD Nearest Cross Street: RYE ST ----------------------------------------------------------- Type of Work: EXC TO RENEW GAS SERVICE Area is Marked: YES Remarks: WORKING FROM STREET TO HOUSE OFF OF RYE 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: