HomeMy WebLinkAboutStreet Cut Permits 418 Pleasant Valley R 1100174 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 11/07/11
GIS ID: 72900418 FEE: 00
MUNIS APPLICATION# 201101303 EXPIRATION DATE:
APPLICANT - - - "" " = „ LOCATION
NAME: YANKEE GAS ---ADDRESS: 418 PLEASANT VALLEY ROAD
ADDRESS: 112 PROSPECT HILL RIB OWIIEI . INLA�JDPROPERTIES LLC
EAST WINDSOR,CT-060-98 = 7 CLUB DR
WIND02,CT 06095
PHONE 860-292-2242 ,
WORK DESCRIPTION: INSTALI' ASAERVICE"STREET T041M
APPLICANT AGREES TO FURNISH THE TQW OF SOUTFI WII I SOIi E AMOUNT,OI?BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANYEI')LASES I3�ICURED$Y"THE TQWN FOR IrIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPL ANT-IS"FAME IAR WITH AN-DWIL,L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TO//W--��N OF§QUTFI WINDER'S'STR�ET CUT PEI�IVIIT MANUAL.
V ' ! /
ISSUED BY DA7ffV9P8CTED INSPECTED BY
I1/7/201111:32AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
. ..... ........
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: ( / C'ONTRACTOR:VVC4-la,
LOCATION: VIF rleaseciezi 1
TYPE OF WORK:_-
DATE INSP NEEDED: DATE INSP: f 10
INSPECTED BY: r3f�
WORK IN
PROGRESS: ?( b G ?c_�k 4-0
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES [-] NO
'AS-BUILT:
INPUT: - DATE: /'
W/2007 Town of South Windsor INPSEMON REPORT 07
11/04/2011 FRI 11: 07 FAX 860 292 2202 0002/004
APPLICATION FOR STREET EXCAVATION PERMIT
APPI• No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIG.WORKS DEPARTMENT
1540 SULLIVAN AVENUE Date:
SOUTH WINDSOR, CT 06074
FEE $26.00
Name of Firm dv► e2 Gas .Ser C Phone No.a�
Address of Firm f 1 Z. 1prro s ec-i- ,• (� , t Zip Code
Location of proposed work c{f g! ,�•�- fa (�
Describt'e fully nature of peimit requested 6x r-4 y C'1� fi(;• S� <
v C,�P Sir e e`�"•
Starting date 1Ja V. zv i f Approx.time for completion Nov. 2G t
Call Before You Dig No._2,c) ! 1 `ff O 2 S 2 S Existing Water Supply ❑Public Water ❑Well
Existing Sewage Service; ❑ Public Sewer ❑Septic
PLEASE NOTE;-THE DEPOSIT FOR THE PERMAWW PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL.COST.OF THE
-PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY.INCREASES IN PAT6I.1 AREA,CURB
LENGTH,*TRAFFIC:CONTROL AND THE TOWNS CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish is section tote filled out by
two copies of separate drawing Indicate.North . Town of South t±Vindsor
No.cuts
Est.Patch Sizes) sf
t { Est.Pvt.Thldams in.
Est.Patch Unit Price
( Est.Patch.Cost
S : 4 �Yl G� Est.Club Replacement ft
Est.Curb unit Pri.oe_$.. _ 1ft
Est:Curb Cost$
Est.Traffic Urdt Cost$ /hr
Est.Traffic Control;
Amt.of Deposit S
Total Due$
( )Cash ( )Check#
Applicant is responsible for contacting Paid B
the Police t.and C.B.Y.D. Y
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: �II��{C��/ , Q..vi .� Date:_ l//c/C/// !/
,T
Title ��hS�r u G�t Ur ( �c 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
SHALL BE.KEPT ON JOBSITE AT ALL
Street Excayation Permit 08 REV 10-22-08.
11/04/2011 FRI 11: 08 FAX 860 292 2202 0003/004
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11/04/2011 FRI 11: 08 FAX 860 292 2202 0004/004
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(CALL BEFORE YOU DIG _ CT) 11/04 2 1 08:37:46
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***** ROUTINE *****
Time: 08:37 Date: 11/04/2021
Request #: 20114502525 Previous Request #:
Latitude: 41.8174987
Longitude:-72. 6034071
Town: SOUTH WINDSOR
Address: 428 - 418
Street: PLEASANT VALLEY RD
Nearest Cross Street: HILTON DR
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Type of Work: EXC TO INST GAS SVC
Area is Marked: YES
Remarks: WORKING AT PROP 418 LC ADJACENT TO PROP 428
WORKING ST TO HSE
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Start Date: 11/09/2011 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 SERVICES
Address: 112 PROSPECT HILL RD
City: EAST WINDSOR
State: CT
Zip: 06088
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Excavator Doing Work: SAME/RH WHITE/GPL
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: