HomeMy WebLinkAboutStreet Cut Permits 763 Griffin Road 1100099 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 07/29/11
GIS ID: 39000763 FEE: .00
MUNIS APPLICATION# 201100836 EXPIRATION DATE:
APPLICANT LOCATION
NAME: YANKEE GAS ADDRESS: 763 GRIFFIN ROAD
ADDRESS: 112 PROSPECT HILLRI?; OWNER: GUARINO HOMES LLC
EAST WINDSOR,CTB6088: 258 RYE ST
BROAD BROOK, CT 06016
PHONE 860-292-2242
WORK DESCRIPTION: INSTALL.GAS SERVICE GAS MAIN IS BEHIND CURB LINE IN GRASS
APPLICANT AGREES TO FURNISH THE TOWN OF SOUTH W-INDSOR 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 THE APPLICANT IS FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSR'S"STREET CUT PERMIT MANUAL.
cl 4^6Ll -,
ISSUED BY DATE INSPECTED INSPECTED BY
7/29/201110:27AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR:
LOCATION:
TYPE OF WORK: 1
DATE INSP NEEDED: DATE INSP: + rZ
INSPECTED BY: D
WORK IN
PROGRESS:
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: l�'y V `' DATE: UJ ✓
W(2007 Town of South Windsor INPSECTION REPORT 07
APPLICATION FOR STREET EXCAVATION PERMIT I /0610 '?1I
Appi. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
'1640 SULLIVAN AVENUE Date:
SOUTH WINDSOR,CT 06074
FEE $25.00d
� c�,inkee GAS Selviceg C gn PhoneNo. (onc, 22Z 22�f 7 Name of Firm nn
Address of Firm L t 2Pro s2ec_t t R d . C&6 i n d,.t0,r Zip Code d 6Q S
Location of proposed work 70 Gr P ►n iRA . S auf'6 wckdsoe
Describe fully natureof permit requested_ �� cQ v5�e 1 r A Sh as s er v r c P Gas lr,g.�?
0 he krt Cvr(p C .✓1e t r�
Starting date (a v a us f- 2G t( Approx.time for completion- o s 20 (/
Call Before You Dig No. 2 o 3 10 2 (6 9 Existing Water Supply: ❑Public Water ❑Weil
Existing Sewage Service: ❑Public Sewer ❑Septic
PLEASE NOTE-,.THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE .
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH;TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or fumish This section to-be filled out by
two copies of separate drawing Indicate North Town of South Windsor
No.cuts
( Est.Patch Sizes) sf
S e q C-4 O_C((\o e_fiG�n Est.Pvt.Thickness in.
W. 0 . t 2 p 4 0 S AI 96 Est.Patch Unit Price$ /sf
Est.Patch Cost$
C, 20 (( 31U 2 (
Est,Curb Replacement ft
Est.Curb Unit Price$
Est.Curb Costa
Est,Traffic Unit Cost$ /hr
Est.Traffic Control S
Amt.of Deposit$
Total Due$
( )Cash ( )Check#
Applicant is responsible for contacting Paid B
the Police Dept.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 1 AM FAMILIAR WITH AND WILL.ABIDE BY THE RULES AND REGULATIONS FOR
PERMITS AS OUTLINED IN THE T WN OF SOUTH WiNDSOR'S STREET CUT PERMIT MANUAL..
Signed: G Date: . 7112'71 It/
Title: YC ke e Gs Coy,c�� (et�n , 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 REV 10-22-08 j
GRIFFIN
Co
'M 631
------------
1 ,t
1 1
t �
t I
I 1
1
I I
I I
1 I
1 I
1 .
• t 1
i 1
1� 1
rtatus• '.Open
omp, dted'Date-:
(CALL BEFORE YOU DIG - CT) 07/27/2011 12:38:03
22-5G YANK/G -C1 -CW -EW
-GV -OT -SW -T5
-----------------------------------------------------------
***** ROUTINE *****
Time: 12:37 Date: 07/27/2011
Request #: 20113102168 Previous Request #:
Latitude: 41.8691760
Longitude:-72.5446395
Town: SOUTH WINDSOR
Address: 763
Street: GRIFFIN RD
Nearest Cross Street: THOMAS ST
-----------------------------------------------------------
Type of Work: EXC TO INSTALL GAS SERVICE
Area is Marked: YES
Remarks: WORKING FROM STREET TO HOUSE
-----------------------------------------------------------
Start Date: 07/30/2011 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:
Molloy, Catherine
From: CallCenter@CBYD.com
Posted At: Wednesday, July 27, 2011 12:38 PM
Conversation: Locate Request-20113102168
Posted To: CBYD
Subject: Locate Request-20113102168
(CALL BEFORE YOU DIG - CT) 07/27/2011 12:38:23
-5G -C1 -CW -EW
-GV -OT 5-SW SWINDS -T5
--------------------------------------------------------------------------
***** ROUTINE *****
TIME. .12:37 DATE. .07/27/2011
REQUEST NO. . .20113102168
LATITUDE. .41.8691760 LONGITUDE. .-72.5446395
TOWN. . . . . .SOUTH WINDSOR
ADDRESS. . .763
STREET. . . .GRIFFIN RD
NEAREST
CROSS STREET. .THOMAS ST
--------------------------------------------------------------------------
TYPE OF WORK. . . . .EXC TO INSTALL GAS SERVICE
AREA IS MARKED. . .YES
REMARKS:
WORKING FROM STREET TO HOUSE
--------------------------------------------------------------------------
START DATE. . . . . .07/30/2011 START TIME. .07:30
CALLER. . . . . . . . . .MIKE HANECAK
CALL BACK. . . . . . .7:30-4
PHONE #. . . . . . . . .860-292-2247
FAX #. . . . . . . . . . .860-292-2269
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
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: DATE: TIME: BY:
DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY:
CALL BACK: 1) DATE: TIME: BY: 2) DATE: TIME: BY:
PERSON CONTACTED: PERSON CONTACTED:
1