HomeMy WebLinkAboutStreet Cut Permits 80 Hayes Road 1200038 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 04/04/12 �'
GIS ID:40200080 Aw
%� '�' s s FEE: 00
MUMS APPLICATION# 201200345 - y j - y - �'IRATION DATE: 04/04/13
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APPLICANL %-s%% / � 2y LOCATION
NAME: YANKEE GAS ���jy� RES 8Q HAY S ROAD
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ADDRESS: 112 PROSPECT HILL= = % I � ARET MARY ROMAN CATHOLIC
! V, ROAD
EAST WINDSOR,CT 6 8 = I
all Off
yy�y �JJVINDSOR,CT 06074
PHONE 860-292-2242 -
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WORK DESCRIPTION: INST I � *W', RCH
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APPLICANT AGREES TO FURNISH THE T-W P- OgJT MO fi( 3( VD REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN X 0I sI f N I R 1AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THOAJ 1� I w Al WJI ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF iJ WIN-rsr- rTT 'EI T MANUAL.
ISSUED BY DAT TED INSPECTED BY
4/4/20 12 1 1:30AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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03/30/2012 FRI 9: 16 FAX 860 292 2202 0003/003
a a/� C70 APPLICATION FOR STREET EXCAVATION PERMIT /o
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1540 SULLIVAN AVENUE Date: 3-3L>'. 1 2-
SOUTH WINDSOR,CT 06074
FEE $25.00
Name of Firm a-nlut Phone No.
Address of Firm It LV(b5 1� _ Zip Code
Location of proposed wor SS � , 4 0O
tribe full yy nature of permit requested_ 1 Yl S 0 r n U_3 IIlaY2fi� (e__V —
Starting date We-e lc_ %.)- 6' r* - Approx.time for completion
Call Before You Dig No.Q0121 33s(z, Existing Water Supply: ❑ Public Water ❑Well
Existing Sewage Service: ❑ Public Sewer ❑Septic
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
L-ENGT-Hi.T. #AFFIC--CONTRGL--ANo-T'HE-T-GWws-EANT.nACT-GOST-S: TmE••PERMANENT-PATOM,NSa'Y-PIGALLY
COMPLETED WITHIN-A YEAR OFTHE TEMPORARY PATCH BUT IT COULD-BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This coon to be filled out bv
two copies of sep tratG drawing ' Indicate North Town of South WIndsqj
E�t No.cuts
r Est.Pate Sizes) .M 10 f
Est.Pvt:Thickness in.
Est.Patch Unit-Price$ 5• Isf
p (0 ccz
i �h to I�t h'F '(-[.LtO Est.Patch Cost
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Est.Curb Replacement _� t
MAP-
Est.Curb Unit Price$ o'Z O �/ft
i Est.Curb Cost
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S 1ll 5 . Est.Traffic Unit Cost$ /hr
P��. ,,,3�3 M r! =�'u6 A
� �� Est.Traffic Control$
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/^n+ p p�r Ih� ,�'s� � mi.of Deposit$ 060. �
bit y�h jr et G�cJ , to.', eurby` 8 oG
Total Due$ /. 0 6a,
tick p c Orb (�t� r��air/� lolzz- 1, �' 35y b
6� n�� ro.r� p.I✓� curh ...._- � tt ( Kash ( )Check# j6S _
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Applicant is responsible for contacting Paid By� u orl h try
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 1 AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR
PERMITS A -OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MAN!IAL.
Signed: ��.�l�'- Date' � v�--
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- -Title: 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
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TOWN OP SOUTH WIND'SOR INSPECTION REPORT
PERMIT NO.: ��?00o03 OONTRACTOR:
LOCATION: �f� ,p S
rME OF WORK::Ln 5-- 11 La 1 S-2.y i c�S S� YYI�r�G�Ci 1 1rY1c
:DATE INSP NEEDED: DATE INSP: ez.;
INSPECTED
WORK IN
PROGRESS: `cv!D CA -A-ZVI
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SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑YES [:] NO
'AS-BUILT:
INPUT: Cam. DATE:
W12007 Town of South Windsor INPS5MM REPORT 07
Molloy, Catherine
From: CaliCenter@CBYD.com
Sent: Friday, March 30, 2012 8:53 AM
To: CBYD
Subject: Locate Request-20121303356
(CALL BEFORE YOU DIG - CT) 03/30/2012 08:53:22
-5G -C1 -CW -OT
3-SW SWINDS -T5
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*** REMOTE BATCH ENTRY ***
***** ROUTINE *****
TIME. .08:53 DATE. .03/30/2012
REQUEST NO. . .20121303356
LATITUDE. .41.8505297 LONGITUDE. .-72.5539042
TOWN. . . . . .SOUTH WINDSOR
ADDRESS. . .80
STREET. . . .HAYES RD
NEAREST
CROSS STREET. .NEVERS RD
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TYPE OF WORK. . . . .INSTALL (2) GAS SERVICES
AREA IS MARKED. . .YES
REMARKS:
WORKING FROM OPPOSITE SIDE OF STREET AND GOING UP THE LEFT SIDE OF DRIVEWAY AND AROUND THE
RIGHT SIDE OF THE CHURCH TO BACK
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START DATE. . . . . .04/04/2012 START TIME. .08:00
CALLER. . . . . . . . . .LAURIE TAIT
CALL BACK. . . . . . .7:30-4
PHONE #. . . . . . . . .860-292-2242
FAX #. . . . . . . . . . .860-292-2269
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . .YANKEE GAS SERVICES
ADDRESS. . . . . . . . .112 PROSPECT HILL RD
CITY. . . . . . . . . . . .EAST WINDSOR
STATE. . . . . . . . . . .CT
ZIP. . . . . . . . . . . . .06088
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EXCAVATOR DOING WORK. .YANKEE GAS & RH WHITE
ISSUED TO: DATE: TIME: BY:
DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY:
-CALL BACK: I) -DATE:- - -TIME: -- BY: -- -2) -DATE: - _- TIME-: - _ -BY:
PERSON CONTACTED: PERSON CONTACTED:
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