HomeMy WebLinkAboutStreet Cut Permits 495 Abbe Road (2) 1200002 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 01/26/12 -
GIS ID: 00600495 - - FEE: 00
MUNIS APPLICATION# 201200074 = ,- jE PIRATI0N DATE:
APPLICAN = _0 LOCATION
NAME: YANKEE GAS ADDRESk: 495 ABBE ROAD
ADDRESS: 112 PROSPECT HILL RL�. Ot ER WHI T WE
R ROBERT S&
EAST WINDSOR,CT 0Q88 55 KENT`,LANE
OIYTHAF
WINDSOR,CT 06074
PHONE 860-292-2242 =
WORK DESCRIPTION: EXCAV fiL BEHIND CYTRB LINE TOrS INCI GAS MAIN FROM 493
ABBEO 495 ABP( PPItC? Qll)
APPLICANT AGREES TO FURNISH THE TCIW OF SOUTH WI1+�I?SL R THE AMOUNT CIF ROND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANC EXPENSES INCURREI}BTU THE TOWN I�OR3VIAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THI PPtICA14TAS I{A1V�LIAR,�yITH ADD WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH VINDSR' STREET dut ki&IT MANUAL.
ISSUED BY DATE .,.,PECTED INSPECTED BY
1/26/201211:56AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
_ • PERMIT NO.: -
LOCATION: L /`t1�lj , G�oe _
JYPE OF WORK: !' f cI� c? qS
:DATE INSP NEEDED: DATE INSP: to
INSPECTED BY: 8b .
WORK IN
PROGRESS:_C/�. /►� .� c s �X :.dc l q U l
SEPTIC TANK PUMPED,SMASHED, FILLED WITNESSED ❑ YES ❑ NO
'AS-BUILT.
INPUT: DATE:
W12007 Town of south Windsor INPSECfION REPORT 07
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
-1540 SULLIVAN AVENUE Date:
SOUTH WINDSOR,CT 06074
FEE $25.00
Name of firm y_Q y 1 P e- (;as Ser\ i c e S C-M PC'n \/ Phone No.L'5 Gc, ?I 2 - 2 2 y 7
Address of Firm F 12 " tows Qc(' I-I I I '� c� W r h dso� Zip Code 0��8
Location of proposed work_ g 9 5 A h he r� of _
Describe fully nature f permit requested '5x cG v-W-P '."q c'J'b ' n e o +eri cAZ
as rnr s r" q4 Abbe flat_ 1 a - q.95' Abbe Rd- 0 0'
Starting date_ F e6 201 2 Approx.time for completion 2 t>a y S
Call Before You Dig No. 2a 1 2 0 Lt 0 11 0 7 Existing Water Supply: Q Public Water ❑Well
Existing Sewage Service: ❑ Public Sewer ❑Septic.
_ PLEASE NOTE:..THE DEPOSIT FOR THE PERIIAANEN I PAVEMENT-PATCH AND-CURB REPLACEMENT IS A--
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB
LENGTH;TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish 7 This section to be filled out by
two copies of separate drawing Indicate.North Town of South Windsor
No.cuts
w, 2 0 0-7 -7b
Est.Patch Size(s) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price$ Isf
Est.Patch Cost$
S e e r y a cV e_d S(<e t C Est.Curb Replacement ft
Est.Curb Unit Price$. M
Est.Curb Cost$
Est.Traffic Unit Cost$ jhr
Est.Traffic Control$
Amt.of Deposit$
Total Due$
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 OUTLI ED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: / Date:_
Title: Y6-a CGh str u i Oh TcGin 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
ABBE 'RD. n
VP15%A;P—Y-1,D u1�W S�� 2 C?J8
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tatus: Open
ompleted Date:
(CALL BEFORE YOU DIG - CT) 01/25/2012 11:51:55
12-5G YANK/G -C1 -CW -EW
-GV -OT -SW -T5
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***** ROUTINE *****
Time: 11:51 Date: 01/25/2012
Request #: 20120401107 Previous Request #:
Latitude: 41. 8660348
Longitude:-72.5412687
Town: SOUTH WINDSOR
Address: 493 - 495
Street: ABBE RD
Nearest Cross Street: ROBERT DR
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Type of Work: EXC TO INST GAS MAIN
Area is Marked: YES
Remarks: WORKING BEHIND THE CURB ON WEST SIDE OF RD FROM PROP 493 TO 495
& GOING 90FT INTO PROPS
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Start Date: 01/28/2012 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// 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: