HomeMy WebLinkAboutStreet Cut Permits 939 Foster Street (2) 1200042 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 04/10/12Sr
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GIS ID: 33600939
MUNIS APPLICATION# 201200378 FEE: .00
„ = EXPIRATION DATE:
APPLICANT, = LOCATION
NAME: YANKEE GAS DD ARESS,,' 9�39-FOSTER STREET
5 la
ADDRESS: 112 PROSPECT HILL RD )-WEI ELLOTTGORDON W&SALLY M
EAST WINDSOR, CT — -ER STREET9gIOT
91 INDSOR,CT 06074
PHONE 860-292-2242 = _ - I
/
WORK DESCRIPTION: EXCtUAIINGCINZL GASP3IfC W ?RKNGTREET TO HOUSE
APPLICANT AGREES TO FURNISH THE TG�WN�JI�§OUTIiU {FSRj = � T OFBOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANYEI�EEE`ISE INUI�I�I3Y THE TO!?tfN FAR 1l%IAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THI A KWANT IS I9 IL-=I ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINRTREELIT.PERIT MANUAL.
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ISSUED BY DAINSPEC ED INSPECTED BY
4/10/20129:26AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: �o 0 CONTRACnOR: yam '
LOCATION:_q A`l 1=,
rfPE OF WORK: S'.�..c�
_DATE INSP NEEDED: DATE INSP:�
INSPECFED
WORK IN
PROGRESS:_ / ct,
GA
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SEPTIC TANK PUMPED,SMASHED, FILLED WTCNESSED ❑YES ❑ NO
AS-BUILT:
INPUT: LNN, DATE:
W12007 Town of South Windsor INMEMON REPORT 07
APPLICATION FOR STREET EXCAVATION PERMIT
Y Appld N0' TOWN OF SOUTH WINDSOR
PUBLIC.WORKS DEPARTMENT Permit No.
1540 SULLIVAN AVENUE Date:
SOUTH WINDSOR,CT 06074
FEE $25.00
c rv:'c (,0#"jpA n VPhone No. (f}6U , 29 Z - ZZ 4�7
Address of Firm_ : . It 2` o s �� `��• � - ,
g s (N,n 64 0�- Zip Code c� O b
Location of proposed work Y 3 9 FFo s-f,P r sf c �18
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Describe fully nature of permit requested_ t x c v� 1`e . , sf�, j( a as s e�
s tr r,�f 16 V1 U c�s e C' W' r( I n q
Starting date_ Approx.time for completion M s zo t'2
0Cali Before You Dig No. a t 2 !Y 0 3 2 7 '�
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 lndi This section to be filled out by
cate
.North Town of South Windsor
No.cuts
w• 0 Z 2 Z? Z �� $6 Est.Patch Size(s) sf
c.(;5\(7 2-0 12 1 `(0 3 2, 70 Est.Pvt.Thicmess in.
Est.Patch Unit Price$ /sf
Est.Patch Cost$ -
Est.Curb Replacement ft
Est.Curb Unit Price$_ /ft
Est.Curb Cost$
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$ .
Aim of Deposit$
Total Due$ '
( )Cash ( )Check#
Applicant is responsible for contacting Paid By
the Police Dept.and C.B.Y.D.
1 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 TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed: Date:
Title: Can str u—tl cw) Te G ? 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 RE/10-22-08
939
nrG ��SPK �GiS SeCji CP
sae Gas oJe,c �i
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6
CB 1,D Locate Request (Routine)
(CALLIiBEFORE YOU DIG CT) 04/05/2012 13:08:58
24-5G YANK/G -BB ; -C1 -CW
-GV -OT -SW �T5
Date: 04/05/2012 Time: 13:08
Requea.t #': 20121403270 Prow. Request #:
I.atitlde: 41.8479738 Longitude: .-72.5318907
Address: 939' Street': FOSTER STREET EXT Town:__ SOUTH WINDSOR
14eare st Cross Street: ROBINWOOD WY
Type >€ Work: EXC TO INST GAS SERVICE
Area Ls Marked: YES
Remar.s WORKING FROM THE STREET TO THE HOUSE
,I
Start Date: 04/11/2012 Start Time: 07:3.0
Calle : MIKE HANECAK Call Back: 7:30-4
Phone Number': 860-292-2247 Alt. Phone:
Fax # 860-292-2269 Email: MICA2AtL.HANE°CAK@NU.COM
Contr rctcrrs YANKEE GAS Excavator: SAME// R H WHITE
Add:rejss 112 PROSPECT HILL RD Citys EAST WINDSOR State: CT Sip: 0608$
Were pr -construction marks visible? RYes ❑ No
What facilities were marked? Main ❑ Service ❑ Both
Main facility material type? LQ Steel ❑ Plastic ❑ Cast Iron
Service facility material type? ❑ Steel ❑ Plastic ❑ Cast Iron L/-p
How wer the gas facilities located? ❑ Conductive ❑Inductive Measurements
Where w is the connection made? ❑ Meter Value ❑ Test wire in box ❑Tracer wire on service ❑ Direct connect to pipe N f+
Did mea ',urements match the signal? Di-Yes ❑ No What was used for measurements? 4 GIS ❑ Service Card
How was the area marked? faint �3takes Both
Who was!the site verbal contact? N A
Work co hpleted by: [A.