HomeMy WebLinkAboutStreet Cut Permits 720 Foster Street (2) 1200155 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 08/22/12
GIS ID: 33600720
FEE:MUNIS APPLICATION# 201201087_ _ " 00
N DATE:
APPLICANT LOCATION
NAME: YANKEE GAS - ADISRE S: 7�(} OSTER STREET
ADDRESS: 112 PROSPECT HILL RD = C3W 1ER� ITATALX FAMILY TRUST
EAST WINDSOR,CT466
>, 20 OS`'ER STREET
PHONE 860-292-2242 , SOUTH WINDSOR, CT 06074
WORK DESCRIPTION: INSTALL RENEV GASIE
ig
-
APPLICANT AGREES TO FURNISH THE TOWN 6F SOUTH �� /
THE TOWN OF SOUTH WINDSOR FOR ANY EX-PENSES INCDED B��IF�E TOWN FOR 11�AINTBOKD ENANCE OR REPAIR WORK IN
D AND TO E
CONNECTION WITH THIS PERMIT AND THE APPT ICANT IS RIII IAA WIT PI AND WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN ORSOT}TFI WIhIDSR��TREET CITT PERMiT MANUAL.
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ISSUED BY DATE INSPECT ED" INSPECTED BY
8/22/2012 2:43 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
OF
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: CONTRACTOR: V CZ
LOCATION:
TYPE OF WORK:_.J ca L) l(_Z
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: b
WORK IN
PROGRESS: /� , >( 7 �• '� .�,` / v ,� j-v S
- � r h.5,4, it New C-.4 5 selfve'
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT:- DATE: > _
S/FORMS/TOWN OF SOUTH WINDSOR INSPECTION
08/22/2012 WED 11: 57 FAX 860 292 2202 0002/002
APPLICATION FOR STREET EXCAVATION PERMIT
Appl. No. TOWN OF SOUTH WINDSOR - Permit No,
PUBLIC WORKS DEPARTMENT
11640 SULLIVAN AVENUE Date:
SOUTH WINDSOR,CT 06074
Name of.Firm i1 Phone No. g m 2aL
Address of Firm i�� o r Zip Code _
Location of proposed work �c
Describe fully nature of permit requested C yl a i'V 1'e
Starting date Approx.time for oompletion
Call Before You Dig No. .' 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
LENGTH,TRAFFIC CONTROL AND THE TOWNS CONTRACT COSTS. THE PERMANENT PATCH_ IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH'BUT 1T COULD BE LATER THAN A YEAR.
Show sketch of proposed work or furnish This section to be filled out by
two copies of separate drawing Indiaate.North Town of South Windsor
No.cuts
Est. Patch Size(s) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price$ /sf
` 6-o- 11_LL, Est.Patch Cost$
OLS Est.Curb Replacement ft
Est.Curb Unit Price
Est.Curb Cost•$
-Est.Traffic Unit Cost$ /hr
d Est.Traffic Control$
Amt.of Deposit$
Total Due$
F.
ha4
( )Cash ( ) Check#
Applicant is responsible for contacting Paid By
the Police.De t.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 ASPPTLINED IN.THE TOW OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed. �r�\�°✓s �[°V Date:
C. i on "
Title: �! Driver's License#:
PLEASE ALLOW AT LEAST TWO WORKING DAYS AFTER APPLICATION FOR ISSUANCE OF PERMIT
WORK MAYAOT.BEGIN UNTIL A PERMIT HAS BEEN ISSUED
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
... .......
Street Excavation Permit 08 REV 10-22-08
Molloy, Catherine
From: CallCenter@CBYD.com
Sent: Tuesday,_August-07, 2012 11:44_AM
To: CBYD -
Subject: Locate Request-20123201234
(CALL BEFORE YOU DIG - CT) 08/07/2012 11:43:40
-5G -C1 -CW -GV
-OT 4-SW SWINDS -T5
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***** ROUTINE *****
TIME. .11:43 DATE. .08/07/2012
REQUEST NO. . .20123201234
LATITUDE. .41.8391338 LONGITUDE. .-72.5332474
TOWN. . . . . .SOUTH WINDSOR
ADDRESS. . .720
STREET. . . .FOSTER ST
NEAREST
CROSS STREET. .JONATHAN LN
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TYPE OF WORK. . . . .EXC TO INSTALL GAS SERVICE
-
AREA IS MARKED. . .YES
REMARKS:
WORKING FROM THE OPPOSITE SIDE OF STREET, CROSSING STREET, AND GOING TO THE HOUSE
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START DATE. . . . . .08/10/2012 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. .SAME/G P L/R H WHITE/BURNS CONSTRUCTION
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
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