HomeMy WebLinkAboutStreet Cut Permits 207 Farmstead Drive (2) 1200077 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 05/21/12 _ --
GIS ID:31800207 =-
MUNIS APPLICATION# FEE:
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201200623
APPLICANT/ ;- Al
= , LOCATION
NAME: YANKEE GAS ADDRES& 2I17-FARMSTEAD DRIVE
ADDRESS: 112 PROSPECT HILL RIB - C 'R GAUZY J&CATHERINE M
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EAST WINDSOR,CT 0Q98 lf
207RvISTEAD DRIVE
PHONE 860-292-2242 --
QJ I H V INDSOR,CT 06074
WORK DESCRIPTION: REPLACE TE STAT€ 1 QN GAS It�1PN
APPLICANT AGREES TO FURNISH THE TQ WN 9F SOUTH V�INDS�?I�T�"�1MOIJL�1 pT BDND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN',E3PENIS II�FURRED II�TH9 TOWN FOR 11AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THL AP3'LIAIT IS FAMI IAi:WITH AI3 WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUT/LINED IN THE TOWN OFOUTIT WIIbSR' TREEF CUTpERMTT MANUAL.
ISSUED BY DAT INSPECTED INSPECT D BY
5/21/20129:20AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: /9.Csr-G` 7 CONTRACTOR:
LOCATION:2 C r( Far nee
TYPE OF WORK: l:zceIo&c e �i cS"� 5 -�-T e 0 n G45 -ice s
DATE INSP NEEDED: DATE INSP: `13
INSPECTED BY:
WORK IN
PROGRESS: /E
A
AS-BUILT:
INPUT:_ . DATE: /
W/2007 Town of South Windsor INPSECTION REPORT 07
APPUCAMON FOR SMEr MAMMON
P
PUBLIC-' S
Pal l4 D.
1�SULLJNAN AVENUE � �
SOUTH WUQ)SOk CT 06074
_ FED $25.00
€ art r 'a5 -
PhOW No.
AAdrm i:t F�rtn
`ton of propiosed work 0 7 rqr
S - lei wmpim �(
Call Before You o I jypoExisfing Water Stippty El Pubk Water O t el
Exisft Sewage Seer 0 PuNd Sew 0SWfic
PLEASE KOM THE DEPOW FOR THE PERMANENT PAvEmENr PATCH AND ams REPLACEMENT IS A
PRELIMINARY ESTIMATE THF_APPLW.Mr IS RESpONS03LE FOR THE Fes..FRUd.COSF OF THE
PERMANENT PATCH AND CIS REPLACEMENT,INCLUDING ANY CREASES IN PATH AREA,CRRB
LENGTH,TRAFRC-COHTROL AND THE TOWWS CON TRACT COSM THE PERMANENt PATCH IS TypICALLy
COMPLETED WITHAi A YEAR OF THE TELfpGRARy PAS W `+IT COULD BE LATER THAN A YEAR
-SFow sketch of prqmsed tic gar turrish - -
IING owles Of sepwale ftwmu `T sae End t to u
�_� mm of Sou
NO.cuts
Es,Pam,s 8 sf
Fes.PVL Thickness in.
Est..Patch I.kdt Pme
EsL Patch Cost$
EsL C#xb
Ems.Cmb Ur&P $-
ESL Cost s
Est.Traffic Lh*Cost$
T $
Am.of Deposit S
TQWDue
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for cmbmft Paid By
the Poke DpM and O-13.Y D.
f AGREE TO FURNISH TO THE TOWN OF SOUTH 1AfINDSOR THE ALULM OF BOND REULMIED AND TO REMKRISE THE
TOWN OF SOUTH WIND WINDSOR FOR ANY E)(PIENSES INCURRED BY THE TOWN FOR MAINTENANCE FAIR WORK IN
CONNECTS WITH THE PERMIT AND THAT I AM FAMRM Wig AND WILL ABA BY THE REIN AND REGULATUIS FOR
PERMITS AS OUTLINED IN THE TOWN OF SOUTii WIRDSOR'S STREET CUT PERK MANUAL
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Tine: /a k Q C IAA's wense#: o 36 9 /ate Q 1
PLEASE ALLOW AT LEAST TWO WORD DAYS AFTER APPLICATIONt FOR.fSSUANCE OF PERMT
WORK MAY NOT BEGIN UNM A.PEFUNT HAS BEEN ISSUED
PEFtmrr SHALE.BE KEPT ON jossrrE AT ALL Timms
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The material cool ained on this mapall be conside d proprietary to Title:
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Yankee Gas and user(which Is t ' , ' �,:..✓V
sh
detEned as any I rson or entity
who has received the map gift,
or
I sole,purchase, auahange,gif#,or
otherwise) shall leapp it in confidence
and shall not furl ish it n disclose t rxa„rt�
to any third port without the prior Contr ctor shown is not guaranteed and Yankee Gas ateurnea no reaponaibility. TIN �Or(haost Ukfta S (OM
written pernlsselol. of Yankee Gas Cantroa4are era urged to sell Yankee Gas for further nforrnatonat 1—eU0-8 9—G900 0'g; 1 h— ay—it', 107 Sefdan St,9erlin CT 0603