HomeMy WebLinkAboutStreet Cut Permits 5 Arrowwood Circle (2) 1300015 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 02/19/2013 = /
GIS ID: 05100005 , = FEE: 0.00
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APPLICANTrfLOCATION
NAME: YANKEE GAS ADtES; 5 AIRQWWOOD CIRCLE
ADDRESS: 112 PROSPECT HILL RD 4 1E$f BROW & ASTON S&KERRYANN A
EAST WINDSOR,CT fl68 S ARRt7V WOOD CIRCLE
- OJTH WINDSOR,CT 06074
PHONE 860-292-2242
-
WORK DESCRIPTION: REPAII- AS
APPLICANT AGREES TO FURNISH THE!OWNA SOU TI W1NDS 7R T iT<=AMO IT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY I�SPEI4sps IN 31�I)2 Y T E TOWN FOR M AINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TH�,AP'L CANT IS I�AR WTTI AIJ WILT ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TO OR,(311TII WINDSI� TR—&FT- CUT PERIvII I MANUAL.
ISSUED BY d TED INSPECTED Y
2/19/2013 12:30 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
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PERMIT NO.:l 3 000 i s CONTRACTOR:
LOCATION; ' AIDE 1%'o r L)ooJ',����--
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: fZ/_
INSPECTED BY:
WORK IN
r
PROGRESS: f� S x 3 C � lykL ►� - �"�- f
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE: 2
S/FORMS/TOWN OF SOUTH WINDSOR INSPECTION
APPLICATION FOR STREET EXCAVATION PERMIT /3000 /57
Appl. No. TOWN OF SOUTH WINDSOR J;7* No.
PUBLIC WORKS DEPARTMENT
1540 SULLIVAN AVENUE Date:
SOUTH WINDSOR,CT 06074
FEE $25600
- a
Phone.No '
Name of Firm Q - .8� "'�'
Address of Firm 1 Zip Code
Location of proposed work
Describe fully nature-of permit requested
Starting date / Approx.time for completion
Call Before.You DI .No.�5:OffA,) l,' Existing Water Supply: C]Public Water ❑Well
Existing Sewage Service: ❑Public Sewer ❑Septic
PLEASE NOTE: THE DEPOSIT FOR.THE PERMANENT PAVEMENT PATCH AND`CURB-REPLACEMENT IS A
PRELIMINARY ESTIMATE THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
PERMANENT PATCH AND CURB.REPLACEMENT;INCLUDINQ ANY INCREASES IN PATCH AREA,CURB
LENGTH,TRAFFIC:CONTROL AND THE TOWICS CONTRACT-COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIK A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch of proposed work or funush phis section to be filed out by
two copies of separate drawing : Indicate.North Town of South Windsor
No.cuts
Est.Patch Size(s) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price
EaL Patch Cost$
Est.Curb Replacement ft
Est.Curb Unit Price$
Est.Curb Cost$
Est..Traffic Unit Cost$ fir
EsL Traffic Control 2-
Amt.of Deposit$.
Total Due S
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 B THE.RULES:AND REGULATIONS FOR
PERMITS A OUTLINED IN TH WN OF SOUTH WINI5S0611 STREET CUT P IT UAL.
Signed: / Date
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 JOB,SITE AT ALL TIMES
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Molloy, Catherine
From: CaliCenter@CBYD.com
Sent: ues- Y, ,
To: CBYD
Subject: Locate Request-20130800156
(CALL BEFORE YOU DIG - CT) 02/19/2013 07:09:24
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2-SW SWINDS -T5 -W3
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*** REMOTE BATCH ENTRY
***** EMERGENCY ***** i
TE. .02
TIME. .07:08 DA 19/2013/
REQUEST NO. . .20130800156G
LATITUDE. .41.8276488 LONGITUDE. .-72.5731983
TOWN. . . . . .SOUTH WINDSOR
ADDRESS. . .5
STREET. . . .ARROWWOOD CIR
NEAREST
CROSS STREET. .VICTORIAN WOODS LN
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TYPE OF WORK. . . . .REPAIR GAS LEAK
AREA IS MARKED. . .YES
REMARKS:
WORKING FROM STREET TO HOUSE
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START DATE. . . . . .02/19/2013 START TIME. .09:00
CALLER. . . . . . . . . .MARTIN BAKER
CALL BACK. . . . . . .7:30-4
PHONE #. . . . . . . . .860-292-2248
FAX #. . . . . . . . . . .860-292-2269
ALT. PHONE #. . . .860-481-9759
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. .YANKEEGAS
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