HomeMy WebLinkAboutStreet Cut Permits 376 Deming Street (2) 1300020 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 03/08/2013 _ ,
GIS ID:27600376 FEE: 0.00
MUNIS APPLICATION# 201300233 EXPIRATION DATE:
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APPLICANT LOCATION
NAME: YANKEE GAS 176 DEI LING STREET
ADDRESS: 112 PROSPECT HILLS_ DAIMS DANIEL J&DARLENE A
EAST WINDSOR CT 0 4$8 = �, 51VING STREET
% O H INDSOR, CT 06074
PHONE 860-292-2242
WORK DESCRIPTION: EXCA� A T }AN
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APPLICANT AGREES TO FURNISH THE TOW -OF.SOUT1��II��II � E AMOU�fiT pF BAND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR ANY EXPE�ISES-II4IC��D B Tt VN I�3R IAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TH PVICA T IS I AIC LIt 2 W TFI A WIC T ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN 0ft0 CJTH wANI7S T-CUT PEIIIT MANUAL.
ISSUED BY DAT Ili§PETTED INSPECTED BY
3/8/2013 8:56 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: d o D Dp CONTRACTOR:
LOCATION:
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TYPE OF WORK: 4,5Ge
DATE INSP NEEDED: DATE INSP: 3 -I `7 -/-
INSPECTED BY: tin
WORK IN
PROGRESS:_
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SEPTIC TANK PUMPED, SMASHED,FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT:—. �' _ DATE:
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S/FORMS/TOWN OF SOUM WINDSOR INSPECTION
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 $2500
Name of Firm— Y av%V ee 01 S $'er v c es C&W, a,n Phone.No.����
Address of-Firm- t t 2: bras e i led• sf` c, e- Zip Code C�£�J
Location of proposed work 3 vK cot
Describe fully nature.of permit requested
Starting date M a,.c In. 2 0 _'3 Approx..time for completion ay
Call Before.You Dig No: 2 O L 5 -0 0 1`0 4 6 Existing Water Supply: [j Public Water ❑Well
Existing Sewage Service: ❑Public Sewer. ElSeptic
PLEASE NOTE: THE DEPOSIT FOR.THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A
PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL CAST OF THE
PERMANENT PATCH AND CURB REPLACEMENT;INCLUDING ANY INCREASES IN PATCH AREA,CURB
. 'LENGTH TRAFFIC CONTROL AND THE TOWICS CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Show Sketch Of proposed work or#umish This section to be: led out by
two copies of separate drawing : Indicate North Town of South VVIndsor
No.cuts
5 e e t'c a�yt P S L� �C ` Est.Patch Sizes) sf
at.Pvt.Thickness in.
Est.Patch Unit Price
EeL Patch Cost S
Est.Curb Replacement ft
Est.Curb Unit Price$ tft
Est..Curb Cost-$
Est.Tram.unit Cost s fir
Est:Traffic Control S
Amt.of Deposit$
Total Dr#o tF
Cash ( )Cheek#
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 JAM FAMILIAR WITH.-O W11-L ASIDE BY THE.RU.IE$:AND REGULATIONS FOR
PERMITS AS OUTLINED I/N�THE.TOWN OF SOUTH WINb66R, %STREET cut PERMIT MANUAL.
Signed: Date: 16&0(3
Title: y - e� sf �I GI' ��G� Driver's License#:
PLEASE ALLOW AT LEAST TWO WORKING DAYS AFTER APPLICATION FOR ISSUANCE OF PERMIT
WORK MAY NOT BEGIN UN71L A PERMIT HAS BEEN ISSUED
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Street Excavation Permit 08 REV 10-22-08
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376
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Molloy, Catherine
From: CallCenter@CBYD.com
Sent: Tuesday, March 05, 2013 3:04 PM
To: CBYD
Subject: Locate Request-20131001090
(CALL BEFORE YOU DIG - CT) 03/05/2013 15:03:51
-5G -C1 -CW -GV
-OT 3-SW SWINDS -T5
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*** REMOTE BATCH ENTRY ***
***** ROUTINE *****
TIME. .15:03 DATE. .03/05/2013
REQUEST NO. . .2013100109D
LATITUDE. .41.8177070 LONGITUDE. .-72.5441794
TOWN. . . . . .SOUTH WINDSOR
ADDRESS. . .376
STREET. . . .DEMING ST
NEAREST
CROSS STREET. .SUMMIT DR
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TYPE OF WORK. . . . .EXCAVATE TO INSTALL GAS SERVICE,
AREA IS MARKED. . .YES
REMARKS:
WORKING FROM STREET TO HOUSE, BEHIND CURB LINE.
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START DATE. . . . . .03/08/2013 START TIME. .08:00
CALLER. . . . . . . . . .MIKE HANECAK
CALL BACK. . . .. . .
PHONE #. . . . . . . . . (860) 292-2247
FAX #. . . . . . . . . . .
ALT. PHONE #. . . .
EMAIL ADDRESS.. .
CONTRACTOR. . . . . .YANKEE GAS
ADDRESS. . . . . . . . .112 PROSPECT HILL RD.F
CITY. . . . . . . . . . . .EAST WINDSOR
STATE. . . . . . . . . . .CT
ZIP. . . . . . . . . . . . .06088
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EXCAVATOR DOING WORK. .YG ,RHW, GPL
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