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Home My WebLink AboutStreet Cut Permits 89 Commerce Way (2) 1300043 TOWN OF SOUTH WINDS PERMIT NUMBER O R, C T /, . .. /, STREET CUT PUBLIC UTILITY DATE: 04/15/2013 GIS ID:22500089 MUNIS APPLICATION# 201300425 FEE: 0.00 y PIRATION DATE: APPLICANTAfto -` NAME: YANKEE GAS �� LOCATION DRESS• 9, ONVIERCE WAY ADDRESS: 112 PROSPECT HILL R- DW /, - - E ENTERPRISES LLC EAST WINDSOR, CT68 �� ERCE WAY PHONE _ - ITH INDSOR CT 06074 860-292-2242 -- = %"- > Ilk WORK DESCRIPTION: EXC U�9 A � 7� AD TO BUILD ING APPLICANT AGREES TO FURNISH THE TjW�P (UT THE TOWN OF SOUTH WINDSOR FOR ANC E kV I1 -�MO CBQfiID REQUIRED AND TO REIMBURSE CONNECTION WITH THIS PERMIT AND TH ' DR MAINTENANCE OR REPAIR WORK IN L13IfA # IS - W A� SIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN 0I£ IP1WIIST D i/ = i ;l PEtfT MANUAL. ISSUED BY DA QED INSPECTED BY 4/15/2013 9:38 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** ------------ %j , - �% i / / / i� , . 1-4 % ammum- i/ , -oee _ " i TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: /3®D .3 CONTRACTOR: Yown e e- LOCATION: ! G'o 177 m e TYPE OF WORK: C 9 TV �AJ- . DATE INSP NEEDED: DATE INSP: a:2 b 3 INSPECTED BY: WORK IN PROGRESS: G4s Sef yt CQ- c3 ram" SEPTIC TANK PUM PED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: S/FORMS/TOWN OF SOUTH WINDSOR INSPECTION APPLICATION FOR STREET EXCAVATION PERMIT Appl.No. TOWN OF SOUTH WINDSOR . Permit No. PUBLIC WORKS DEPARTMENT 1640 SULLIVAN AVENUE J Date: SOUTH WINDSOR,CT 06074 FEE$2500 Name of Firm__'la w K e e G&s C,e'c a M 04 in Phone No.� U) 2�2 " 22 y 7 Address of Firm I I Z fro c e,e�i R� R cQ.. L'4 sf Wr r, sc,s C Zip Code .©6G F Location of proposed work $ co m M erc e- a Describe fully nature.of permit requested C s S r- Vf c Grate �'Sc1 rU4 to yJu i �CJ�C4� Starting date_ 2 0 r 3- Approx.time for completion /�?� Z 0�3 Call Before You Dig No. 2 01 31- 0 :2 5 5-5� Existing Water Supply: ❑Public Water ❑Well Existing Sewage Service: 0 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 This section to be filled out by two copies of separate drawing: Indicate: Town of South Windsor ( No.cuts S-e•e a �aLC'� e S�� c Est.Patch Sizes) sf Est.Pvt.Thickness in. Est.Patch Unit Price Est.Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price$ rd Est.Curb Cost$ Est..Traffic Unit Cost$ /hr Est:Traffic Control$ _ AmL of.Deposit$ Total Due$ )Cash { )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.1 AM FAMILIAR WITH,AND WILL ABIDE BY THE.RULES:AND REGULATIONS FOR. PERMITS AS OUTLINED IN,THE TOWN OF SOUTH WINDSOf#'S STREET CUT PERMIT MANUAL. Signed: Date Title: co h s 1 r u a-T t G h (P c Y► • 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 REV 10-22-08 81 89 ; ; 1 S i�r-oA V1 ; CC) M AA(?C c= VVA y SvJTH- W_rN S R N P 3',x y X�f C xCAVIII( COMMERCE WAY CBYD Locate Request Routine (CALL BEFORE YOU DIG - CT) 04/10/2013 14:33:19 41-5G`YANK/G -C1 -CW -GV -J1 -OT -SW -T5 Date: 04/10/2013 Time: 14s33 Request # 20131502555 Prev. Request #: Latitude: 41.8584480 Longitude: -72.5965292 Address: 89 Street: COMMERCE WAY Town: SOUTH WINDSOR Nearest Cross Street: SULLIVAN AVE Type of Work: INSTALLING GAS SERVICE Area is Marked YES Remarks: EXCAVATE TO INSTALL GAS SERVICE. Start Date: 04/15/2013 Start Time: 08:00 Caller: MIKE HANECAK Call Back: Phone Number (860) 292-2247 Alt. Phone: Fax #: Email: Contractor: YANKEE GAS Excavator: YG ,RHW, GPL Address: 112 PROSPECT HILL RD.F City: EAST WINDSOR State: CT Zip: 06088 Were pre-construction marks visible? ❑ Yes ❑ No ... ........ ... ............................._............................................._..........._................................................................................................................................................................................................................_,.................................................... .................. What facilities were marked? ❑ Main- ❑ Service ❑ Both M............................- �._ —..--------................ Main facility material type? ❑ Steel ❑ Plastic ❑ Cast Iron .____.""""" _..._........................... . ........................... . ...................................,._.._. .......................................... .... ._.. ._._ .. ..... .. .....W.... ..... ..._... ............................... Service facility material type? ❑ Steel ❑ Plastic ❑ Cast Iron .... _ _. __ _ ._� _..................... ..� ..,,,,-, , .... .. ...w... .................... How were the gas facilities located? ❑ Conductive ❑ Inductive ❑ Measurements .............. .................................. W.................................................................,,........................................._...................................................._..._................ Where was the connection made? ❑ Meter Value ❑ Test wire in box ❑ Tracer wire on service ❑ Direct connect to pipe Did measurements match the signal? ❑ Yes ❑ No What was used for measurements? ❑ GIS ❑ Service Card "I.................. w.__..r.,,w _.............................................................. . .........", _ ,,, .. ................................................................................ ............................................... ........... ......... ... .......................................... ................. ......... How was the area marked? ❑ Paint ❑ Stakes ❑ Both Who was the site verbal contact? Work completed by: ..........................."."..........................._....................._.........-................................................................................................................._...............................................................................................................................................................