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Home My WebLink AboutStreet Cut Permits 726 Avery Street (2) 1300003 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 01/09/2013 - GIS ID: 06300726 FEE: 0.00 MUNIS APPLICATION# 201300031 FrPIRATION DATE: APPLICANT=� - LOCATION NAME: YANKEE GAS ADDRESS: 726.AVtRY STREET ADDRESS: 112 PROSPECT HILL Imo; OWERs', MPHkEYS OWEN EAST WINDSOR, CTA088 726 =7VIERY STREET A. SDJTH WINDSOR,CT 06074 PHONE 860-292-2242 = - , WORK DESCRIPTION: INSTALIj GASRVG " � APPLICANT AGREES TO FURNISH THE flWN OF SOUTH W50§L L T E AMOTJILJT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANC'E PEI3SES TI�JG�E }�Vf I ' -Tfl� FO F IYIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THR APIICALT IS FAI IA1I WITH AIT?WIlg I ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF'sOItTH WI1IDSR' S 1E f CUT gERMIT MANUAL. I ISSUED BY DA E IN��P=EC QED INSPECTED BY 1/9/2013 9:24 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** sk 30 ,; TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: [ �0600 CONTRACTOR: ��►�k-P� LOCATION:--] a U TYPE OF WORK: v DATE INSP NEEDED: DATE INSP: INSPECTED BY: t3 WORK IN PROGRESS: A X 3 SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: DATE: 2— S/FORMS/TOWN OF SOUTH WINDSOR INSPECTION .9 APPLICATION FOR STREET EXCAVATION PERMIT ..Appi.No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT I ,�1 1640 SULLIVAN AVENUE Date: SOUTH WINDSOR,CT 06074 FEE $26.00 Name of Finn Ph no.No. ( 1`�2502 Address of-Firm l ;P — / AEU ) 1 n -or Zip Code Location of proposed work 2 c5` Describe fully nature.of permit requested Era-: a rat ax.5 er�� Starling date 17 ( l. I Approx time f0+completion 1' 3 Call Before You Dig No: C�l?�Q oG?g, '� Existing Water Supply.: ( Public Water' ❑Well Existing Sewage"service: [�Public Sewer 0 Septic PLEASE NOTE: THE DEPOSIT.FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS.A PRELIMINARY.ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND`-CURB.REPLACEMENT;INCLUDING ANY INCREASES IN PATCH AREA,CURB- LENGTH,TRAFFIC CONTROL AND THE TOWWS'CONTRACT-:COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A-YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed work or fumish This to be filled out by two Copies of separate drawing Indicate.North - Town:of South Windsor No.cuts Est.Patch Sizes) of S Est.Pvt.Thickness in. Est.Patch Unit Price$ ./sf Est.Patch Cost;. Est.Curb Replacement ft Est.Curb Unit Price Est.Curb Cost$ Est..Traffic Unit Cost$ /hr Est:Traffic Control$ Amt.of Deposit$ Total Due$ Cash O Check# Applicant is responsible for contacting Paid By theloiiceDe _f. C.B.YD: 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,PER T AND:.THAT.I AM FAMII*IAR;111(iTH,AI11[ WiI L AD�DE BY THE.RULES AND REGULATIONS FOR. PERMITS AS OUTLINED Ifs THE OWN OF SOUTH WINDSOR S SITIEIT CUT PERMIT I�AANi AL. 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 JOBSITE AT ALL TIMES Street Excavation Permit 08 REV 10-22-08 ■®®®®®®onsom®!®.®ter®t ENORMOUS rr®®!-i■,or„® ®®i®��i®��®!i!®®®®ISM®�®S■r!®��®®®�■„/®®®�I■1� ■!�'®®®®■�■®rrr®urt®f®e®®�■ iiii®®®��®■®!!E1!®,,■!��®®��■®®®■i■Ir®I®No t�r®.®®■ ®®rilk®®�i"i®®r�l�®r®�ili��®��i�rr!®®�®®®»®®■I��I■�,f�■ E ®MEN MEMO NONE MEMO■■i®®®!soon■rom"E!E MEN�®®®®®,�®■®S1�r®®■■®i MINIMUM a ii■®■■, ®t��r®®■r®r®® 10.0■llOman am ®MINE t�rrrrrrr Inman ®■®®■®rr�®��®e®t°®t■t�r®®�®®°Ir®i�et°e®rrt°. �e®r®rrr r®®rr®®ram®�r®®rr®rr®■ ■■r®®r■t�rr■r®r�i°®®r■■rr son®■®®�t®�I�® ®rr■0®®, rrr®®®®®®�rei®®r®®■® ®®r®®rrlr®■®MENrrr®�t®t�rr■®®■®®®Mr®rr®�IENNNrrr ®®®®®■®®°Is®r®■rr®r®e°®r®e°r®®®®rr®rri®�orer■r®■ Nonni on marry®�e®■rri®mmr rrstnamamma AIR Mawww"Miffifty"®■r®r�sr soon ®■ EMO ®■r®®e��®�®■®ram . ■®rim®® - ®® ®®®®tea momo■1r®�e��®■■®rl�r►�■r®®rr®�ii �t�ii•®rr - ®®i®■r1�1®■rid®■�/t®®■i/i�■r■ii®rr,�r� i■rr s°eEll i■®t°■®® ®mot°®OEM MEMO t°r®��®■,��® illml rrr ®®®®®®ram®�®�rNONE®®■®■■�== cr ® am®■®,�inl KIM MENEM so Alt tir®r erge�®r®rrt°®®®r®®r�t�®rt°®■ ®®r� r®` r■orr®r® ® �®®r a 9ZL A VEQy 5rec-epl- I I XXI" EXcnrAh 9ZL A vE�y ExCnrArE L Molloy, Catherine From: CallCenter@CBYD.com Sent: Tuesday, January 08, 2013 12:59 PM To: CBYD Subject: Locate Request-20130200953 (CALL BEFORE YOU DIG - CT) 01/08/2013 12:58:35 -5G -C1 -Cw -OT 6-SW SWINDS -T5 -------------------------------------------------------------------------- *** REMOTE BATCH ENTRY *** ***** ROUTINE ***** TIME. .12:58 DATE. .01/08/2013 REQUEST NO. . .20130200953 LATITUDE. .41.8332373 LONGITUDE. .-72.5151500 TOWN. . . . . .SOUTH WINDSOR ADDRESS. . .726 STREET. . . .AVERY ST NEAREST CROSS STREET. .PINE KNOB DRIVE -------------------------------------------------------------------------- TYPE OF WORK. . . . .EXCAVATE TO INSTALL GAS SERVICE AREA IS MARKED. . .YES REMARKS: WORKING FROM ACROSS THE STREET TO RIGHT SIDE OF HOUSE SEE STAKES AND PAINT -------------------------------------------------------------------------- START DATE. . . . . .01/11/2013 START TIME. .08:00 CALLER. . . . . . . . . .MIKE APPLEBY CALL BACK. . . . . . .8-4:30 PHONE #. . . . . . . . .860-437-4117 FAX #. . . . . . . . . . .860-437-4191 ALT. PHONE #. . . . EMAIL ADDRESS. . . CONTRACTOR. . . . . .YANKEE GAS SERVICES ADDRESS. . . . . . . . .179 CROSS RD CITY. . . . . . . . . . . .WATERFORD STATE. . . . . . . . . . .CT ZIP. . . . . . . . . . . . .06385 -------------------------------------------------------------------------- EXCAVATOR DOING WORK. .YG CONST, GPL,RH WHITE, 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