HomeMy WebLinkAboutStreet Cut Permits 9 Stephanie Lane (2) 1300029 TOWN OF SOUTH WINDSOR, CT
PENT NUMBER STREET CUT PUBLIC UTILITY
DATE: 04/04/2013
GIS ID: 85800009
MUNIS APPLICATION# 201300359 = = = FEE: 0.00
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EXPIRATION DATE:
APPLICAN Az -
NAME: YANKEE GAS y _ LOCATION
ADDRESS: 112 PROSPECT HILLZ � �DDRE �// 9T�PANIE LANE
EAST WINDSOR, C 1 QIz & E -_ T-JAMES A&BONNIE J
IM PIANIE LANE
Ww-
INDSOR, CT 06074 PHONE 860-292-2242
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WORK DESCRIPTION: REP't t} A ' #A ,2c
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APPLICANT AGREES TO FURNISH THE 3L E SOUTH
THE TOWN OF SOUTH WINDSOR FOR AN�O�FI4S SIN �I�$ 'T ETC WIw OR IAINTEN�ANIRE OR REPAIR WORK I AND TO N
CONNECTION WITH THIS PERMIT AND THT'L&CAN IS
WIC I�A WTI ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OIOITI WlDSRTRIIT gEBzMIT MANUAL.
ISSUED BY DATE' PECTED INSPECTED BY
4/4/2013 8:57 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: /J CONTRACTOR: a-vl Kee-
LOCATION: q t— o- t1 I E La re-
TYPE OF WORK: UQ l U E3
DATE INSP NEEDED: DATE INSP: � /j
INSPECTED BY: ! >
WORK IN
PROGRESS: (,y�rlt
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE:
S/FORMS/TOWN OF SOUTH WINDSOR INSPECTION
APPLICATION FOR STREET EXCAVATION. PERMIT
TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
TOWN HALL
1640 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074
FEE $25.00
Name of Firm
_ - -- - - Phone No. G 29Z-Z
Address..of Firm .112.,
-s
Location of proposed work _ h,�;c 1-�.�Q, $� 9, 29 36
Describe fully nature of permit requested ✓A'"-
Starting date LS �foj
g Approx.time for completion�3 ~4
Call Before You Dig No. 2-013 r 3Z7(o Traffic Services Control No.
Show sketch of proposed work or furnish
two copies of separate drawing Indicate North This section to be filled out by
l_- Town of South'W;ndsor
Pavement Cut
f- No.cuts
EsL'Size of Penn.Patch(s)
EsL Pvt.Thickness
in.
Est Unit Price$
Amt.of Deposit$
Total Due$ by
f it;
Cash Check# .
7 Permanent Patch
r
No. Cuts
Size of PatclXs)
,. Final Billing
Amt.Due Payee
a
Ain Due Town
gy
Applicant is responsible for contactigg
the Police Dept.and C.B.Y.D. Datp
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 BY THE RULES AND REGULATIONS FOR
PERM[ 1 --THE TOWN OF SO WINDSOR'S STREET CUT PERMIT MANUAL.
Date: Dots
Title: Y`O� 1 Driver's License#:
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
a:
Molloy, Catherine
From: CallCenter@CBYD.com
Sent: Thursday, March 28, 2013 1:52 PM
To: CBYD
Subject: locate Request-20131303276
(CALL BEFORE YOU DIG - CT) 03/28/2013 13:51:52
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-OT 7-SW SWINDS -T5
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** REMOTE BATCH ENTRY ***
***** ROUTINE
TIME. .13:51 DATE. .03/28/2013
REQUEST NO. . .20131303276
LATITUDE. .41.8545868 LONGITUDE. .-72.5022884
TOWN. . . . . .SOUTH WINDSOR
STREET. . . .STEPHANIE LN
NEAREST
CROSS STREET. .JESSICA DR
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TYPE OF WORK. . . . .REPLACE CURB VALVE
AREA IS MARKED. . .YES
REMARKS:
AREA IS MARKED. EXCAVATION TO OCCUR CURB TO HOUSE, NO WORK IN STREET, AT THE FOLLOWING
HOUSE #'S #'S 9, 29, & 36 STEPHANIE LANE
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START DATE. . . . . .04/05/2013 START TIME. .07:30
CALLER. . . . . . . . . .DOUGLAS MACPHERSON
CALL BACK. . . . . . .7:30-4
PHONE #. . . . . . . . .860-292-2219
FAX #. . . .. . . . . . . .860-292-2269
ALT. PHONE #. . . .
EMAIL ADDRESS. . .
CONTRACTOR. . . . . .YANKEE GAS SERVICES
ADDRESS. . . . . . . . .112 PROSPECT HILL RD
CITY. . . . . . . . . . . .EAST WINDSOR
STATE. . . . . . . . . . .CT
ZIP. . . . . . . . . . . . .06088
EXCAVATOR DOING WORK. .YANKEE GAS / RHWHITE
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