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HomeMy WebLinkAboutStreet Cut Permits 50 Ayers Road (2) 1300227 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 08/29/2013 GIS ID: 06900050 MUNIS APPLICATION# 201301238 J10 FEE: 0.00 EPIRATION DATE: APPLICANV Ar LOCATION NAME: YANKEE GAS I f M I aw -DRES§- 50 AYEfS ROAD i ADDRESS: 112 PROSPECT HILLS %/4E> RZ£E SA PHEN EAST WINDSOR, CT,-08 - Q AIR RD ' JI1 WINDSOR,CT 06074 i PHONE 860-292-2242 1 T 0 %: , fff 1 ����� WORK DESCRIPTION: INSTA vw MGAL-S- vNi I ROIL 1t� i 3 APPLICANT AGREES TO FURNISH THE I JWAONSOUTH flS R I E plfi pE�3 JD REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY E3P-W--ES I I 3 Tp _ g MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THI �PLA1�I L1SABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN Oh6UfiH WII�JI�S�' T ESTGUT.P1 R11fTT MANUAL. YAP 0 ISSUED BY DATE INS`P ED INSPECTED BY 8/29/2013 8:46 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** js- AN ff /l TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: CONTRACTOR: `la A tu_ LOCATION: Ir� R t TYPE OF WORK: vn i Ir1 bn DATE INSP NEEDED: DATE INSP: 1413 INSPECTED BY: 1�b WORK IN PROGRESS: 4 7 X C ' C ,/+?xdc_ en r /JCiJ ci �s i S-Pcryj'c3? 1-0 It` �© A eis f� kd SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: 6 LAL\, DATE: W/2007 Town of South Windsor INPSECTION REPORT 07 APPLICATION FOR STREET EXCAVATION PERMIT Appl.No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT 1540 SULLIVAN AVENUE Date: L SOUTH WINDSOR,CT 06074 FEE $25.00 22 Name of Firm ��� �7� Phone No. Address of Firm M i2eCt fflj/ pr, ('I— Zip Coded Location of proposed work Lqw(�.s Describe fully natu of permit request m l a. �Q M 7� 70-/ raha.m Starting date Approx.time for completion Call Before You Dig No. O/ 350 Existing Water Supply: ❑ Public Wa er ❑Well Existing Sewage Service: ❑Public Sewer ❑Septic PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTfi;-TRAFFIGGOf4TROL-AND-T-HE-TOWN'S�ONT-ftACTCOSTS. THE--PERMANENT.PA 'CM-IS-TX-PICALLY COMPLETED WITHIN•A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed work or furnish This section to be filled out by two copies of separate drawing Indicate North Town of South Windsor No.cuts �(Vl(may Est.Patch Size(s) sf Est.Pvt:Thickness in. 50 Est.Patch Unit Price I Est.Patch Cost$ Est.Curb Replacement ft — — — Est.Curb Unit Price$ /ft Est.Curb Cost$ I At� 60 Est.Traffic Unit Cost$ /hr Est.Traffic Control$ / Amt.of Deposit$ Total Due$ y �� { )Cash O Check# Applicant is res�o sible for con cling 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 ANDVILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed: `—^"'` Date: IoTf 3 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 Molloy, Catherine From: CallCenter@CBYD2.com Sent: Wednesday, August 28, 2013 8:45 AM To: CBYD Subject: Locate Request-20133501887 (CALL BEFORE YOU DIG - CT) 08/28/2013 08:44:01 -5G -C1 -CW -OT 4-SW SWINDS -T5 ----------------------------------------------------------------------- *** REMOTE BATCH ENTRY *** ***** ROUTINE ***** TIME. .08:44 DATE. .08/28/2013 REQUEST NO. . .20133501887 LATITUDE. .41.8451712 LONGITUDE. .-72.5571454 TOWN. . . . . .SOUTH WINDSOR ADDRESS. . .50 STREET. . . .AYERS RD NEAREST CROSS STREET. .GRAHAM RD ------------------------------------------------------------------------- TYPE OF WORK. . . . .INSTALL GAS SERVICE AREA IS MARKED. . .YES REMARKS: HOUSE IS LOCATED AT THE INTERSECTION. WORKING FROM THE GRAHAM RD SIDE OF PROPERTY AND GOING TO THE WEST WALL OF THE HOUSE. ----------------------------------------------------------------------- START DATE. . . . . .09/03/2013 START TIME. .07:30 CALLER. . . . . . . . . .LAURIE TAIT CALL BACK. . . . . . .7:30-4 PHONE #. . . . . . . . .860-335-5282 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, RH WHITE & HENCKELS & MCCOY 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