HomeMy WebLinkAboutStreet Cut Permits 1239 John Fitch Blvd (2) ------------------- ---
1400044 TOWN OF SOUTH WI.NDSOR, CT
PERMIT NUMBER STREET CUT PUBLIC UTILITY
DATE: 03/31/2014
GIS ID:47701239 - FEE: 0.00
MUNIS APPLICATION# 201400299 " " =EXPIRATION DATE:
APPLICANT LOCATION
NAME: YANKEE GAS ;ADDR) 5: 1239 JflHN FITCH BLVD
ADDRESS: 112 PROSPECT HILL Rb OWNER TWEL TE THIRTY NINE JOHN FITCH BLVD
EAST WINDSOR, TU08 = F2JCIN FITCH BLVD
3E ENE
SOUT WINDSOR, CT 06074
860-292-2242
PHONE
WORK DESCRIPTION: GAS L€A SINS RC�IC1;
APPLICANT AGREES TO FURNISH THTOUN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR A�I ' I'I RISES INCURRED$Y THE TOWNI FOI�MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TIDE APILICANT IS FAMILIAR WITTI AMIDLL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN_SOUTH VYINDSR'S-STRBETTUI'P1 RMIT MANUAL.
CWin
/ram
ISSUED BY 1 DA SPECTED INSPECTED BY
3/31/2014 10:42 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: f 1V Q00`l / CONTRACTOR:_AY)kj"l 4 a�
LOCATION:_ /a3.9 -3�hn J i w
TYPE OF WORK: v i`ce
DATE INSP NEEDED: DATE INSP: /;z Z a AY
INSPECTED BY: 6_1>
WORK IN
PROGRESS: d 54z ellcj
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: L �,. DATE: /c
W/2007 Town of South Windsor INPSECTION REPORT 07
- .• . «.v■ ■■■v■• ■ V■a v■ al■+■.■ VI\VA•A■■V■t ■ ■mil l■i■■■
.Appl. No. TOWN OF SOUTH WINDSOR Permit No.
PUBLIC WORKS DEPARTMENT
1540 SULLIVAN AVENUE Date: < /I
SOUTH WINDSOR,CT 06074
FEE-$25.00
Name of Firm /4 k� e (p0 ' f e�• `�.1-�/$�
Phone No.
Address of-Firm It M.44 Zip Code O �'
Location of proposed work 9 Q t V/
DeW640 fully rrature.of permit requested to Ct5 tL k tryL, :5y_ ?�.7 l Gv_
Starting date, 'r/I 40f Approx.time for completion
Call Before.You-. ig No: 00 O/ Existing Water Supply: 0 Public Water Well
Existing Sewage Service: (]Public.Sewer 0 Septic
PLEASE NOTE:.THE DEPOSIT FOR THE PERMANENT PAVEMENT'PATCH AND CURB:REPLACEMENT IS A
PREUMINARY ESTIMATE. THE APPUCANT'IS RESPONSIBLE FOR THE FULL FINAL COST OF THE
'PERMANENT PATCH ANDCURBAEPLACEMENTi INCLUDING ANY INCREASES IN PATCH AREA,CURB
'.LENGTH-TRAFFfG:CONTROL:AND THE TQWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY
COMPLETED WITHIN AYEAR:OF THE TEMPORARYPATCH BUT IT COULD BE LATER THAN A YEAR.
Show sketch Of-proposed worts or famish
This section to be fled out tiv
two copies of separate drawing
Irx cate.North Town.of$60th Wladsor
No.cuts
Est Patch Size(t) sf
Est.PvL Thickness in.
Est.Patch Unit Price$ /sf
EsL:Patch Cost$
..Est.Curb Replacement_ft
Est.Curb Unit Price$ /ft
Est.Curb Cost$
Est.Trafric UniE Cost$_ Ax
Est:Traffic Control
_ -Amt:of Deposit;--
Total Due$
( )Cash ( )Check#.
Applicant.is responsible for contacting Paid By
the Pofios.De t.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
CON NECTIPN.WITH:THIS PERMIT AND THAT I AM FAMIttIAR WITM ANR:WIU.ABIDE BY THE RULES:AND REGUI�A_TIONS FOR.
PERMITS AS OUTLINED4N THl=T WN OFSOUTH WINDSOWS STREET C.Uj 0 WIT UAL,
Signed: Date:
..--
litle: F � t � Drivers Ucense M
PLEASE ALLOW AT LEAST.TWO WORKING DAYS AFTER APPLICATION FOR ISSUANCE OF PERMIT
WORK MAY NOT 13EGIN UNTIL A P€RMIT HAS BEEN ISSUED
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
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The malarial contained on thin map T'ItIB:
shall ne considelad proprietary to
Yankee Gas and user(wh ch 1
5
defined ea any person or entity
M.has recelvad me map ihmugh Information shown is not guaranteed and Yank:Gas
le,parehaee,ershan8 9 •or assrtaa no reaponai1lliry.Coritrectora are urged io call a o
atharwi:)shall keep it in mnfidance Yen):Gee for fuller informeaon at tA00.ge&Og00
and Shay no,
fumbh ordafb9e%
toenymiMpartywnnoat..= The Northeast Utilities System
written perrnisaion of Yankee Gas. rmmd:svroar-2oi4 BY messasm 107 Sslderl fit BBdln CT 06037