Loading...
HomeMy WebLinkAboutStreet Cut Permits 20 Chatham Lane (2) 1400011 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 02/04/2014 GIS ID: 18900020 FEE: 0.00 MUNIS APPLICATION# 201400095 EXPIRATION DATE: APPLICAN L� -„ LOCATION NAME: YANKEE GAS ADIISQ CIITHAM LANE ADDRESS: 112 PROSPECT HILL = =f?VNERAUl ANN MARIE EAST WINDSOR,CT 06Q89--` 20 HATHAM LANE SOUTHWINDSOR,CT 06074 PHONE 860-292-2242 WORK DESCRIPTION: WORK I ' BBHIND TO HALTS }INSERT GAS LINE APPLICANT AGREES TO FURNISH THL TOWN OF SQUTH WINDS_. T4IE-AMOUNT'OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR A TY P7IN ES INCURRED B*THE TOWN-FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TI4�APPLICANT IS,FAMILIAR WITH AN&WID ABIDE BY THE RULES AND REGULATIONS FOR PERMITS ANSI OUTLINED IN THE TOWN. SOU H WIND R'S ST ET CUTI'I RMTT MANUAL. 41 IV ISSUED BY DA E IN P CTED INSPECTED BY 2/4/2014 8:55 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: J g000/I CONTRACTOR: LOCATION:- o�� I 1 Gj`l�lt.m j , TYPE OF WORK: h J nj ��� DATE INSP NEEDED: DATE INSP: INSPECTED BY: WORK IN PROGRESS:_ SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: --_--_ DATE:_ � ` '1`-i V;i2, ,To . : of S•:. -r 'iindsor LNPSEC ION REPORT 07 Appt Rio 1`+�WN F UTi, wu+l[ Sq )?arm#z 10 fI/Ojqi�S D PAII 46t 7540 SU 11VAN AVi f�il1 Q to �ouTH.lAtiNDSQR, T Q$f17 t arne Of t=lie, � +�+ ` e4vS e-v c. S c u Rh4k?e No . Address O# i rm Loc$Il Oft vf;propcisefi Reseribe fUtlly nature of pe et rrni rested vfie � $tar(ing G�{I xist�n�Vifter Spt� [�Pubii�Vater`rpr a#e d ? m Bea o u . [�Weli Existing Serage Service Viewer Q Sptao PL 11Sf!Mf TEr Tiff DEPt3SIT -PR THE MmAN NT PAVEI�tINT PINCH AN©CURS t_PLACEM NT IS A PaELIM1t�tARY ES°TtMAT TEE APPiICANT iS RjrSW4KSIBLE; bR THE FUtLiNAL bQT 4 THE PERMAME`1if P101 AND 60018 R6LA ENiENT !<NC�,UDING ANY INCREASES 1N PATCH AI€iEA,CURB LENGT14 TRAFFlG CbNTROL"AND"TNE T01NN'S0 HTRAGT,CO TS. "THE P MANI=NT ATCH;IS.TYPICALLY CflMPL`ETED VUlTHIIV A.YEAR flF THETEAAPORARY WATCH BUT 1T COULD BE LATER TIfAN AfEAR. Show sketch'of proposed work or furnish This seofion Abe filled out tv two copies�f separate drawing. Indicate.Nortfl Toxrn of South Windsor S f c S(�a l^+ No.cuts Est Patch`Slze(s)- sf yV;C)• d �� (. Est Pvt.Tliokness in. .: Est.Patch Wit Price Est:Paton Cosf ' fst.Curb Replacement ft Est:Curb Unit or ce Est Curti:Cast$' Est.Traffic Umt.Cost$ /hr Est 'I'e�iifc Contras� . Attu of Dposlt , Totai Que" { )-Cash Applicant is respoositle.far It Paid By the Potice De t.and C.B.Y.D: 1 AGREE:TO.FURNISH TO THE TOWN OF SOUTH WINDSOfl THE AMOUNT OF.BOND aI_QtJIRED'AND,TE)REiMI URSE THE TOWN°OF SOUTH 1NINDSOR FOR ANY EXPENSES INCURRED BY THE TO-.WN•FOR MAINTENANCE pR REPAIR WORK IN CONNECTION:WITH THIS PERMIT AND THAT-1 AM FAMILIAR WITH AND WILL ABIDEiY THE fiULES AND REGULATIONS-FOR PERMITS AS OUTLINED IN THE TOVIIN.OF SOUTH WINDSOR'S STREETGUT RERMITMANUAL: Signed: 6�G Date: 13��l Titte: I G C o. 5 t r^uG'fCG✓► �'P'c�t . Drivers License#: PLEASE ALLOW AT LEAST I WO WORKING DAYS AFTER APPLICATION FOR:ISSUANCE OF PERMIT WORK MAY NOT BEGIN UNTIL A PERMIT HAS SEEN ISSUED, PERMIT SHALL BE KEPT ON JOBSITE AT-ALL TIMES Street Excavatioil Permit 08 P"10-22-W y l 0 V fro Z O\4S� kC 6n SA`c+ w;' i✓� eX +��' Ser ► Ge i 3xY YL4 e �-cA VC,-"%oh (T`! � 3 e?l �c¢S) a cry Ln ti 0 dH X ,lZ _ SO L)Ttr' W l pl�-'>5o C.B.Y.D. - Dig Location Page 1 of 1 Request Number: 20140501653 Date:01/31/2014 Time: 13:35:18 Latitude:41.8477818 Longitude:-72.5107762 Town:SOUTH WINDSOR Address/Intersection: 20 CHATHAM LN Nearest Cross Street: CHESHIRE DR Type of Work: EXCAVATING TO INSERT EXISTING GAS SERVICE. Area Marked:YES Remarks: WORKING FROM BEHIND CURB LINE IN THE GRASS TO HOUSE.INSERTING EXISTING GAS. SERVICE. Start Date:02/05/2014 Start Time: 07:00 Caller: MIKE HANECAK Return Call: Phone#: (860)292-2247 Fax#:Alt.Phone#: Email Address: Contractor.YANKEE GAS Address: 112 PROSPECT HILL RD.City: EAST WINDSOR State: CT Zip: 06088 Excavator Doing Work:YANKEE GAS Member Utility List Code Abbreviation Name SG YANK/G 11YANKEE GAS SERVICES C1 CII L&P 11CONNECTICUT LIGHT AND POWER CW CTWTCO CONNECTICUT WATER COMPANY GV COXCAB COX COMMUNICATIONS OT ONTARG ON-TARGET LOCATING SVC SW SWINDS TOWN OF SOUTH WINDSOR T5 SBC SBC . WE NOW ACCEPT ON LINE TICKET RENEWALS.... a �xvr z (�^pi /,. s r, 'rr zaJ,kx �v� v � , ?C rn � 1 w 4 "� l;a " �,; � I n Ret�arn,T, _.w;,, http://cbydfonn.cbyd.com/cgi-bin/dlcgi.exe 01/31/2014