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HomeMy WebLinkAboutStreet Cut Permits 142 Graham Road (2) 1400256 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 08/20/2014 GIS ID: 37500142 FEE: 0.00 MUNIS APPLICATION# 201401150PIRATION DATE: APPLICANT = LOCATION NAME: YANKEE GAS ADDRESS ,14 GRAHAM ROAD ADDRESS: 112 PROSPECT HILL RD OWNERTIZOIt WILLIAM H&DEBORAH EAST WINDSOR, CI18$ 142'ORHAM ROAD = OUT�I VINDSOR,CT 06074 PHONE 860-292-2242 -20 WORK DESCRIPTION: EXA I E T{3 INSTALL GAS SERVICE -, ; ff APPLICANT AGREES TO FURNISH THE TO�Et�1 OF SOU H WINDSOR 'HE AMOUNT OF 36ND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR AI�IY.RXPENSES-INCURI3FD BY THE TOWISI�'OI AAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE APPLICANT IS FAMILTAR WITH AND WJ L ABIDE BY THE RULES AND REGULATIONS F FOR PERMITS AS OUTLINED IN THE TOWN CS SOUTH W- NDSOW'&STREET CUT PERMIT MANUAL. ISSUED BY DATE INSPECTED INSPECTED BY 9/21/2014 9:55 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: CONTRACTOR: U ti Yfl TYPE OF WORK: ::E15�� l 1 n_S SsA i cam.. DATE INSP NEEDED: DATE INSP: I I/y INSPECTED BY: WORK IN PROGRESS: `4 r �,u V' SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT• INPUT: \IN DATE: \r� SrA14 Town of South Windsor WSEMON RMU 14 APPLICATION FOR STREET EXCAVATION PERMIT Appi. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1640 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00 Name of Firm `/av%VCe Gas SarJi G@s Ccw. an Phone No.( $60) Zq Z - 22'f? w Address of Firm I I,2 tras e s-+ 14; U Rd.� 6. M As.f Zip Code DG0I? Location of proposed work f Y Z G,g h a M 1''t c/. Describe fully nature of permit requested 46>< cq vq4_ to in sfy l( cta s sQrJi ce Starting date Sept'• 2.01 V Call Before You Dig No 2O 1 V 3 3 0 3 2 z PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement, Curb or Sidewalk Cut EZ Pavement Cut M Curb Cut ❑ Sidewalk Cut ❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing No.cuts W n 'o Est. Patch Size(s) sf Est. Pvt.Thickness in. Est. Patch Unit Price$ /sf Est.Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price$ Ift Est.Curb Cost$ Est. Sidewalk Replacement sf Est.Sidewalk Unit Price Est.Sidewalk Cost$ Est.Traffic Hours hr Est.Traffic Unit Cost$ /hr Est.Traffic Control$ Amt.of Deposit$ Total Due$ O Applicant is responsible for contacting the Police Dept:and C.B.Y.D OCash Check# PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Paid By 1 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 PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'/S��ST�R/E}ET CUT PERMIT MANUAL. (/ Signed: /w.11t� ('� Print Name • c�a l?QYt P ca Date: Street Excavation Permit 2014 Fro 05Pc Gas SerVi c ' W : c9e Gcts Tr GCS r4 (4AM ? � © SOUTH W� N � sv 3 "x Lt �f a-4 c4 VC, +I 'o n CV J CBYD Locate Request (Routine) (CALL BEFORE Y, 2 OU DIG - CT) 08/14/2014 >14:2703 34-5G YANK/G -C1 _CW -OT -SW -T5 Date: 08/14/2014 Time: 14:26 Request #: 20143303224 Prev. Request #: Lat .tude': 41.8465889 Longitude: ' .-72.5579192 Address: 142 Street: GRAHAM RD' Town: SOUTH WINDSOR Nearest Cross Street: MARK DR Type of Work: EXCAVATE TO INSTALL GAS SERVICE. Area is Marked': YES Remarks: WORKING FROM STREET TO NORTH SIDE OF HOUSE. Start Date: 08/19/2014 Start Time: 07:00 Caller: MIKE HANECAK Call Back: 7:30-4 Phone Number: (860,) 292-2247 Alt, Phone: Fax #: 860-292-2269 Email: Contractor: YANKEE GAS' Excavator: YANKEE GAS Address: 112 PROSPECT HILL RD City: EAST WINDSOR State: CT Zip: 06088 Were pre-construction ..-W_� .......... _._� . _ _. �... . ......., _ �.�..... . ._ �.. marks visible? AeS No ......... ......... .................................. . ...................................... .......... ........... .... ......... ......... ............. What facilities were marked? 1 2:15Allain i Service 1 Both Main facility material type? 1-Steel Plastic 1 Cast Iron ........ . ................ .... .. _. _ ... . Service facility material type? 1 Steel Plastic i 1 Cast Iron How were the gas facilities located? I-,4Conductive 1 Inductive -1_�Measurements�� „�,.�... ... ._. ..�__.... w.. �._ �.. ......... ........................................... .............. ........... ..... ......... _ ......... ....... .. ........ Where was the connection made? Meter value 1 i Test wire in box Tracer wire on service Direct connect to pipe Did measurements match the signal?., �` �.._.. . _...__ _.. . . �.. des 11 I No What was used for measurements? >'�GIS �<i Service Card How was the area marked? Paint ! Stakes ',?LBoth Who was the site verbal contact? ^ .... ...... ... rl Work completed by: ��G � `" `t