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Home My WebLink AboutStreet Cut Permits 834 Pleasant Valley R (2) TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 07/23/2014 GIS ID: 72900834 MUNIS APPLICATION# 201401011 - FEE: 0.00 EXPIRATION DATE: APPLICANT - LOCATION NAME: YANKEE GAS ADDRESS: $34 PLI ASANT VALLEY ROAD ADDRESS: 112 PROSPECT HILL C}WNER 3U LIAN EUGENE F&BARBARA EAST WINDSOR,CI 06088 : 834 `PLEASANT VALLEY PHONE 860-292-2242 SOUTH- INDSOR, CT 06074 WORK DESCRIPTION: INST, CAS SERVIC1 W/O#8E42T253 7 / APPLICANT AGREES TO FURNISH TH>; O OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY•LXPENSES INCURRED BY THE TOWN FOR=MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND ThE APPLICANT IS FAMILIAR WITH AMID V:ILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN F SOUTH WTNDSR'S STREET GUT PERMIT MANUAL. ISSUED BYJ DATE INSPECTED INSPECTED BY 7/23/2014 12:18 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: CONTRACTOR: 9an&-Q Sad LOCATION: TYPE OF WORK: % 0.SAvL I1 (J_ DATE INSP NEEDED: DATE INSP: r INSPECTED BY: 80 WORK IN PROGRESS: SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: S/2014 Town of South Windsor INPSECTION REPORT 14 APPLICATION FOR STREET EXCAVATION PERMIT Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $25.00 Name of Firm C6>M,,4AV Phone No. Address of Firm ►►2 'Pr ck o,,t (4 t(( Rr9 gs W c n�sor Zip Code G 60 i; Location of proposed work S 34 PI ec.. a Af V'a((,ey Rdl Describe fully nature of permit requested 9,c Starting date To 1 A'J _ d 1 Call Before You Dig No_ 2 d/!e_3 4 U ! PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut 5Z Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut ❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑. Public Sewer ❑ Septic Show sketch of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing No.cuts W-C 'v 6 2 1 2 (o 3 0 Est. Patch Size(s) sf A 7D a U Est. Pvt.Thickness in. Est. Patch Unit Price$ /sf Est. Patch Cost$ S-ed' g -K G�CCQ r Est.Curb Replacement ft J Est.Curb Unit Price$ /ft Est.Curb Cost$ Est. Sidewalk Replacement sf ® Est. Sidewalk Unit Price i Est.Sidewalk Cost$ ep �✓ 2' Ce Est.Traffic Hours hr Est.Traffic Unit Cost$ /hr Est.Traffic Control$ Amt.of Deposit$ Total Due$ . ( )Cash ( )Check# Applicant is responsible for contacting the Police Dept:and C.B.Y.D PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES Paid By 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 AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. M ( �j Signed: /C � Print Name I r' C' c�e j Hcch eGci K Date: Street Excavation Permit 2014 r � 834 Prue orse4 Cx s Ser I cee G'5 TP�v,c SUS$(^ Vv 6" x IP 1979 CBYD Locate Request (Routine) (CALL BEFORE YOU DIG CT) 07/22/2014 16:32:51 57-5G YANK/G -C1 -GV -OT -SW -T5 -W3 Date: 07/22/2014 Time: 16:32 11 Request #: 20143001823 Prev. Request #• Latitude: 41.8113609 Longitude: .-72.5861336 Address: 834 Street: PLEASANT VALLEY RD Town: SOUTH WINDSOR Nearest Cross Street: CASE HILL CIR Type of Work: EXCAVATE TO INSTALL GAS SERVICE. Area is Marked: YES Remarks: WORKING FROM STREET TO THE EAST SIDE OF THE HOUSE. ,( Start Date: 07/25/2014 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 __.. __., .. ...._....._._......._._..__...._. _ _...__.... p n marks visible? Ryes ❑ No ..... ........................ ... .. ... .... ... ............... ............................................ ... ...... .... ...... ... ......... ....................... What facilities were marked? IgMain ❑ Service ❑ Both Main facility material type? Steel ❑ Plastic ❑ Cast Iron . .......... ........ ......... ......... .................. ................ ............................................................................. .......... Service facility material type? Steel ❑ Plastic ❑ Cast Iron __.y__ __.,,........._....._ _v.______.. ...... ...... ..... ...... �, How were the gas facilities located? ❑ Conductive L�Inductive EkMeasurements .... .... Where was the connection made? Meter Value ❑ Test wire in box ❑ Tracer wire on service ❑ Direct connect to pipe Did measurements match the signal? �Yes ❑ No What was used for measurements? GIS Service Card How was the area marked? Paint 11 Stakes Both _... ....._. w_._ _ ____._.....,.._..._ ___ ...._. ..-....._............_...._. o was the s 1.ite verbal contact? N fl or k completed by: