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HomeMy WebLinkAboutStreet Cut Permit 25 Gerber Road (2)900116 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY:, DATE: 08/19/09 GIS ID:35100025 FEE: 00MLJNISAPPLICATION# 200900991 Lw TION DATE: APPLICAN OCATION NAME:YANKEE GAS a " ADDRESS: 112 PROSPECT HIL ER AD ASSOCIATES LIMITEDr4EASTWINDSOR,C 08 IVE DRIVE TON,CT 06032 PHONE 860-292-2242 WORK DESCRIPTION: INST L G wmp a sP H CT LSTEAD ON KELLY ROAD ` 1 APPLICANT AGREES TO FURNISH THE TO O ,.•OND REQUIRED AND TO REIMBURSETHETOWNOFSOUTHWINDSORFORANYBMAINTENANCEORREPAIRWORKINCONNECTIONWITHTHISPERMITANDTHEAPI ' ILL ABIDE BY THE RULES AND REGULATIONSFORPERMITSASOUTLINEDINTHETOWNOFSOETERMITMANUAL up ISSUED BY lz DATE INSPECTED INSPECTE BY 8/19/20092:33PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** TOWN OF SOUTH WINDSOa INSPECTION REPORT PERMIT NO.: dO CONTRACTOR:L%e LOCATION: e M l TYPE OF WORK: at S YYIc DATE INSP NEEDED: DATE INSP. INSPECTED BY:Cif WORK 1N PROGRESS: Co I e P AS-BUILT: INPUT: DATE: l vt 0 W/2007 Town of SMM Windsor INPSECRON REPORT 07 OR 009 o©t9 f APPLICATION FOR STREET EXCAVATION PERMIT I 00I Appl. No. TOWN OF SOUTH WINDSOR Permit No. PUBLIC WORKS DEPARTMENT 1540 SULLIVAN AVENUE Date: SOUTH WINDSOR,CT 06074 FEE $25.00 Name of Firm Phone No. 8(o0~ 29?-'?-V Z Address of Firm Z P e- I It Q 0t• Cas F' l t.fr d,3(D'1 Zip Code Q&0 Location of proposed work J4 Describe fully nature of permit requested I n Sta 11 Q C...S fn0-', f12Lo `f oLo i n g V eC+ "The t-Ei'1131--ca-d" Starting date t! ON,doln Approx.time for completioncZig Q Call Before You Dig No. ( % ,3`/U r`l Existing Water Supply:uPblicWaterWell Existing Sewage Service: Public Sewer Septic PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT 1S RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH;TRAFFIC-CONTROL AND-THE TOWN'-S-C-ONTRACT-COST-S-. THE-PERMANENT PATCH-IS-TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Show sketch of proposed work or furnish This section to be filled out bytwocopiesofseparatedrawingIndicateNorthTownofSouthWindsor No.cuts Est.Patch Size(s) sf Qj I Jec- _;)c, Est.Pvt.Thickness in. Est.Patch Unit Price 1, 1 r TC l l }eCr st.Patch Cost J st.Curb Replacement ft Est.Curb Unit Price$ ft Plyry Est.Curb Cost$ 4A S hA!AI _Est.Traffic Unit Cost$ hr d Est.Traffic Control$ Amt.of Deposit$ Total Due$ Cash ( )Check# Applicant is responsible for contacting Paid BythePoliceDept.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 1 AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS A -UTLINED IN T_H TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed: Date:. Title: C . .Q(J1. 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 Posted At: Tuesday,August 18, 2009 12:28 PM Conversation:Locate Request-20093401167 Posted To: CBYD Subject:Locate Request-20093401167 CALL BEFORE YOU DIG - CT) 08/18/2009 12:27:57 5G C1 CW GV OT S1 S5 3-SW SWINDS T5 VN ROUTINE ***** TIME. .12:27 DATE. .08/18/2009 REQUEST NO. . .20093401167 LATITUDE. .41.8248398 LONGITUDE. .-72.5063549 TOWN. . . . .'.SOUTH WINDSOR ADDRESS. . .292 STREET. . . .KELLY RD NEAREST CROSS STREET. .DIANE DR TYPE OF WORK. ... . .EXC TO IST GAS MAIN AREA IS MARKED. . .YES REMARKS: WORKING IN THE ROAD IN FRONT OF THE PROP & XING THE STREET TO THE HILLSTEAD SUB DIVISION WHICH IS UNDER CONSTRUCTION START DATE. . . . . .08/21/2009 START TIME. .08:00 CALLER. . . . . . . . . .LORI TATE CALL BACK. . . . . . .7:30-4 PHONE #. . . . . . . . .860-292-2242 FAX #. . . . . . . . . . .860-292-2269 ALT. PHONE #. . . . EMAIL ADDRESS. . . CONTRACTOR. . . . . .YANKEE GAS SERVICE CO. ADDRESS. . . . . . . . .112 PROSPECT HILL RD CITY. . . . . . . . . . . .EAST WINDSOR STATE. . . . . . . . . . .CT ZIP. . . . . . . . . . . . .06088 EXCAVATOR DOING WORK. .SAME/R H WHITE 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 V6