HomeMy WebLinkAboutReplace existing CATV Street Cut Permits (2) 700096 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
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DATE: 06/25/07 SyAA <z,:<.... 01►,
GIS ID: 08400010 D `�
3: FEE:
MUNIS APPLICATION# 200700958 25.00
9XPIRATION DATE: 06/2 4/08
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NAME: T ELE-
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ADDRESS: 31 BAKEWELL COURT, .e:..,,<.,,"" ::: <
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STON RI02921 ::".
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CRIPTION:
RIP TIO N: REPLr'AEX 10- :.:.:2�:Bf' C 'T<;:..
APPLICANT AGREES TO FURNISH THE TbWN 0 ;; (3IJIFI; . . �Y7I :I)F"`OiNU`R-EQUIRED AND TO REIMBURSE
THE TOWN OF SOUTH WINDSOR FOR AN i',E C' I S :
�. :.,;,;;' >.;.:: . .,IO -1 R Mkl!!�TENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND TH AI"F'I 1CA 1 'FA f WIC L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN O (iU3 I WYI II $ '.S "C E fi7T.pI R fTMANUAL
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ISSUED B DACE=> 15:.,ETEI INSPECTED BY
7/9/2007 11:01 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
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TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT-NO.: 7000 96 CONTRACTOR:_Te/E&,P=�d
LOCATION:_ 10-o o ADDRESS:
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: 0,1�)
WORK IN
PROGRESS:_
v
INPUT: DATE:
APPLICATION FOR STREET EXCAVATION. PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074
FEE $25.00
'Name of Firm_ E[E -NjE Two E2.<S �.
Address of Firm l�s Phone
�t✓ C N Silo i� y "i Z t
Location of proposed work 3E NUT C.,/, ,
Describe fully nature of permit requested /Z(° -CE C--kf`S%(J0 CA i V
Starting date (,,�- (4, d '
Call Before You Approx. time for completion i ✓> 1
u Di ��
gNo. -� � �
�� Traffic Services Control
No.
Show sketch of proposed work or furnish
two copies of separate drawing Indicate North This section to be filled Town A south•Windsor
out b
�EC Cl�C 1� Pavement Cut
No.cuts
Est-Size of Penn.Patch(s)
Est.Pvt.Thickness in.
Est.Unit Price$
Amt.of Deposit$
Total Due$ by
( )Cash( )Check# .
Permanent Patch
No. Cuts
Size of Patch(s)
Final Billing
Amt.Due Payee
Amt.Due Town
• By
Applicant is responsible for contacting
the Police Dept.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 I AM FAMILIAR WITH AND WILL ASIDE BY THE RULES AND REGULATIONS FOR
PERMITS. CUTLINED THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
gned .
Date:
tier 'C iv Vv.N{; ,
Driver's License#:
PERMIT SHALL.BE KEPT ON JOBSITE AT ALL TIMES
€ Bernard Drabek- Locate Request-20072302312 Page 1
From: <CalICenter@CBYD2.com>
To: <cbyd@southwindsor.org>
Date: Wed, Jun 6, 2007 12:36 PM
Subject: Locate Request-20072302312
(CALL BEFORE YOU DIG -CT) 06/06/2007 12:32:53
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3-SW SWINDS -T5 -W3
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***** ROUTINE*****
TIME..12:32 DATE..06/06/2007
REQUEST NO...20072302312
LATITUDE..41.8160453 LONGITUDE..-72.5855120
TOWN......SOUTH WINDSOR
ADDRESS...10 -20
STREET....BEECHNUT LN
NEAREST
CROSS STREET..QUARRY BROOK DR
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TYPE OF WORK.....EXC TO RPLC CATV
AREA IS MARKED...YES
REMARKS:
WORKING FROM PED LOC AT THE RIGHHT FRONT OF PROP 10 &GOING TO THE PED LOC
LEFT FRONT OF PROP 20
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START DATE......06/09/2007 START TIME..09:00
CALLER..........PAUL LIEBRICH
CALL BACK.......8-5
PHONE#.........888-845-2302
FAX#...........401-942-1630
ALT. PHONE#....
EMAIL ADDRESS...
CONTRACTOR......TELE-NETWORKS
ADDRESS.........561 SCITUATE AVE
CITY............CRANSTON
STATE...........RI
ZIP.............02921
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EXCAVATOR DOING WORK..SAME
ISSUED TO: DATE: TIME: BY:
DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY:
CALL BACK: 1) DATE: TIME: BY: 2) DATE: TIME: BY: