HomeMy WebLinkAboutCAble Street Cut Permits 10 Benjamin Way Permit No. 4179 Town of South Windsor, CT
Date 04/10/2006 Street Excavation Permit
Expiration Date 04/10/2007
Descrip: INSTALL/REPLACE CATV..:
Applicant LpcC`aon
Name TELE-NETWORKS
yQiJ $fsNdII WAY
Addr. 36 SYCAMORE DRIVE
CRANSTON RI 0291; i1rp :Work CABLE:::
Phone (401)461-8420
Applicant agrees bo`fUrnzsh the'"fii wn: <i Sbu".bh Win( SJ t13e 'amount of bond
required and to reimburse Ehe 'own oa4ith ydinxlsor for:any expenses
incurred by the Towi for mdkiltenatl' -eta xpi ,Wsrk., ir1 connectapn with this
permit and that appliaAit t familiar wit and w�7� ab .. key the rules and
regulations for permits as acttl net the o ri t f 'south W:inds�r's Street
Cut Permit Manual.
* * PERMIT TO. BE"KEPT
--ON-- 7f7� SITB AT ALL:T��IES'i `*
Issued by ---- �— �� fiitle l�lV
:
Date Completed """'T'risp`ected By ,—= ---�
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit N _ Contactor TELE NETWORKS
Location Addrei5,.S _ 36 5..YCAMORE `D:RIVE
Type Work CABLE
CRANSTON RT G.29B::].
Phone- o .{4II.13461 '8420
Date Insp Needed --------------
Time Insp Needed K i--------------
t2me IYt
Inspected By � � I :
Work in Progress a�� (oISS
-----------
— — -----
K.
SKI'.
--------------
t
APPLICATION FOR STREET EXCAVATION PERMIT 11
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074
FEE $25.00
Name of Firm_ TE LE"NE-T 0�� Phone No. `> 'd 0
Address of Firm 1 -t� 0— e
Location of proposed work I b tM 1 V�
.Describe fully nature of permit requested 1 11\3 (l c ri? iZP
Starting date Approx. time for completion 1 DAY
Call Before You Dig No.a00(Q 13 b 3 Traffic Services Control No.
Show sketch of proposed work or fumish
two copies of separate drawing Indicate North This section to be filled out by
Town of South'Windsor
L� Pavement Cut
No.cuts
Est.Size of Perm.Patch(s)
Est.Pvt.Thickness in.
Est. Unit Price$
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 �tP
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 ABIDE BY THE RULES AND REGULATIONS FOR
PERMITS S OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Si Date:_..%—(® '�((J
Title: Driver's License#:
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
Derway, Thomas (CCI-New England)
From: Derway, Thomas (CCI-New England)
Sent: Monday, March 20, 2006 8:24 AM
To: 'gcancel@telnetworks.necoxmail.com'; 'JIM'
Subject: 10 Benjamin Way, South Windsor Install pending new drop
CBEFDKR Work Order Display Site
ID 216
Acct Nbr 491267-03 @CM
Cust Info
Donna Allard Co/Dv/Frn 51 10 426 Maj
Min
10 Benjamin Way Phone#: Home 860 644-9798 Tech #
0
South Windsor CT 06074-1552 10 Bus Job
Seq:
Q Code E HARDENED DROP Job Nbr:
000
Priority: 5 Pool: 5
Tag Nbr: 1280967
Work Order Number 12898168 Problem Code .
Work Order Type SR Special Request Addtl Problem Codes:
Work Order Status Not Coded Primary Finding
Dispatch Comment DROP Primary Solution . .
Work Order Comments: PER T773 NEEDS NEW UG DROP 118 FT S Pri Loc: SW1
Sch Date: 5/15/06 IDEWALK BORE CS: OLD FARMS RD Sec Loc:
Sch Time: ALLDAY Node Id:
SWCOl
Ckin Usr:
Stage:
Cat Occ Service ---------- From To Amount Pnts
Emp User ID
C 1 929 BURY DROP 1
51137 CONMIRLA
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