Loading...
HomeMy WebLinkAboutDriveway Street Cut Permits 30 Benjamin (2) P9-rm .t, No. 3344 Town of South Windsor, CT Date ' 07/15/2002 Street Excavation Permit Expiration Date 07/15/2003 Descrip: CABLE Applicant Location Name COX COMMUNICATIONS N N WAY Addr. 801 PARKER ST. 06040 CT 06040 RIVEWAY Phone (860-)432-5211 Applicant agrees t nd or the amount of bond required and to reim ut� th r any expenses incurred by the Town fo`""r en pai I )i connection with this permit and that appii ide by the rules and regulations for permi i d_ S uth Windsor's Street Cut Permit Manual . " 1 * * PERMIT TO LL TIMES. Issued by - r--- _. 1 Date Completed 'Inspected By I I TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. A Contractor COX COMMUNICATIONS Location Address 801 PARKER ST. Type Work MANCHESTER,CT 06040 CT 06040 (860)432-5211 Date Insp Needed s �- Time Insp Needed Inspected By Work in Progress 7 : s t ti SOR d Date Jul .15 02 01 : 51p Witch Ent. Utility Div 4138210955 p, 1 APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE rd -D SOUTH WINDSOR, CT WA ! VE ; Name of FirmPhone No._a �� 'S1 Address of Firm kl n i !N-pPi P �•t Location of proposed work 3© -_Ar-f idM-AM (A30. ' Describe fully nature of permit requested Starting date Approx.time for completion (— �r4�{`_C W t0. rr e�r ti th ne Call Before You Dig No. Traffic Services Control No. Show sketch of proposed work or furnish ` p p To be filled out by of South Windsor two copies of separate drawing Pavement Cut Indicate North Prop.size of cut No. cuts � Amt.of Deposit$ by ()Cash()Check# G Cut size after Perm. Patch No. Cuts Final Billing$ Amt.Due Payee$ Amt.Due Town $ Applicant is responsible for contacting by date 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 AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. Signed: nkux. � Date: f oO-- Title• 1 ��„pa1� D.L.#_ PERMIT SHALL BE KEPT ON JOBS17TE AT ALL TIMES Standard rorms�Permits\Street Excavation Permit.doc Jul 15 02 01 : 51p Witch Ent. Utility Div 4138210955 p. 2 Mass; 888-344-7233 Fx 781-721-0047 DIG SAFE CLEAR 7:00 Mass 1D#17930 NUMBER 20022900381 ON s 7/18 AM Conn:800-922-"55 Fx 203 248-6446 Contractor#1167 CITY ScQ% T DATE /02 STREET '3 6 YS eA6 GLWWO kjj ADDRESS ........... Mi`4 MA-�Vl[x '11,M7, 96 N! CROSS ST Q Cl r-on CHANGE IF DIFFERENT 'CATV WORK 24 AREA MARKED ? YES 4e, ` ^ ** (CALL BEFORE YOU DIG - CT) 07/15/2002 11 : 18: 17 -5G -C4 _CW -OT 5-SW SWINDS _T5 -GV _---_------_-----_-----_--- ------------------------ *** REMOTE BATCH ENTRY *** ----------------------- ***** ROUTINE ***** TIME. . 11 : 11 DATE. . 07/15/2002 / REQUEST NO. . . 20022900381 LATITUDE. . 41. 8646297 LONGITUDE. . -72. 5441741 TOWN. . . . . . SOUTH WINDSOR ADDRESS. . . 30 STREET. . . . BENJAMIN WY NEAREST CROSS STREET. . OLD FARM RD _______________________________________________ 4- TYPE OF WORK. . . . . INSTALLING CATV HOUSE DROP 24 --------------------------- INCHES AREA IS MARKED. . . YES REMARKS: DIGGING FROM THE LET SIDE OF THE HOUSE TO THE CATV PEDISTAL AT THE STREET ______________________________________________ START DATE. . . . . . 07/18/2002 START TIME. . 07:00 ---------------------------- CALLER. . . . . . . . . . ANDREA CALL BACK. . . . . . . 7-4 PHONE #. . . . . . . . . 413-786-7314 FAX #. . . . . . . . . . . 413-821-0955 ALT. PHONE #. . . . EMAIL ADDRESS. . . JOBS@WITCHENTERPRISES. COM CONTRACTOR. . . . . . WITCH ENTERPRISES INC ADDRESS. . . . . . . . . P. O. BOX 673 467 SILVER ST CITY. . . . . . . . . . . . AGAWAM STATE. . . . . . . . . . . MA ZIP. . . . . . . . . . . . . 01001 ---------_-----_-------- ---_______________________ EXCAVATOR DOING WORK. . WITCH ------------------------ 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: