HomeMy WebLinkAboutCAble Street Cut Permits 105-111 Bourbon Permit No. 4336 Town of South Windsor, CT
Date 11/20/2006 Street Excavation Permit
Expiration Date 11/20/2007
Descrip: REPLACE CATV
Applicant
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Name TELE-NETWORKS 1fx 111 BOUR$q.0.;,52S8T
Addr.. 31 BAKEWELL COURT + >. ec::.::.
CRANYRP G.
STON RI 02 ...1.
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Phone 4 01)4 61-8 4 2 0
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Applicant agree s'<t6"' ikrXft's.b'the Tj,., •S.s "` Wind or > .k e>,anntint of bond
required and to reirtbu-V' e`,;jjie%%'' a"ses
incurred b the Towri>fQ: >•rr€ <a an "'br,`*f- air"� c.,,. F n��tipn with this
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permit and that a l <.catFt'"' < ' :a". Di' > F %1 ':J Y:d' ti `: rules and
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regulations for permid.9 as.&cfU-�t.fti 2'd` ;'.the: i�' :f5 ttt.S :�zt';ti hftinfis: rIs Street
Cut Permit Manual.
* * PERMIT TO `%5' 3CF1P"P<;,ON"��.,ATAL:-- :TI,�IFb
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Issued by xS'.tl`.<., 3-E^�v
Date Completed _________________ Inspected By ------------
TOWN OF SOUTH WINDSOR INSPECTION REPORT
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Permit No. 4336 Con: rActor..TELE..-,N8 OAKS
Location 105-111 BOURBON STREET k-qfdc. e ::'t:31 IXK klELIaf)ITRT
Type Work CABLE "t » S ,ON R'T 2921-.
Date Inp
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Time Ins
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Bernard Drabek- Locate Request-20063903677x
_Page 1
From: <Cal[Center@CBYD.com>
To: <cbyd@southwindsor.org>
Date: Fri, Sep 29, 2006 2:15 PM
Subject: Locate Request-20063903677
(CALL BEFORE YOU DIG -CT) 09/29/2006 14:14:22
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--------------------------------------------------------------------------
***** ROUTINE*****
TIME..14:14 DATE..09/29/2006
REQUEST NO...20063903677
LATITUDE..41.8434295 LONGITUDE..-72.5348281
TOWN......SOUTH WINDSOR
ADDRESS...105 - 111
STREET....BOURBON ST
NEAREST
CROSS STREET..FOSTER ST EXTN
-------------------------------------------------------------------------
TYPE OF WORK.....EXC TO INST CATV CONDUIT
AREA IS MARKED...YES
REMARKS:
WORKING FROM THE PED LC ON THE LEFT FRONT OF THE PROP OF 105
AND GOING TO THE PED LC ON THE LEFT FRONT SIDE OF PROP 111
WORKING IN TEH UTILITY R.O.W
--------------------------------------------------------------------------
START DATE......10/04/2006 START TIME..08:00
CALLER..........JAMES DAMBRA
CALL BACK.......8-5
PHONE#.........888-845-2302
FAX#...........401-942-1630
ALT. PHONE#....
EMAIL ADDRESS...
CONTRACTOR......TELE-NETWORKS
ADDRESS.........561 SCITUATE AVE
CITY............C RAN STO N
STATE...........RI
ZIP.............02921
--------------------------------------------------------------------------
EXCAVATOR DOING WORK..SAME
ISSUED TO: DATE: TIME: BY:
DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY:
APPLICATION FOR STREET EXCAVATION PERMIT 4A3
r TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074
FEE $25.00
'Name of Firm
Phone No.
Address of Firm C 7 cy ✓I
Location of proposed work_
-Describe fully nature of permit requested CA u
Starting date
Cali Before You Dig No. 0 y b 3(n`l Approx. time for completion_
Traffic Services Control No.
Show sketch of proposed work or famish
two copies of separate drawing Indicate NorthrEst.S!ze
ion to be filled out by
of South Windsor
ut
(�
I enn.Patch(s)
Est.Pvt.Thickness in.
Est.Unit Price$
® Amt.of Deposit$
- -- - - - - I Total Due$ by
( )Cash( )Check#
r�_ % Permanent Patch
No. Cuts
Size of Patch(s)
Final Billing
Amt.Due Payee
Amt.Due Town
By
Applicant is resPonsible for contacting
the Police De t.and C.B.Y.D. DA
1 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
PERMIT AS OUTJ N OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signe � � /)
Date:_ /l-
le:
-- Driver's License#:
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES