HomeMy WebLinkAboutMiscellaneous Street Cut Permits Clark S TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 4203 C, - s5, Cont,raet..or"TELE'-&ET:W;QRKS
LocationNORTH OF -`PV RD BY s.s I ELL e.OURT? kE
Type Work MISCELLAN
: <MP.NSTOT3> Rr� 0;292:;1
Pfxone No (4R, 3461 8'420
Date Insp Needed
Time Insp Needed Ti"----------
IYS
Inspected By JA
Work in Progress W�'�"—��^ ''�` b L�Jz —
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Permit No. 4203 Town of South Windsor, CT
Date 04/24/2006 Street Excavation Permit
Expiration Date 04/24/2007
Descrip: REPLACE EXIST CABL. '::::s;SIN.
Applicant
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b.
Name TELE-NETWORKS A7tk3?1H OF PV
Addr. 31 BAKEWELL COUf�T f.
CRANSTON RI 029 1 y ie . .......
'rX.M. T SSCEI LA 1
Phone (401)461-8420
Applicant agrees` to urn s ^the T 'NXA t3 ,S0.Ut Wind�ax the;attmolnt of bond
required and to reimbU Se kh Toca� �5 ' 'u ruth T$ d Qr f4 aTi ,ejS q s e s
incurred by the Town, fray rcraj t@ and' ""br pair w r „iz1; Ot ctidn with this
permit and that a Heart' Y tatt�rla :
p pP wat1tkse rules and
regulations for perm s as, dutaine43':r' Yaty''<;»:<•;» < :::.;::;::<::::::
P t.., ,. awof Soarlti Windsor s Street
Cut Permit Manual.
* * PERMIT TO BE •KEPT ON >JQI.TE' AT„AItL TIM$:5.
Issued by ,NS I/ l — xtle Qlc7�
Date Completed _ �IZ7�'>b----- Inspected By � —
oG� iarca urapeK- Locate Request-20061700330
From: <CallCenter@CBYD.com>
To: <cbyd@southwindsor.org>
Date: Mon, Apr 24, 2006 10:23 AM
Subject: Locate Request-20061700330
(CALL BEFORE YOU DIG -CT) 04/24/2006 10:16:52
-5G -BB -Cl -GV
-OT 3-SW SWINDS -T5 -W3
-----------------------------------------------------------
***** EMERGENCY*****
TIME..10:16 DATE..04/24/2006
REQUEST NO...20061700330
LATITUDE..41.8082084 LONGITUDE..-72.5757827
TOWN......SOUTH WINDSOR
STREET....CLARK ST
NEAREST
CROSS STREET..PLEASANT VALLEY RD
-------------------------------------------------
TYPE OF WORK.....EXC TO INST CATV
AREA IS MARKED...YES
REMARKS:
WRKNG FROM PLE 25229 LC 200FT NORTH OF INTER&GOING
65FT WEST OF PLE ACROSS THE ST
----------------------------------------------------------
START DATE......04/25/2006 START TIME..08:00
CALLER..........JAMES DANGELIS
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:
CALL BACK: 1) DATE: TIME: BY: 2) DATE: TIME: BY:
APPLICATION FOR STREET EXCAVATION PER
TOWN OF SOUTH WINDSOR MIT
PUBLIC WORKS DEPARTMENT —Fe—rmit—No
{ TOWN HALL
1640 SULLIVAN AVENUE
_SOUTH WINDSOR, CT 06074
FEE $25.00
Name of Firma IV-TW
Address of Firm 1�12�CEwE� CTC Phone Ni
Location of proposed work (4�
WA
Describe fully nature of permit requested
Starting dateif
a
Call Before You Dig No,7O n I ' p 3 Approx. time for completion_ ► y��
Traffic Services Control No.
Show sketch of proposed work or famish
two copies of separate drawing This section to be filled out b
Indicate North
Town of south'Windsor
Pavement Cut
No.cuts
Est.-Size of Perm.Patch(s)
---------------
Z� Oj Est.Pvt.Thickness in.
Est.Unit Price$
Amt.of Deposit$
Total Due$ by
( )Cash( )Check# .
Permanent Patch
No. Cuts
Size of Patch(s)
Final Billing
Am t Due Payee
Amt.Due Town
By
Applicant is res nsible for contactin
III e Police Dent and C.B.Y.D.
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND
TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE O TO R REP
CONNECTION WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONSREIMBURSE THE
;PERMITS OUTLINE IN THE TOWN OFSOUTH WINDSOR'S STREET CUT PERMIT MANUAL. AIR WORK IN
FOR
ned: 01-
Date:-d—q AV M c3Gl) b
Title:
Driver's License M
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES