HomeMy WebLinkAboutCAble Street Cut Permits 34 Gail Lane ,.� TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 3 Contractor COX COMMUNICATIONS
Location Address 801 PARKER ST.
Type Work MANCHESTER ,CT
06040 CT 06040
o. (860 )432-5211
Date Insp Needed Ias
Time Insp Needed
Inspected By
Work in Progress
Cr y ���, Date
Perm •tt Noy..... 3319
Town of South Windsor, CT
Date _ 06/12/2002 Street Excavation Permit
Expiration Date 06/12/2003
bescrip:
i
Applicant Location
Name COX COMMUNICATIONS I ANE
Addr. 801 PARKER ST. '
06040 CT 06040 CABLE
Phone (860)432-5211
Applicant agrees a he "nd or the amount of bond
required and to reim o th 1�;F r any expenses
incurred by the Town fW a a" pai i connection with this
permit and that appli VA an a ide by the rules and
regulations for permi 1 f uth Windsor's Street
Cut Permit Manual , k s^ r
* * PERMIT T LL TIMES.
Issued by S
Date Completed Inspected By ,.�
M �Y y.FM.n a"h .Fr° y.,.l Y .' I i+ 4
4
,Jun 10 02 02: 21p Witch Ent. Utility Div 4138210955 p, 1
APPLICATION FOR STREET EXCAVATION PE f
` RMIT
�� TOWN OF SOUTH WINDSOR
-� PUBLIC WORKS DEPARTMENT
' 1!� TOWN HALL
�0 t 1540 SULLIVAN AVENUE
�D SOUTH WINDSOR, CT
Name of Firm 'CiC37�y�
Address of Firm Phone No. 5F Go —
Location of proposed work M
Describe fully nature of permit requested .�
LiAj
Sbrting date
Call Before You Dig No. Approx• time for coral: I
Traffic Services Contra)No.
Show sketch of proposed work or fumish
two copies of separate drawing To be fill ed out b Town of South WFndsor
Indicate North P y m C
- Prop.size of cut
No. cuts
�+ Amt. of Deposit$ by
J ()Cash()Check #
Cut size after Perm, Patch
No, Cuts
Final Billing$
Amt. Due Payee$
Amt. Due Town$
Applicant is responsible for contacting b
the Police Dept. and C.B,Y.D. y date
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 PER AS OUTLINED IN THE
TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Signed:
v Date:
Title:
D.L.#:
PERMIT SHALL HE KEPT ON JOBSITE AT ALL TIMES
Standard Form skPerm itsAStreet Excavation Permit doc
Jun 10 02 02: 21p Witch Ent. Utility Div 4138210955 p. 2
t 1ass: 886-344-7233
W Mass
IDAt 17230 DIG SAFE 2 Q0 2 2400281 CLEARS 6/1 3 AM
Mass1-7 17930 `,j �+
ntunn�ER ON AM
Conn:800-922-4455
Contractor#1167 cI-r•�/DATE �� 11
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AREA �
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(CALL BEFORE YOU DIG - CT) 06/10/2002 10:51 :28
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3-SW SWINDS -T5 -W3
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* REMOTE BATCH ENTRY * * l
***** ROUTINE ***** bui
TIME. . 10:48 DATE. . 06/10/2002
REQUEST NO. . . 20022400281 �� {
LAT I TUDE. . 41. 8064460 LONGITUDE. . -72. 5913085
TOWN. . . . . . SOUTH WINDSOR
ADDRESS. . . 34
STREET. . . . GAIL LN
NEAREST
CROSS STREET. . LEFOLL BLVD
-----------------_..--------------------------------------------------------
TYPE OF WORK. . . . . INSTALLING CATV HOUSE DROP 24 INCHES
AREA IS MARKED. . . YES
REMARKS:
DIGGING FROM THE LEFT SIDE OF THE HOUSE TO THE CATV PEDISTAL
AT THE STREET
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START DATE. . . . . . 06/13/2002 START TIME. . 07:00
CALLER. . . . . . . . . . ANDREA
CALL BACK. . . . . . . 7-4
PHONE #. . . . . . . . . 413-786-7314
FAX #. . . . . . . . . . . 413-821-0955
ALT. PHONE #. . .
.
EMAIL ADDRESS. . . J'OBS@WITCHENTERPRISES. COM
CONTRACTOR. . . . . . WITCH ENTERPRISES INC.
ADDRESS. . . . . . . . . P. O. BOX 673 467 SILVER ST
CITY. . . . . . . . . . . . AGAWAM
STATE. . . . . . . . . . . MA
ZIP. . . . . . . . . . . . . 01001
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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: