HomeMy WebLinkAboutCAble Street Cut Permits 67 Kupchunos Dr TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 4178
Location Cont,ract'or TELE NETdnj,ORKS
0067 KUA. OS DRjV$ '`'f'.�f
Address 36 S'iFCAi�I DRIVE
Type Work CABLE ORE
OkISTON' .R 0.2g22
Pone No: 461 $4<20
Date Insp Needed
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Time Insp Needed
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Inspected By
Work in Progress
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Permit No. 4178 Town of South Windsor, CT
Date 04/10/2006 Street Excavation Permit
Expiration Date 04/10/2007
Descrip: INSTALL/REPLACE CATV;#67 75 KUVCUUNOS
Applicant LQcaG;ion
Name TELE-NETWORKSKU&,GH(TI.08 bPlV
Addr. 36 SYCAMORE DRIVE
CRANSTON RI 02921 � 6 Wo CF}8LE
Phone (401)461-8420
Applicant agreed tn:f:urnzsY� the .Tvwf o SQh Windsc ,tire amount of bond
required and to reimburse the ;Town of Spth W.,J,hid s o r f
jp jexpenses
incurred by the Town fCr maznCeri2lop tx riUxk in gonnection with this
permit and that ...... w3 .k� andr.rxi 11 'ak1e by th rules and
regulations for permstg '''as oi.t- '14 ed. Sort1�• Winzs[ir s Street
Cut Permit Manual.
PERMIT TO BE 'T. A %I .2IME�
Issued by
Date Completed
p 2.aa p:eb't'ed By -- T=G---
----------------
APPLICATION FOR STREET EXCAVATION PERMIT n &
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT 06074
_ FEE $25.00
Name of Firm T LG" tije-T
Phone NO. 53
Address of Firms �Ll�fl✓(�/ L 1� jNI S v) '
Location of proposed work
Describe fully nature of permit requested U 1V itk- CIE.6E' AUK - CAS
Starting date
Approx. time for completion Z DAY
Call Before You Dig No. T? (7 Traffic Services Control No.
Show sketch of proposed work or furnish
two copies of separate drawing Indicate North This section.to be filled out by
Town of South Windsor
f Pavement Cut
No.cuts
Est.Size of Perm.Patch(s)
Est.Pvt.Thickness in.
Est.Unit Price$
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 OUTPqED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL.
Si ned:
Date: L/—(0
Title:
Driver's License M
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES
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Bernard`Drabek Locate Request 20061403402 M Page 1
From: <CallCenter@CBYD.com>
To: <cbyd@southwindsor.org>
Date: Fri, Apr 7, 2006 9:40 AM
Subject: Locate Request-20061403402
(CALL BEFORE YOU DIG -CT) 04/07/2006 09:33:52
-5G -Cl -CW -GV
-OT 4-SW SWINDS -T5
--------------------------------------------------------------------------
*****ROUTINE*****
TIME..09:33 DATE..04/07/2006
REQUEST NO...20061403402
LATITUDE..41.8317031 LONGITUDE..-72.5462455
TOWN......SOUTH WINDSOR
ADDRESS...67
STREET....KUPCHUNOS DR
NEAREST
CROSS STREET..WINDY HILL DR
-------------------------------------------------------------------------
TYPE OF WORK.....EXC TO BURY CATV DROP
AREA IS MARKED...YES
REMARKS:
WORKING FROM THE CATV PED LOC LEFT FRONT OF PROP 67 AND
GNG TO PED LOC ON THE RIGHT FRONT OF PROP 67.
--------------------------------------------------------------------------
START DATE......04/12/2006 START TIME..08:00
CALLER..........MIKE TARLETON
CALL BACK.......8-5
PHONE#.........888-845-2302
FAX#...........401-942-1630
ALT. PHONE#....
EMAIL ADDRESS...
CONTRACTOR......T E L E-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: