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HomeMy WebLinkAboutCAble Street Cut Permits 46 Rockledge Dr Id .0 TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. 3; d$ Contractor COX COMMUNICATIONS Location ' Address 801 PARKER ST. Type Work CABLE MANCHESTER,CT 06040 CT 06040 Phone No. (860)432-5211 Date Insp Neededtee„errs p / O Time Insp Needed TimeInsp. Inspected By ��y w, Work in Progress Input, Date ��- Perms t No, 3128 Town of South Windsor, CT Dateri -- 06/06/2001 Street Excavation Permit Expiration Date 06/06/2002 Descrip: Applicant Location Name COX COMMUNICATIONS 0046 ROCKLEDGE DRIVE Addr. 801 PARKER ST. 06040 CT 06040 Type of Work CABLE Phone (860)432-5211 Applicant agrees to fur,nash.wx.thr Tgwri` of South Windsor the amount of bond required and to reimburse 't'ha,-Town 6f' ,south Wjhdsor `for any expenses incurred by the Town fQr mafht0nsr4,,-e dr`: ,repair _work -'in connection with this permit and that applicant.:is' f'amiliar with and will abide by the rules and regulations for permits as outl;ire !'`in 'the Town 'of South Windsor's Street Cut Permit Manual . * * PERMrIIT TO BE KEPT ON JOB 'SITE, AT ALL TIMES. Issued by Title Date Completed o1 - % " 'L Inspected By Jam' .Y APPLICATION FOR STREET EXCAVATION PERMIT TOWN OF SOUTH WINDSOR --- PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT FEE $25.00 Name of Firm Phone No. �Cz© -S - ��Q Address of Firm ,,� Location of proposed work Describe fully nature of permit requested _C if-I-�) L�� Starting date Ta Approx. time for completion U o Call Before You Dig No. 83 Traffic Services Control No. Show sketch of proposed work or furnish To be filled out by Town of South Windsor two copies of separate drawing Pavement Indicate North Prop. size of cut No. cuts Amt. of Deposit$ by v ` D` 4 ()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. 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Bv\w POWER �» OVERHEAD GUY fA0Ux0 DIRECTIONAL Y4orS1 f [0\4f0 PO\ rF0\+C \++O Mu—T— 02nCµ A(CfIYq 2 ® RISER Q tan am ¢4B exmcLR SUPPLY T IOCAnw COUPLER fTG AC.N 400E x00F ®D ' UIV Qr%rC 1VU1V1mt:K LVV I Cn &l uJ/0 J Conn:' Ph: 800-922-4455 DIG SAFE CLEARS ON AT 7:00 AM Contractor#1167 Date b r /01 EMAIL CITY S STREET ADDRESS tj 4 �j CROSS STREET CHANGE IF DIFFERENT: WORK: Installing CAN DEPTH: 24" AREA PREMARKED ?: YES Utilites Notified: Sly/ T 4