HomeMy WebLinkAboutCAble Street Cut Permits 70 Rockledge Dr ' TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No 3232 Contractor COX COMMUNICATIONS
Location W: " Address 801 PARKER ST.
Type Work CABLE MANCHESTER,CT
06040 CT 06040
Plhone ,No. _ (860)432-521 1
Date Insp Needed p e ',Insp. /2,
Time Insp Needed 1 i'tne° Insp.
Inspected By
Work in Progress
Input- Date /
1
Permit No. ' " ,� �- 3232
Town of South Windsor, CT
Date - 11/26/2001 Street Excavation Permit
Expiration Date 11 /26/2002
Descrip: INSTALL CATV LINE
Applicant Location
Name COX COMMUNICATIONS 007:fl ROCKL£bGE DRIVE
Addr. 801 PARKER ST.
06040 CT 06040 Tyi` if i, -Work CABLE
Phone (860)432-5211
Applicant agrees to ?,furnl h the oWn iif" South .;Windsor the amount of bond
required and to re i mbu rsbe .i6�- I'TOW' •,of: 'S6u�h �f3 hdj''or x to any expenses
incurred by the Town for ma l�htenanpe dr r, Pa r�=wt rk - i n' connect on wi th thi s
permit and that app1icaht 1s am a wi .,and wi } 1 abide by the rules and
regulations for permits-,4s a+,.1 i Tied tri ° the° Tow -of South Windsor' s Street
Cut Permit Manual .
* * PERMIT TO B�E. KEPT, ;QN 40B :S-ITE AT ALL TIMES.
Issued by
Date Completed Inspected By �'
APPLICATION FOR STREET EXCAVATION PERMIT32�2
TOWN OF SOUTH WINDSOR ----
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Name of Firm 0 l3 Phone No. b (00 -S
Address of Firm M
Location of proposed work
Describe fully nature of permit requested =�S1 ,-, L Ctt'-7-,V' L- Aj 4
Starting date 11- 17_6 1 Approx. time for completion
Call Before You Dig No._amt it)-O'laix Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of South Windsor
two copies of separate drawing
Pavement Cut
Indicate North
_ Prop. size of cut
No. cuts
t Amt. of Deposit$ by
( )Cash ( ) Check#
G"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.
Signed: n..r :Z
//�� �� Date:
Title: lam Q D.L.#:
PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES
Standard Forms\Permits\Street Excavation'Permit.doc
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Mass: 888-344-7233 /
Mass1a21-ooa7 DIG SAFE 00 / O O�� Q` CLEARS 7:00
MasslD#1793D NUMBER / ON AM
Conn:800-922-4455
Fx 203 248-6448
Contractor IF 1167 C S TY - SCx—r - J / 1, n/1 e
DATE y ( F'l t.�.l /V1Clc�
STREET
aD IO ADDRESS 70 P-pckLL-2, �--S 0,uJ46
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t Number 20014700968 Date 11f2012001 Time 11:47
These utilities were selected for this location
Abbreviation Name Cleared Marked CROSS ST �!UC�CStO �/Zt ClC1
J. YANH(O _YANHEE GAS SERVICES
__._._. CHANGE IF DIFFERENT CATV WORK
CCL&P I CONNECTICUT LIGHT AND POWER
CTWTCO ;CONNECTICUT WATER COMPANY 24
COXCAB COX COMMUNICATIONS AREA MARKED ? YES
ONTARO 014-TARGET LOCATING SVC
SWINGS 'TOWN OF SOUTH WINDSOR J.
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