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HomeMy WebLinkAboutCAble Street Cut Permits 65 Talcott Ridg TOWN OF SOUTH WINDSOR INSPECTION REPORT Permit No. -- 0 Contractor COX COMMUNICATIONS Location Address 801 PARKER ST. Type Work CABLE MANCHESTER,CT 06040 CT 06040 Phone No,,", (860)432-5211 Date Insp Needed 41181 OZr Date Insp. Time Insp Needed TeIrbrp. Inspected By Work in Progress r a.. r e IMF �1�f Al �(Z 1rTA7 Input �./�_ Date Perm - No- 3270 Town of South Windsor, CT Date 04/17/2002 Street Excavation Permit Expiration Date 04/17/2003 Descrip: INSTALL CABLE TO POOL HOUSE Applicant Location Name COX COMMUNICATIONS 065 TALCOTT RIDGE RO Addr. 801 PARKER ST. 06040 CT 06040 Type of Work CABLE Phone (860)432-5211 Applicant agrees to furnf0h the.,, Tawn of South Windsor the amount of bond required and to reimburse the ToWn' ofCruth Windsor for any expenses incurred by the Town for maj,h,tenance or `repair work- it connection with this permit and that applicant _is faImI111ae Wi"�h and wi ;11 by the rules and regulations for permits as outl in'ed i`n' the Town :.off South Windsor's Street Cut Permit Manual . * PERMIT TO BE. KEPIT ON ',JOB :�SITE, AT ALL TIMES. Issued by Pf,-:�, A Date Completed 1 6 0 Inspected - APPLICATION FOR STREET EXCAVATION PERMIT 32�a TOWN OF SOUTH WINDSOR --- - PUBLIC WORKS DEPARTMENT TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSORf CT FEE $25.00 Name of Firm © Phone No. © —s - rs 2,170 Address of Firm µ Location of proposed work Describe fully nature of permit requested Starting date Approx. time for completion I —T O—A-4` Call Before You Dig No. Traffic Services Control No. Show sketch of proposed work or furnish To be filled out by Town of South Windsor two copies of separate drawing Pavement C�; Indicate North Prop. size of cut No. cuts Amt. of Deposit$ by +. S� ( )Cash ( ) Check # GVg J D� 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 CTI SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNE ON WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. OUTLINED IN THE Signed: Date: Title: �,t„,,, D.L.#: PERMIT SHALL BE KEPT ON )OBSITE AT ALL TIMES Standard Forms\Permits\Street Excavation Permit.doc x #1.0047 0 0 NPass ID#17930 DIG SAFE r L /) CLEARS 7:00" NUMBER t .7V �L,p /!� Conn:800-922-4455 ON AM a Fx 203 248-6448 Contractor#1167 CITY DATE 102 STREET ADDRESS Ems& PinAa4 Cr (fir w z � CT CROSS STl j X CHANGE IF DIFFERENT CATV WORK onr�r 24" "Own AREA MARKED ? YES UXVA OTT:,64-t t . \ i r t +� t I i, Q