HomeMy WebLinkAboutStreet Cut Permits 55 Fitch Meadow Lane (2) 1700124 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 06/27/2017
GIS ID: 32800055 FEE: 25.00
MUNIS APPLICATION# 201700789 EXPIRATION DATE: 06/27/2018
APPLICANT LOCATION
NAME: ENVIRONMENTAL SERVICES INC ADDRESS: 55_FITCH MEADOW LANE
ADDRESS: 90 BROOKFIELD STREET: OWNER: BRENNAN DONNA L
SOUTH WINDSOR,"CT06074 55 FITCH MEADOW ROAD
-SOU THWINDSOR,CT 06074
PHONE 860-528-9500 ;
WORK DESCRIPTION: DRIVEWAY 55-59-65-69 FITCH MEADOW
APPLICANT AGREES TO FURNISH 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 FOP,---MAINTENANCE OR REPAIR WORK IN
CONNECTION WITH THIS PERMIT AND THE APPLICANT IS FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH W DSOR'S STREET CUT PERMIT MANUAL.
WON 3
ISSUEA BY DATE INSPECTED INSPECTED BY
6/27/2017 9:54 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: �C,,� CONTRACTOR:'n Mim metz-ra l
LOCATION:
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: 9 .z3 /7
INSPECTED BY: Rb
WORK IN
PROGRESS: �� '� s {►' ._ � � � �c � [
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
r
INPUT: DATE: '
S/molloy/forms 2014 Town of South Windsor INPSECTION REPORT 14
APPLICATION FOR STREET EXCAVATION PERMIT
Appl.No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH.WINDSOR,CT 06074 FEE $25.00
Name of Firm ;�411019M t(&,UT"Q L Phone No.
Address of Firm - �� a Zip Code W
Location of proposed work &-S'- d p
Describe fully nature rm =,.
ed G' -� /sOGe-sS
—Is ,��44 cKsc
Starting date T7 Call Before You Dig No A 0/17 A b-Z)3/a3
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check
. Applicable: ❑/No ent,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curt Cut ❑ Sidewalk Cu t
B ngriveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Dn veway
Wafter Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or fumish Indicate North This section to be filled outbv Town
two copies of separate drawing No.cuts
11 Est. Patch Siae(s) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price
iP Est.Patch Cost$
Est.Curb Replacement It
Est.Curb Unit Price$ 1
E,st.Curb Cost$
' Est.Sidewalk Replacement sf
�Q Est.Sidewalk Unit Price
Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
Amt.of Deposit$
DRIVEWAYS must be aft or more from the-property tine per Total Due$
section 2.17 of the-zoning regulations
)Cash ( )Check#
Applicant is responsible for contacting the Police Dept.and C.B.Y.D
PERMIT SHALL BE KEPT ON JOSSITE�T ALL TI Paid By
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR E 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 f-AMILIAR WITH AND WILL ABIDE BY THE RULES AND.REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOR'S STREET CUT PERMIT MANUAL.