HomeMy WebLinkAboutStreet Cut Permits 60 Fitch Meadow Lane (2) 1700125 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 06/27/2017
GIS ID: 32800060 FEE: 25.00
MUNIS APPLICATION# 201700790 EXPIRATION DATE: 06/27/2018
APPLICANT LOCATION
NAME: ENVIRONMENTAL SERVICES INC ADDRESS: 60 FITCH MEADOW LANE
ADDRESS: 90 BROOKFIELD STREET OWNER: HUNTER JARRETT
SOUTH WINDSOR,CT 06074 " 60 FITCH MEADOW LANE
SOUTH WINDSOR,CT 06074
PHONE 860-528-9500
WORK DESCRIPTION: DRIVEWAY 60-62-64-66 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 FOR 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 WIN SOR'S STREET CUT PERMIT MANUAL.
1'yJC� U 23 7
ISSUED DATE INSPECTED INSPECTED BY
6/27/2017 10:00 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 1-:ZOO�-5_ CONTRACTOR: ,P.n 0400
LOCATION: VPC-odot_Q
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP:
INSPECTED BY: �
WORK IN
PROGRESS:
L c'A
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: CT 1 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 066074 FEE $25.00
Name of Firm Z� 1)w kfxrrL 5' II CIC S Phone No. O 6 d 5_62SQJ��
Address of Firm �e� 5 It ip Code Gl1
Location of proposed work Al CiW,
D e fully nature of permit ues ef7 �' .� rt :ql
Starting date 17 Call Before You Dig No a0/2- 96-0.S/ z3
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut 13 Pavement Cut ❑ Curb Cut ❑ Sidewalk'Cut
KE"ng Driveway,No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Wateeer Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or fumish Indicate North This section to be filled outbv Town
two copies of separate drawing
No.cuts
Est.Patch Sizes) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price$ /sf
Est.Patch Cost$
Est.Curb Replacement it
Est.Curb Unit PrigLAI
$
ftt Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price$ /sf
Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffic Unit Cost$ Mr
Est.Traffic Cordr+ol$
AmIL of Deposit$
DRIVEWAYS must be aft or more from the property line per Total Due$
section 2.17 of thizoning'regulations
Applicant is ( )Cash O Check#
responsible for contacting Police Dept and C.B.Y.D
PERMIT SHALL EPT ON JOBSIW,.AT ALWnMES. Paid By
LIZ
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 fA� MIl AR-IYffH 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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