HomeMy WebLinkAboutStreet Cut Permits 5 Fitch Meadow Lane (2) 1700119 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 06/27/2017
GIS ID: 32800005 FEE: 25.00
MUNIS APPLICATION# 201700784 EXPIRATION DATE: 06/27/2018
APPLICANT = LOCATION
NAME: ENVIRONMENTAL SERVICES INC ADDRESS: 5 FITCH MEADOW LANE
ADDRESS: 90 BROOKFIELD STREET OWNER: CHAN MICHAEL W&
SOUTH WINDSOR,CT 0604 S FITCH.MEADOW LANE
SOUTH WINDSOR, CT 06074
PHONE 860-528-9500
WORK DESCRIPTION: DRIVEWAY 5-7 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 WII L ABIDE BY THE RULES AND REGULATIONS
FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL. �f
ISSUEYBY DATE INSPECTED INSPECTED BY
6/27/2017 9:40 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
---------- -----------------------------------_.---------- - ----- ---- ------ -- --- ---------- -
TOWN OF SOUTH WINDSOR INSPECTION REPORT
a
PERMIT NO.: CONTRACTOR: 'i1 Lat64 a fne-I
LOCATION: a) a ne
TYPE OF WORK:
DATE INSP NEEDED: DATE INSP: T l,; 3 )1T
INSPECTED BY: 9 0J
WORK IN
PROGRESS: «
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: IX� 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 $25.00
Name of Firm (it�'L6�e�G `1�E'C� Phone No. k6o J A CIv
Address of Firm REb �- Sow Zip Code D
Location of proposed work 3" L
fully nature of permit requested 4 Q
Ave 42ci<
Starting date ti Call Before You Dig No AL01 — AS-0�9
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWNS CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
xistIng Driveway;No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or fumish Indicate North This section to be filled outbv Town
two copies of separate drawing
No.cuts
Est.Patch Size(s) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price
!� Est.Patch Cost$
Est.Curb Replacement It .
0
Est.Curb Unit Price$ 'TL
Est.Curb Cost$
]a Est.Sidewalk Replacement sf
( Est.Sidewalk Unit Price$ Jsf
Est.Sidewalk Cost$
Est.Traffic Hour: hr
�- Est.Traffic Unit Cost$ /hr
Est.Traffic Control$
f'•� ` `5�
Amt.of Deposit$
DRIVEWAYS must be aft or more from the property line per Total Due$
section 2.17 of thizoning'regulations
( )Cash ( )Check#
Applicant is responsible-for contacting the Police Dept.and C.B.Y.D
PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES. Paid By
I AGREE TO FURNISH TO THETOWN 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.FAMRJAR(WITH AND WILL ABIDE BY THE RULES AND.REGULATIONS FOR PERMITS AS.OUTLINED IN THE TOWN OF SOUTH
WINDSOR'S STREET CUT PERMIT MANUAL.
Cinnnd• or:..�wia...e n_a_.