HomeMy WebLinkAboutStreet Cut Permits 56 Fitch Meadow Lane (2) 1700126 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 06/27/2017
GIS ID: 32800056 FEE: 25.00
MUNIS APPLICATION# 201700791 EXPIRATION DATE: 06/27/2018
APPLICANT--. LOCATION
NAME: ENVIRONMENTAL SERVICES INC ADDRESS: 56 FITCH MEADOW LANE
ADDRESS: 90 BROOKFIELD STREET. OWNER: SFREDDO DONALD
SOUTH WINDSOR GT 06074 56 FITCII MEADOW LANE
SOUTH WINDSOR, CT 06074
PHONE 860-528-9500
WORK DESCRIPTION: DRI_ EEWAY
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 WINDSOR'S STREET CUT PERMIT MANUAL.
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DATE INSPECTED INSPECTED BY
6/27/201711:05AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 1.� I CONTRACTOR: rpi\jf�? . !���I' �_ 6
LOCATION: Wyci rQ C f r._�
TYPE OF WORK: 1 � y�c.aJa La
DATE INSP NEEDED: DATE INSP: /
INSPECTED BY: �
WORK IN
PROGRESS: 6�_ r
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE: 6), <\
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 $25.00
Name of Firmv IDCI-L�uC1T�-L 7 I��Se re Na
Address of Firm 62 ` Zip Code
Location of proposed work m is G
'be fully nature of permitue r2.Jr
W c=A 236 As- sett
Starting date Call Before You Dig No
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
Existing Driveway;No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled outbv Town
two copies of separate drawing
No.cuts
Est.Patch Sizes) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price
Est.Patch Cost$
,p Est.Curb Replacement ft
1
Est.Curb Unit Price
I Est.Curb Cost$
Est.Sidewalk Replacement sf
Est.Sidewalk Unit Price$ lsf
Est.Sidewalk Cost$
Est.Traffic Hours hr
Est.Traffim Unit Cost$ fir
Est.Traffic Control$
Amt.of Deposit$
DRIVEWAYS must be 3ft or more from the property line per Total Due$
section 2 97 of thiaoning'regulatione
Applicant is responsible for contading the Polite Dept.and C.B.Y.D { )Cash O Check#
PERMIT SHALL B PT ON JOBSITE A Ti ES. Paid By
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I AGREE TO FURNISHTO 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.FAM(UAR vWrrH AND WILL ABIDE BY THE RULES AND.REGULATIONS FOR PERMITS AS OUTLINED 1N THE TOWN OF SOUTH
WINDSOR'S STREET CUT PERMIT MANUAL.