HomeMy WebLinkAboutStreet Cut Permits 32 Fitch Meadow Lane (2) 1700131 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 06/27/2017
GIS ID:32800032
MUNIS APPLICATION# 201700796 FEE: 25.00
EXPIRATION DATE: 06/27/2018
APPLICANT " LOCATION
NAME: ENVIRONMENTAL SERVICES INC ADDRESS:, 32 FITCH MEADOW LANE
ADDRESS: 90 BROOKFIELD STREET OWNER: WATTS:MARJORIE
SOUTH WINDSOR,CT,06074 32 FITCH MEADOW LN
SOUTH WINDSOR,CT 06074
PHONE 860-528-9500
WORK DESCRIPTION: DRIVEWAY
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.
7
ISSUED B DATE INSPECTED INSPECTED BY
6/27/201711:18AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: 1200 CONTRACTOR: rn ioikv I A-k) 5al U► ce'
LOCATION:
TYPE OF WORK: 3�'yo f Aa-0
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS: a�
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: DATE:
S/molloy/forms 2014 Town of South Windsor INPSEMON REPORT 14
r
APPLICATION FOR STREET EXCAVATION PERMIT
Appl.No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permft No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH.WINDSOR,CT 06074 FEE $25.00
Marne of Firm ���t A2O�I k� >� J 2,e rJ1CC S �jt�C 0 (o D
Phone No.
Address of Firm D ZP,*ffFt 4 b S7" 40 5 5�D/; Zip Code -®A?,0 1
Location of proposed wo •
Desaibs fully nature of permit req �- C1 �,3
Starting date Call Before You Dig
PLEASE NOTE: THE DEPOS(t FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMAlE. THE
APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWS CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE IATER THAN A YEAR.
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
>FaJstlng Driveway;No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway
Water supply: ❑ Public Water ❑ War Sewage Seance: ❑ Punic Sewer ❑ Septic
Show sketch of proposed work or furnish Indicate North This section to be filled oukbv Town
two copies of separate drawing
No.ads
Est.Patch Sizes) sf
Est.Pvt.Thickness in.
Est.Patch Unit Price
Est.Patch Cost#
j Est.Curb Rem it .
Est.Curb Unit Price$
r / r-' GWL Cufb Cost$
Est.Sidewalk Repiaowmt_of
Gl Est.Sidewalk Unk Price$�sf
Est.Sidewalk Cost$
Est.Traffic Hours hr
t Est.Traffic Unit Cost$ Ihr
Est.TrMMO Control#
Amt.of Deposit$
DRIVEWAYS must be aft or more from the-property line per Total Due$
seadon.2.17 of ths•zoning ieplations
)Cash O Check 0
Applicant Is PERMIT SHALL BE KEPT Oonidble for N JOOBSSITE AT ALLng the Police t Dept
and C.B.Y.D Paid By
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 M,;-WITH3AND WILL ABIDE BY VHE RULES AND.REGULATIONS FOR PERMITS AS OUTLINED 1N THE TOWN�OF SOUTH
WINDSOR'S STREET CUT PERMIT MANUAL.