HomeMy WebLinkAboutStreet Cut Permits 28 Fitch Meadow Lane (2) 1700132 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER STREET CUT PERMIT
DATE: 06/27/2017
GIS ID: 32800028 FEE: 25.00
MUNIS APPLICATION# 201700797 EXPIRATION DATE: 06/27/2018
APPLICANT LOCATION
NAME: ENVIRONMENTAL SERVICES INC ADDRESS: 28-I'ITCH MEADOW LANE
ADDRESS: 90 BROOKFIELD STREET: OWNER: PATLOLLA SANTOSH K&
SOUTH WINDSOR,C-T U6074" 28 FITCH MEADOW LANE
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
Y
THE TOWN OF SOUTH WINDSOR FOR ANEXPENSES 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.
1 3 f7
ISS ED BY DATE INSPECTED INSPECTED BY
6/27/2017 11:20 AM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES***
TOWN OF SOUTH WINDSOR INSPECTION REPORT
PERMIT NO.: f - 00 13A CONTRACTOR: r)vi ►o 0 m Y)lxy�tlei«s
LOCATION: _F, �=f�1' l'�� ��t.� �c t
TYPE OF WORK: ;
DATE INSP NEEDED: DATE INSP:
INSPECTED BY:
WORK IN
PROGRESS: Oi-lo
SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO
AS-BUILT:
INPUT: ck& , DATE: .
S/molloy/forms 2014 Town of South Windsor INPSEMON REPORT 14
I
APPLICATION FOR STREET EXCAVATION PERMIT
Appi. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No.
TOWN HALL 1540 SULLIVAN AVENUE SOUTH.WINDSOK CT 06074 FEE $26.00
Name of Firm OW/ 0#j hd-iNrfi-L . 3q'kU1 C EZ 0- Phone No. y k D
Addr+essofFinn dip Code e9k D 13/
Location of prroposed wo I isCa
102M
be fully nature of permit r Q
-zea5
Starring date Call Before You D4 No
PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIM11E. THE
APPLICANT IS RESPONSIBLE FOR THE DULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY
INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWNS CONTRACT COSTS. THE PERMANENT PATCH IS
TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD 13E LATER THAN A YEAR
Check Applicable: ❑ No Pavement,Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑ Sidewalk Cut
J"ng Driveway;No Charga ❑ Proposed Driveway Widening ❑ Proposed New Drn"W
Water Supply: ❑ Public Water ❑ Well Sewage Service: ❑ Public Sever ❑ Septic
Show sketch of proposed work or fumish Indicate North This secton to be filled outbv Town
two copies of separate drawing
No.cuts
EsL Patch Sines) sf
Est.PvL Thickness in.
r---�T Est.Patch Unit Price$ /sf.
V Est.Patch Cost
Est.Curb Replacemernt 0 .
Est.Curb Unit Price$ 1. .
lit.Curb Cost$
Est.Sidewalk Replecoment_of
Est.Sidewalk Unit Price$ __Jsf
Est.Sidewalk Cost$
EsL Traffic Hours hr
Est.TrafficUnit Cost$ fir
U Est.Tmffta Control$
Amt.of Deposit$
DRIVEWAYS must be aft or more from the-property line per Total Due$
section.L17 of the•zoning regulation
O Cash Check#
Applicant Is responsible for Ong the Police Dept.and C.B.Y.D
PERMIT SHALL BE KEPT ON J013SITE AT ALL TIMES. Paid By
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REMMURSE THE TOWN OF SOUTH
WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMrr AND
.THAT I AM.=FA1Ml3,IAR iTH AND WILL ABIDE BY THE RULES AND.REGUTATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF SOUTH
WINDSOIrS STREET CUT PERMIT MANUAL.